王涛, 江超, 谢长好, 梅永君, 范晓云. 系统性红斑狼疮患者血浆白细胞介素-17A的表达及临床意义[J]. 蚌埠医科大学学报, 2012, 36(11): 1287-1288,1293.
    引用本文: 王涛, 江超, 谢长好, 梅永君, 范晓云. 系统性红斑狼疮患者血浆白细胞介素-17A的表达及临床意义[J]. 蚌埠医科大学学报, 2012, 36(11): 1287-1288,1293.
    WANG Tao, JIANG Chao, XIE Chang-hao, MEI Yong-jun, FAN Xiao-yun. Expression and clinical significance of plasma interleukin-17A in systemic lupus erythematosus[J]. Journal of Bengbu Medical University, 2012, 36(11): 1287-1288,1293.
    Citation: WANG Tao, JIANG Chao, XIE Chang-hao, MEI Yong-jun, FAN Xiao-yun. Expression and clinical significance of plasma interleukin-17A in systemic lupus erythematosus[J]. Journal of Bengbu Medical University, 2012, 36(11): 1287-1288,1293.

    系统性红斑狼疮患者血浆白细胞介素-17A的表达及临床意义

    Expression and clinical significance of plasma interleukin-17A in systemic lupus erythematosus

    • 摘要: 目的:探讨白细胞介素-17A(IL-17A)在系统性红斑狼疮(SLE)患者血浆中的水平变化及其临床意义。方法:应用ELISA法检测初发SLE患者未用激素治疗组13例、激素治疗组47例及29名健康志愿者(对照组)血浆中IL-17A的水平, 比较3组的差异并分析IL-17A水平与临床指标的关系。结果:未用激素治疗组IL-17A水平均高于对照组及激素治疗组(P0. 05和P0. 01)。IL-17A水平与红细胞沉降率和C4均呈负相关关系(P0. 05);而与C3、IgG、抗ds-DNA、SLE疾病活动性指数和24 h尿蛋白定量均无相关关系(P0. 05)。结论:未用激素治疗组血浆IL-17A的水平比对照组升高, IL-17A在SLE的发病中可能发挥着重要的作用, 激素治疗可显著降低SLE患者IL-17A水平。

       

      Abstract: Objective: To investigate the changes of plasma interleukin-17A(IL-17A) level in patients with systemic lupus erythematosus(SLE) and analyze the clinical implication. Methods: Plasma IL-17A level was measured by ELISA from 60 SLE patients(13 without glucocorticoid treatment and 47 with glucocorticoid treatment) and 29 healthy persons. The relationship between IL-17A and clinical or laboratory parameters of SLE patients was explored. Results: IL-17A levels were elevated significantly in SLE patients without glucocorticoid treatment than in SLE patients with glucocorticoid treatment or healthy persons(P < 0. 05-P < 0. 01) . The negative correlation was observed between IL-17A expression and C4, erythrocyte sedimentation rate(P < 0. 05) , but no correlation with C3, IgG, anti ds-DNA antibody, SLE disease activity index score and 24 h urine protein excretion(P > 0. 05) . Conclusions: The level of plasma IL-17A in SLE patient without glucocorticoid treatment was higher than in normal control. IL-17A might play an important role in the pathogenesis of SLE. Treatment with glucocorticoid can decrease IL-17A level in SLE significantly.

       

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