首页|CCL11在大疱性类天疱疮中表达水平差异与中医证素相关性分析

CCL11在大疱性类天疱疮中表达水平差异与中医证素相关性分析

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目的 通过检测大疮性类天疮疮(bullous pemphigoid,BP)患者皮损的嗜酸性粒细胞趋化因子11(CCL11)水平,探讨CCL11在BP不同中医证素间的水平差异,为BP的辨证分型及治疗提供有价值的分子靶标.方法 纳入天津市中医药研究院附属医院2019年1月-2021年1月共65例BP患者作为研究组及24例有美容需求的健康人群作为对照组,通过免疫组织化学对皮损组织中的CCL11进行染色,应用Image-pro Plus 6.0图像分析软件对阳性表达区域平均光密度值(average optical density,AOD)进行定量分析,应用 SPSS26.0 统计软件分析不同中医证素及健康对照组间CCL11的统计学差异.结果 热毒证素、湿热证素、脾虚证素皮损的CCL11表达AOD值分别为0.34±0.12、0.29±0.13、0.25±0.12,较健康对照组 0.09±0.09 差异均有统计学意义(P<0.001),热毒证素与脾虚证素两组间差异有统计学意义(P=0.042),其余证素相互间差异无统计学意义.结论 皮损中CCL11表达水平在不同中医证素中从高至低依次为热毒、湿热、脾虚,且热毒证素与脾虚证素的CCL11表达水平有统计学差异.
Correlation Between Differential Expression Levels of CCL11 in Herpetiform Aspergillosis and Chinese Medicine Syndrome
Objective To investigate the differences in the levels of Eotaxin-1 in skin lesions between different traditional Chinese medicine(TCM)syndromes in herpetiform aspergillosis by measuring the levels of Eotaxin-1 in skin lesions of patients with herpetiform aspergillosis,and to provide valuable molecular targets for the identification and staging of bullous pemphigoid.Methods A total of 65 patients with bullous pemphigoid and 24 healthy people with cosmetic needs from January 2019 to January 2021 in the Affiliated Hospital of Tianjin Academy of Chinese Medicine were included as control group,Immunohistochemical staining of CCL11 in lesion tissues was performed by immunoblotting,and the mean optical density values of positive expression areas were quantified by applying Image-proPlus 6.0 image analysis software.SPSS26.0 statistical software was applied to analyze the statistical differences of CCL11 between different TCM evidence and healthy control groups.Results The mean values of CCL11 expression AOD in skin lesions were 0.34±0.12,0.29±0.13,and 0.25±0.12 for heat toxin,dampness-heat,and spleen deficiency,respectively,which were statistically different from those of healthy controls(0.09±0.09),with statistical differences between the two groups for heat toxin and spleen deficiency(P=0.042),and no statistical differences between the rest of the evidence.Conclusion The CCL11 expression levels in skin lesions were in the order of heat toxicity,damp heat and spleen deficiency among different TCM evidence elements,and the CCL11 expression levels of heat toxicity evidence elements and spleen deficiency evidence elements were statistically different.

Bullous pemphigoidChemokinesCCL11Syndrome factorsDialectical treatment

原晋湘、王甜雪、于研、李梦琳、郭涛、张峻岭

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天津中医药大学研究生院,天津 301617

天津市中医药研究院附属医院,天津 300120

大疱性类天疱疮 趋化因子 CCL11 证素 辨证论治

天津市中医药重点领域科研项目

2019001

2024

皮肤科学通报
西安交通大学

皮肤科学通报

CSTPCD
影响因子:0.273
ISSN:1001-8077
年,卷(期):2024.41(3)