首页|MicroRNA-3162-3p在儿童原发性免疫性血小板减少症不同临床分期中的表达及其意义

MicroRNA-3162-3p在儿童原发性免疫性血小板减少症不同临床分期中的表达及其意义

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目的:探讨microRNA-3162-3p在儿童原发性免疫性血小板减少症(ITP)不同临床分期中的表达及其意义.方法:纳入96例ITP患儿,按照病程的不同将其分为新诊断组(病程<3个月,40例)、持续性组(病程3-12个月,30例)、慢性组(病程>12个月,26例),同期选择80例健康儿童作为对照组.分离并培养ITP患儿与健康儿童的外周血单个核细胞(PBMNC),采用实时荧光定量PCR法检测外周血PBMNC中microRNA-3162-3p的表达情况,ELISA法检测受试者外周血PBMNC中IL-17、IL-23、IL-10、TGF-β的含量.Spearman相关性分析microRNA-3162-3p与血小板计数、IL-17、IL-23、IL-10、TGF-β的相关性.结果:与对照组相比,ITP患儿的外周血PBMNC中microRNA-3162-3p、IL-10的表达及血小板计数显著下降(P<0.05),IL-17、IL-23、TGF-β显著升高(P<0.05);随着病程的延长,microRNA-3162-3p、IL-10在PBMNC中的表达及血小板计数均显著下降(P<0.05),IL-17、IL-23、TGF-β的表达显著升高(P<0.05).MicroRNA-3162-3p在ITP患儿PBMNC中的表达与血小板数、IL-10呈正相关(r=0.716、0.667),与 IL-17、IL-23、TGF-β 呈负相关(r=-0.540、-0.641、-0.560).结论:MicroRNA-3162-3p 在 ITP患儿PBMNC中的表达明显降低,参与调控Th17/Treg的失衡,可作为ITP潜在的治疗靶点.
Expression of MicroRNA-3162-3p in Different Clinical Stages of Children with Primary Immune Thrombocytopenia and Its Signifi-cance
Objective:To explore the expression of microRNA-3162-3p in different clinical stages of childhood primary immune thrombocytopenia(ITP)and its significance.Methods:Ninety-six children with ITP were enrolled and divided into new diagnosis group(n=40),persistent group(n=30)and chronic group(n=26)according to the course of disease.80 healthy children were selected as the control group.Peripheral blood mononuclear cells(PBMNC)of ITP children and healthy children were isolated and cultured,and the expression of microRNA-3162-3p in PBMNC of subjects was detected by real-time fluorescence quantitative PCR.The contents of IL-17,IL-23,IL-10 and TGF-β in PBMNC of subjects were determined by ELISA.The correlation between microRNA-3162-3p and platelet count,IL-17,IL-23,IL-10 and TGF-β was analyzed.Results:Compared with the control group,the expression of microRNA-3162-3p and IL-10 in PBMNC and platelet count of ITP children were significantly decreased(P<0.05),while IL-17,IL-23 and TGF-β were significantly increased(P<0.05).With the prolongation of the disease course,the expressions of microRNA-3162-3p and IL-10 in PBMNC and platelet count were significantly decreased(P<0.05),while the expressions of IL-17,IL-23 and TGF-β were significantly increased(P<0.05).The expression of microRNA-3162-3p in PBMNC was positively correlated with platelet count and IL-10(r=0.716,0.667),and negatively correlated with IL-17,IL-23,and TGF-β(r=-0.540,-0.641,-0.560).Conclusion:MicroRNA-3162-3p expression is significantly reduced in PBMNC of children with ITP,and is involved in the regulation of Th17/Treg imbalance,which can be used as a potential therapeutic target of ITP.

microRNA-3162-3pprimary immune thrombocytopeniaperipheral blood mononuclear cellsTh17/treg imbalance

胡晓燕、贺锐、米乐园、尹姣姣、金斐斐、朱生东

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甘肃省妇幼保健院小儿综合内科,甘肃兰州 730050

甘肃省妇幼保健院检验科,甘肃兰州 730050

MicroRNA-3162-3p 原发性免疫性血小板减少症 外周血单个核细胞 Th17/Treg失衡

2024

中国实验血液学杂志
中国病理生理学会

中国实验血液学杂志

CSTPCD北大核心
影响因子:0.988
ISSN:1009-2137
年,卷(期):2024.32(1)
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