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寻常型银屑病患者Th1、Th17和miR-150表达与病情进展的关系

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目的 探讨寻常型银屑病(PV)患者外周血辅助性T细胞(Th)1、Th17和miR-150表达水平与病情进展程度的关系。方法 选取2021年2月至2023年4月宝鸡市人民医院收治的112例PV患者为PV组,并选取同期60名体检健康者为正常组。PV组男63例、女49例,年龄(46。89±12。35)岁;正常组男32例、女28例,年龄(44。36±11。22)岁。根据银屑病皮损面积和严重程度指数(PASI)将PV组分为轻度组、中度组和重度组。比较PV组和正常组Th1、Th17及miR-150水平,轻度组、中度组和重度组Th1、Th17、miR-150及相关细胞因子[白细胞介素(IL)-2、IL-17、IL-22]水平,分析Th1、Th17、miR-150表达水平与PASI评分的相关性。统计学方法采用t检验、F检验、x2检验、Pearson相关性分析。结果 PV组Th1 和Th17水平均高于正常组[(22。76±3。21)%比(16。83±1。65)%、(3。35±0。68)%比(1。25±0。37)%],miR-150水平低于正常组[(0。80±0。09)比(0。99±0。15)],差异均有统计学意义(t=13。38、22。21、10。38,均P<0。05);轻度组Th1和Th17水平均低于中度组、高度组,miR-150水平高于中度组、高度组,差异均有统计学意义(F=85。29、19。41、92。93,均P<0。05);轻度组IL-2、IL-17和IL-22水平均低于中度组、高度组,差异均有统计学意义(F=66。03、42。79、23。34,均P<0。05);Pearson相关性分析显示,PV患者外周血Th1、Th17水平与PASI评分呈正相关(r=0。771、0。514,均P<0。05),miR-150水平与PASI评分呈负相关(r=-0。703,P<0。05)。结论 PV患者外周血Th1、Th17水平升高,miR-150水平下降,三者与PV病情进展严重程度相关。
Relationships between Th1,Th 17,and miR-150 expressions and disease progression in patients with psoriasis vulgaris
Objective To investigate the relationships between the expression levels of peripheral blood T helper cell(Th)1,Th17,and miR-150 and the progression of psoriasis vulgaris(PV).Methods A total of 112 PV patients admitted to Baoji People's Hospital from February 2021 to April 2023 were selected as a PV group,and 60 healthy individuals during the same period were selected as a control group.There were 63 males and 49 females in the PV group,aged(46.89±12.35)years.In the normal group,there were 32 males and 28 females,aged(44.36±11.22)years.According to the Psoriasis Area and Severity Index(PASI),the PV group was divided into mild,moderate,and severe groups.The levels of Th1,Th17,and miR-150 in the PV group and the control group were compared,and the levels of Th1,Th17,miR-150,and related cytokines[interleukin(IL)-2,IL-17,and IL-22]in the mild,moderate,and severe groups were compared.The correlations between the expression levels of Th1,Th17,and miR-150 and PASI score were analyzed.The statistical methods used were t test,F test,x2 test,and Pearson correlation analysis.Results The levels of Th1 and Th17 in the PV group were higher than those in the control group[(22.76±3.21)%vs.(16.83±1.65)%,(3.35±0.68)%vs.(1.25±0.37)%],and the level of miR-150 was lower than that in the control group[(0.80±0.09)vs.(0.99±0.15)],with statistically significant differences(t=13.38,22.21,and 10.38,all P<0.05).The levels of Th1 and Th17 in the mild group were lower than those in the moderate and severe groups,and the level of miR-150 was higher than those in the moderate and severe groups,with statistically significant differences(F=85.29,19.41,and 92.93,all P<0.05).The levels of 1L-2,IL-17,and IL-22 in the mild group were lower than those in the moderate and severe groups,with statistically significant differences(F=66.03,42.79,and 23.34,all P<0.05).Pearson correlation analysis showed that the levels of Th1 and Th17 in the peripheral blood of PV patients were positively correlated with PASI score(r=0.771 and 0.514,both P<0.05),and the level of miR-150 was negatively correlated with PASI score(r=-0.703,P<0.05).Conclusion Increased levels of Th1 and Th17 and decreased miR-150 level in the peripheral blood of PV patients are associated with the severity of PV progression.

Psoriasis vulgarisT-helper cell 1T-helper cell 17miR-150Severity

吕明军、姚佳雯、宋颖

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宝鸡市人民医院皮肤科,宝鸡 721000

寻常型银屑病 辅助性T细胞1 辅助性T细胞17 miR-150 病情程度

陕西省科技计划发展项目-重点产业创新链

2021ZDLSF04-12

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(16)