首页|重组人干扰素α-2b对丙型肝炎患者血清铁调素的影响及其机制

重组人干扰素α-2b对丙型肝炎患者血清铁调素的影响及其机制

扫码查看
目的 探讨重组人干扰素α-2b(IFNα-2b)对丙型肝炎患者血清铁调素(Hepcidin)的影响及其机制.方法 选择2020年1月至2023年1月丙型肝炎患者35例,按近3个月是否接受IFNα-2b治疗分为治疗组(n=20)和未治疗组(n=15),检测2组血清Hepcidin水平.另用0、50、100、200、400 μL五种不同剂量的IFNα-2b处理HepG2细胞24 h.分别检测血清Hepcidin、信号转导与转录激活子3(STAT3)及磷酸化STAT3(pSTAT3)的mRNA表达量.结果 治疗组血清 Hepcidin 为(94.91±16.28)ng/mL,明显低于未治疗组的(107.99±17.06)ng/mL,差异有统计学意义(t=4.396,P<0.05).IFNα-2b 剂量为0、50、100、200、400μL时,HepG2 细胞的 Hepcidin mRNA 表达分别为 1.00±0.23、0.67±0.12、0.28±0.04、0.25±0.03、0.17±0.02,呈递减趋势,各组Hepcidin mRNA表达差异均有统计学意义(P<0.05).组间两两比较,400μL低于 0、50、100、200 μL;100、200μL低于 0、50 μL;50μL低于 0 μL,差异均有统计学意义(P<0.05).0、50、100、200、400 μL HepG2 细胞的 STAT3 mRNA 表达水平分别为 0.72±0.11、0.74±0.12、0.68±0.09、0.66±0.06、0.66±0.08,差异均无统计学意义(>P0.05).50、100、200、400μL剂量的IFNα-2b的PSTAT3蛋白水平分别为0.76±0.14、0.65±0.06、0.57±0.07、0.54±0.05 均低于0μL的(0.85±0.16),差异有统计学意义(P<0.05),50、100、200、400 μL 剂量的IFNα-2b的PSTAT3蛋白水平比较差异均无统计学意义(P>0.05).结论 丙型肝炎患者IFNα-2b治疗后血清Hepcidin水平会下调,且下调幅度与剂量有关,其机制可能与STAT3通路磷酸活化受阻有关.
Impact of recombinant human interferon-α2b on serum hepcidin levels in hepatitis C patients:underlying mechanism
Objective To investigate the impact of recombinant human interferon-α2b(rhIFN-α2b)on serum hepcidin levels in hepatitis C patients,and to preliminarily explore its imderlying mechanism.Methods A total of 35 hepatitis C patients from January 2020 to January 2023 were selected and divided into a treatment group(n=20)and an untreated group(n=15)based on whether they received rhIFN-α2b treatment in the last 3 months.Serum hepcidin levels were measured in both groups.Additionally,serum hepcidin,signal transducer and activator of transcription 3(STAT3),and its phosphorylation(pSTAT3)were measured in hepatogenic HepG2 cells treated with 0,50,100,200,and 400ul of rhIFN-α2b for 24 hours.Changes in mRNA expression of STAT3 and correlation analyses were performed.Results Serum hepcidin levels in the treated group was significantly lower(94.91±16.28)ng/mL compared to the untreated group(107.99±17.06)ng/mL,with the difference being statistically significant(t=4.396,P<0.05).HepG2 cells treated with rhIFN-α2b at doses of 0 μL(control group),50 μL(group 1),100 μL(group 2),200 μL(group 3),and 400 μL(group 4)exhibited a dose-dependent decrease in hepcidin.mRNA expression:(1.00±0.23),(0.67±0.12),(0.28±0.04),(0.25±0.03),and(0.17±0.02),respectively.The differences in hepcidin mRNA expression among all groups were statistically significant(P<0.05).Pair comparisons showed that group 4(400 μL)had significantly lower hepcidin mRNA levels than the control group,group 1,group 2 and group 3.Groups 2 and 3 also had significantly lower levels compared to the control group and group 1.Group 1had significantly lower levels than the control group(P<0.05).STAT3 mRNA expression levels in HepG2 cells for the control group,group 1,group 2,group 3,and group 4 were(0.72±0.11),(0.74±0.12),(0.68±0.09),(0.66±0.06),and(0.66±0.08),respectively,with no statistical differences(P>0.05).The pSTAT3 protein levels for rhIFN-α2b at doses of 50 μL,100 μL,200 μL,and 400 μL were(0.76±0.14),(0.65±0.06),(0.57±0.07),and(0.54±0.05),respectively,all lower than the control group.However,there were no significant differences in pSTAT3 protein levels among the treated groups(P>0.05).Conclusion After rhIFN-α2b treatment,the serum hepcidin levels in hepatitis C patients are down-regulated in a dose-dependent manner.This down-regulation may be associated with the inhibition of phosphorylation activation in the STAT3 pathway.

Recombinant human interferon-α2bHepatitis CHepcidinMechanism

王雪梅、宫富琪、郑金娜、于燕民、徐菁、杨永生

展开 >

061000 河北省沧州市第三医院肝病六科

重组人干扰素α-2b 丙型肝炎 铁调素 机制

沧州市重点研发计划指导项目

192106002

2024

肝脏
上海市医学会

肝脏

CSTPCD
影响因子:0.71
ISSN:1008-1704
年,卷(期):2024.29(7)
  • 12