首页|miR-210、miR-143在支气管哮喘患儿血清中的表达及与气道炎性反应的关系

miR-210、miR-143在支气管哮喘患儿血清中的表达及与气道炎性反应的关系

Expression of miR-210 and miR-143 in serum of children with bronchial asthma and their relationship with airway inflammation

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目的 分析miR-210、miR-143在支气管哮喘患儿血清中的表达及与气道炎性反应的关系.方法 选取2020年1月-2022年7月廊坊市人民医院儿科收治的支气管哮喘患儿186例为支气管哮喘组,另收集同期体检健康儿童100例为健康对照组,qRT-PCR法检测血清miR-210、miR-143水平,Pearson法分析支气管哮喘患儿miR-210、miR-143 水平与 TNF-α、IL-4、IL-6、EOS、FeNO、IL-10、IL-12、IgE、IFN-γ 间相关性;Logistic 回归分析儿童发生支气管哮喘的影响因素.结果 支气管哮喘患儿血清miR-210水平显著高于健康儿童,miR-143水平显著低于健康儿童(t=8.317,9.545,P均<0.001),轻度、中度、重度哮喘患儿血清miR-210水平依次升高,miR-143水平依次降低(F=7.566,19.914,P 均<0.001).支气管哮喘患儿 FVC、FEV1、VE、PEF、IL-10、IL-12、IgE、IFN-γ 水平显著低于健康儿童,Raw、IL-4、IL-6、TNF-α、EOS、FeNO 水平显著高于健康儿童(P<0.05).Pearson 法分析表明,血清 miR-210 与 miR-143水平呈负相关(r=-0.362,P<0.001),血清 miR-210 水平与 TNF-α、IL-4、IL-6、EOS、FeNO 呈正相关(r=0.326、0.359、0.315、0.334、0.312,P 均<0.001),与 IL-10、IL-12、IgE、IFN-γ 呈负相关(r=-0.406、-0.303、-0.317、-0.453,P均<0.001);miR-143 水平与 TNF-α、IL-4、IL-6、EOS、FeNO 呈负相关(r=-0.336、-0.324,-0.323、-0.424、-0.397,P均<0.001),与 IL-10、IL-12、IgE、IFN-γ 呈正相关(0.338、0.338、0.327、0.467,P均<0.001);Logistic回归分析结果表明,miR-210、TNF-α、IL-4、IL-6、EOS、FeNO升高均为儿童发生支气管哮喘的危险因素[OR(95%CI)=1.025(1.015~1.035)、1.034(1.020~1.048)、1.136(1.059~1.219)、1.243(1.147~1.347)、1.349(1.151~1.581)、1.408(1.178~1.683)],而 miR-143、IL-10、IL-12、IgE、IFN-γ 升高均为其保护因素[OR(95%CI)=0.857(0.788~0.932)、0.932(0.900~0.965)、0.473(0.312~0.718)、0.671(0.549~0.820)、0.583(0.437~0.778)].结论 支气管哮喘患儿血清miR-210水平升高,miR-143水平降低,与患儿气道炎性反应的进展具有密切关系.
Objective To analyze the expression of miR-210 and miR-143 in serum of children with bronchial asth-ma and their relationship with airway inflammation.Methods A total of 186 children with bronchial asthma admitted to De-partment of Pediatrics Langfang City People's Hospital from January 2020 to July 2022 were selected as Bronchial asthma group,100 healthy children who underwent physical examinations during the same period were collected as Healthy control group,qRT-PCR method was applied to detect serum levels of miR-210 and miR-143,Pearson method was applied to analyze the correlation between miR-210,miR-143 levels and TNF-α,IL-4,IL-6,EOS,FeNO,IL-10,IL-12,IgE,IFN-γ in children with bronchial asthma;Logistic regression was applied to analyze the influencing factors of bronchial asthma in children.Results The serum miR-210 level in children with bronchial asthma were obviously higher than those in healthy children,and the miR-143 level was obviously lower than those in healthy children(t=8.317,9.545,P<0.001),the serum miR-210 level in chil-dren with mild,moderate,and severe asthma increased sequentially,while the miR-143 level decreased sequentially(F=7.566,19.914,P<0.001).The levels of FVC,FEV 1,VE,PEF,IL-10,IL-12,IgE,IFN-γ in children with bronchial asthma were obviously lower than those in healthy children,while the levels of Raw,IL-4,IL-6,TNF-α,EOS,and FeNO were obviously higher than those in healthy children(P<0.05).The serum levels of miR-210 and miR-143 in children with bronchial asthma were related to allergies,respiratory infections,and coughing(P<0.05).Pearson analysis showed there was a negative cor-relation between serum miR-210 and miR-143 levels(r=-0.362,P<0.001),the serum miR-210 level was positively correlated with TNF-α,IL-4,IL-6,EOS,and FeNO(r=0326,0.359,0.315,0.334,0312,P<0.001),while negatively correlated with IL-10,IL-12,IgE,and IFN-γ(r=-0.406,-0303,-0317,-0.453,P<0.001);the level of miR-143 was negatively correlated with TNF-α,IL-4,IL-6,EOS,and FeNO(r=-0.336,-0324,-0.323,-0.424,-0.397,P<0.001),but positively correlated with IL-10,IL-12,IgE,and IFN-γ(r=0.338,0338,0327,0.467,P<0.001);miR-210,miR-143,TNF-α,IL-4,IL-6,EOS,FeNO,IL-10,IL-12,IgE,and IFN-γ were all influencing factors for the occurrence of bronchial asthma in children[OR(95%CI)=1.025(1.015-1.035),0.857(0.788-0.932),1.034(1.020-1.048),1.136(1.059-1219),1243(1.147-1.347),1.349(1.151-1.581),1.408(1.178-1.683),0.932(0.900-0.965),0.473(0312-0.718),0.671(0.549-0.820),0.583(0.437-0.778)].Conclusion The in ser-um miR-210 level increases and the in miR-143 level decreases in children with bronchial asthma,they are closely related to the progression of airway inflammation.

Bronchial asthmaAirway inflammationMicro RNA-210Micro RNA-143Correlation

周艳玲、周燕、胡丽丽、李军翠、范伟玲

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065000 河北省廊坊市人民医院儿科

支气管哮喘 气道炎性反应 微小RNA-210 微小RNA-143 相关性

河北省中医药管理局科研计划项目

2022301

2024

疑难病杂志
中国医师协会

疑难病杂志

CSTPCD
影响因子:1.171
ISSN:1671-6450
年,卷(期):2024.23(7)