Graves病131I治疗中的细胞因子变化

    The level change of cytokine during the radioactive iodine treatment of Graves disease

    • 摘要: 目的:研究放射性碘(131I)治疗Graves病过程中的血清细胞因子的变化,并探讨其临床应用价值。方法:采用ELISA法分别测定初诊甲亢患者(初诊组,n=61)以及甲亢患者131I治愈后(治愈组,n=65)的血清细胞因子白细胞介素(IL)-1β、sIL-2R、IL-5、IL-6以及肿瘤坏死因子-α(TNF-α)的水平,并与健康对照组(n=68)比较;分析各种细胞因子水平与甲状腺激素之间的相关性。结果:初诊组及治愈组患者血清IL-1β、sIL-2R、IL-5、IL-6及TNF-α的水平均显著高于健康对照组(PPPP>0.05);IL-1β与FT4,sIL-2R与TRAb,以及TNF-α与TRAb均呈正相关关系(P结论:细胞因子IL-1β、sIL-2R、IL-5、IL-6以及TNF-α水平与甲状腺的功能密切相关,可作为评判甲亢患者131I治疗效果的有价值的指标。

       

      Abstract: Objective:To investigate the level changes of cytokines during the radioactive iodine(131I) treatment of Graves disease and its clinical significance.Methods:The serum levels of cytokines including interleukin-1β(IL-1β),solubility interleukin-2R(sIL-2R),IL-5,IL-6 and tumor necrosis factor-α(TNF-α) in the patients with Graves disease(n=61),the cured patients treated with 131I(n=65) and health control group(n=68) were measured by ELISA.The relationships between cytokines and thyroid hormone were analyzed.Results:The levels of IL-1β,sIL-2R,IL-5,IL-6 and TNF-α in patients with Graves disease and the cured patients were significantly higher than those in heath control group(PPP131I and health control group was not statistically significant(P>0.05).The levels of serum IL-1β and free thyroxine,sIL-2R and serum thyrotropin receptor antibody(TRAb),and TNF-α and TRAb were positive correlations(PConclusions:The serum cytokines levels are closely related to the function of thyroid,which can be used as an evaluation index of radioactive iodine treatment effects for patients with hyperthyroidism.

       

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