首页|过敏性鼻炎和哮喘患者外周血及致敏小鼠血液或肺组织B细胞中TLR9的表达研究

过敏性鼻炎和哮喘患者外周血及致敏小鼠血液或肺组织B细胞中TLR9的表达研究

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目的 探究过敏性鼻炎(allergy rhinitis,AR)、过敏性哮喘(allergy asthma,AA)、AR 合并 AA(AR combined with AA,ARA)患者外周血和致敏小鼠血液或肺组织B淋巴细胞(B细胞)中Toll样受体9(Toll-like receptor 9,TLR9)的表达及过敏原对其表达的影响.方法 招募来自锦州医科大学附属第一医院门诊和发作急性期住院的100例志愿者,包括点刺实验阴性的19例健康对照(health control,HC)志愿者、点刺实验阳性的40例AR患者、26例AA患者、15例ARA患者.流式分析仪检测经屋尘螨过敏原提取物(home dust mite allergen extract,HDME)、大籽蒿过敏原提取物(Artemisia sieversiana wild allergen extract,ASWE)、梧桐过敏原提取物(Platanus pollen allergen ex-tract,PPE)刺激前后患者外周血B细胞中TLR9的表达;并采用野生(WT)小鼠和FcεRI基因敲除(FcεRI-KO)小鼠建立AR和AA致敏模型,检测过敏原以及FcεRI对B细胞中TLR9表达的影响.结果 AR、AA、ARA患者外周血B细胞中TLR9的表达和平均荧光强度(mean fluorescence intensity,MFI)均较HC组有所增高;过敏原激发后,AR、AA患者血液B细胞中TLR9的表达和MFI升高(P<0.05).WT小鼠和FcεRI-KO小鼠与NS对照组相比,过敏原激发后,AR、AA小鼠外周血B细胞TLR9+高表达,但差异无统计学意义,而几乎每组MFI均升高;与NS对照组相比,过敏原激发后FcεRI基因敲除的AA小鼠肺组织中TLR9+B细胞表达差异无统计学意义,但其MFI升高.FcεRI-KO小鼠与WT小鼠相比,过敏原激发后B细胞中TLR9+MFI较低.结论 B细胞中TLR9可能参与AR、AA的发生,检测B细胞中TLR9的表达可能成为诊断AR、AA的新方向.
Expression of TLR9 of B cells in the peripheral blood or lung tissues of patients with allergic rhinitis and allergic asthma or sensitized mice
Objective To investigate the expression of Toll-like receptor 9(TLR9)in B cells in the peripheral blood of patients with allergic rhinitis(AR),allergic asthma(AA),AR combined with AA(ARA)and the blood or lung tissue of sensitized mice,as well as the effect of allergens on its expression.Methods A total of 100 volunteers from The First Affiliated Hospital of Jinzhou Medical University were recruited for outpatient and acute inpatient attacks,consisting of 19 healthy people(HC)with negative prick test result,40 AR patients,26 AA patients,and 15 ARA patients with positive prick test result.The expression of TLR9 in the peripheral blood B cells of the patients before and after stimulation by house dust mite allergen extract(HDME),Artemisia sieversiana wild allergen extract(ASWE),and Platanus pollen allergen extract(PPE)was detected by flow cytometry.AR and AA sensitization models were established in WT mice and FcεRI-KO mice to detect the effects of allergens and FcεRI on the expression of TLR9 in B cells.Results The expression and mean fluorescence intensity(MFI)of TLR9 in peripheral blood B cells of unstimulated AR,AA and ARA patients were higher than those of HC.After allergen stimulation,the expression of TLR9 and its MFI in blood B cells of AR and AA patients increased(P<0.05).In WT mice and FcεRI-KO mice,compared with NS control mice,MFI was increased in almost each group.Compared with the NS control group,there was no significant difference in the expression of TLR9+in B cells in the lung tissues of AA mice with FcεRI-KO after allergen challenge,but their MFI increased.FcεRI-KO mice had lower TLR9+MFI in B cells after allergen challenge compared with WT mice.Conclusion TLR9 in B cells may be involved in the occurrence of AR and AA,and detecting the expression of TLR9 in B cells may be a new direction for the diagnosis of AR and AA.

Toll-like receptor 9(TLR9)B cellallergic rhinitis(AR)allergic asthma(AA)

田慧梅、何韶衡、张慧云

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锦州医科大学基础医学院免疫教研室,辽宁锦州 121000

锦州医科大学附属第一医院变态反应与临床免疫中心,辽宁锦州 121000

Toll样受体(TLR9) B淋巴细胞(B细胞) 过敏性鼻炎(AR) 过敏性哮喘(AA)

国家自然科学基金面上项目

81471592

2024

西安交通大学学报(医学版)
西安交通大学

西安交通大学学报(医学版)

CSTPCD北大核心
影响因子:1.144
ISSN:1671-8259
年,卷(期):2024.45(2)
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