首页|糖皮质激素对哮喘控制作用的实验研究

糖皮质激素对哮喘控制作用的实验研究

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目的:探讨糖皮质激素对哮喘的控制作用.方法:将30只大鼠随机分为正常对照组(A组)、哮喘组(B组)及地塞米松干预组(DXM组),观察其临床表现,比较三组大鼠血嗜酸性粒细胞(eosinophil,EOS)、血清中IgE、VEGF、IL-4、IFN-γ的水平变化,并留取肺做组织病理学检查.结果:从临床表现上看糖皮质激素对哮喘具有控制作用,三组大鼠IgE、EOS、VEGF、IL-4、IFN-γ水平差异均具有统计学意义(F 值分别为 1 014.726、894.408、38.693、308.489和2 546.543,P<0.001);B组与A组相比较,IgE、EOS、VEGF、IL-4水平升高、IFN-γ水平降低(P<0.001);DXM组与B组相比较,IgE、EOS、VEGF、IL-4水平降低、IFN-γ水平升高(P<0.001);DXM组与A组相比较,IgE、EOS、VEGF、IL-4水平升高、IFN-γ水平降低(P<0.001).大鼠肺组织病理示:B组见明显的炎性改变和气道重塑,DXM组炎性改变和气道重塑较B组减轻.结论:糖皮质激素可通过上调IFN-γ,下调IgE、EOS、VEGF、IL-4,减轻炎性改变和气道重塑控制哮喘.
The experimental research of effect of glucocorticoids'on asthma's control
Objective:To investigate the effect of glucocorticoid on asthma's control.Methods:Thirty rats were randomly divided into control group(group A),asthma group(group B)and dexamethasone group(group DXM),the clinical symptoms of the three groups were compared,the levels of eosinophil(EOS)in blood,IgE,VEGF,IL-4 and IFN-γ in serum among the three groups were studied,and lung tissues were taken for pathology.Results:Glucocorticoids can control asthma,the levels of IgE,EOS,VEGF,IL-4 and IFN-γ among group A,group B and group DXM were statistically significant(F=1 014.726,894.408,38.693,308.489 and 2 546.543,P<0.001);Compared group B with group A,the levels of IgE,EOS,VEGF and IL-4 were higher,the level of IFN-γ was lower(P<0.001);Compared group DXM with group B,the levels of IgE,EOS,VEGF and IL-4 were lower,the level of IFN-γ was higher(P<0.001);Compared group DXM with group A,the levels of IgE,EOS,VEGF and IL-4 were higher,the level of IFN-γ was lower(P<0.001).Pathological findings of the three groups of rat lung tissues showed that the airway remodeling and inflammatory changes were obvious in group B,and the airway remodeling and inflammatory changes were less in group DXM than in group B.Conclusion:Glucocorticoids can control asthma by up-regulating IFN-γ,down-regulating IgE,EOS,VEGF,IL-4,and reducing airway remodeling and inflammatory changes.

asthmatic ratsIgEEOSVEGFIL-4IFN-γglucocorticoids

路武杰、曹笑丽

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河南大学第一附属医院呼吸与危重症医学科,河南开封 475001

河南大学第一附属医院消毒供应中心,河南开封 475001

哮喘大鼠 IgE EOS VEGF IL-4 IFN-γ 糖皮质激素

河南省教育厅科学技术研究重点项目河南大学科研基金开封市科技攻关项目

18A3200212013YBZR030130350

2024

河南大学学报(医学版)
河南大学

河南大学学报(医学版)

影响因子:0.494
ISSN:1672-7606
年,卷(期):2024.43(4)