首页|在支原体肺炎患儿外周血单核细胞中白细胞介素-17、白细胞介素-10、叉头状转录因子p3的表达水平及对病情严重程度的预测价值

在支原体肺炎患儿外周血单核细胞中白细胞介素-17、白细胞介素-10、叉头状转录因子p3的表达水平及对病情严重程度的预测价值

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目的 探究支原体肺炎(MPP)患儿外周血单核细胞(PBMC)中白细胞介素(IL)-17、IL-10、叉头状转录因子p3(Foxp3)mRNA表达水平及对病情严重程度的预测价值.方法 选取2023年1月至2024年5月河北北方学院附属第二医院收治的110例MPP患儿,根据MPP严重程度分为轻症组(75例)和重症组(35例),另选取同期健康体检儿童50例为对照组.采血分离出PBMC,测定并对比各组PBMC中IL-17、IL-10、Foxp3 mRNA表达水平.根据受试者工作特征(ROC)曲线分析各指标对重症MPP的诊断效能.采用Spearman行相关性分析.结果 MPP患儿在PBMC中IL-17 mRNA表达水平上,重症组>轻症组>对照组,差异有统计学意义(P<0.05);在IL-10、Foxp3 mRNA表达水平上,重症组<轻症组<对照组,差异有统计学意义(P<0.05).MPP患儿PBMC中IL-17、IL-10、Foxp3 mRNA表达水平诊断重症MMP的曲线下面积分别为0.953、0.913、0.908.MMP病情严重程度与PBMC中IL-17 mRNA表达水平呈正相关(P<0.05),与IL-10、Foxp3 mRNA表达水平呈负相关(P<0.05).结论 MPP患儿PBMC中IL-17 mRNA表达上调,IL-10、Foxp3 mRNA表达下调,可能与MPP严重程度相关,检测PBMC中IL-17、IL-10、Foxp3 mRNA表达水平对重症MMP有较高的诊断价值.
The Expression Level and Significance of IL-17,IL-10 and Foxp3 in Peripheral Blood Mononuclear Cells of Children with Mycoplasma Pneumoniae
Objective To investigate the expression and clinical significance of interleukin (IL-17),IL-10,fork-head transcription factor P3 (Foxp3) mRNA levels in peripheral blood mononuclear cells (PBMC) of children with myco-plasma pneumoniae (MPP). Methods A total of 110 MPP cases admitted from January 2023 to May 2024 were divided into a mild group (75 cases) and a severe group (35 cases) according to MPP severity,and 50 healthy children in the same period were selected as the control group. PBMC was isolated by blood collection,and the expression of IL-17,IL-10,and Foxp3 mRNA levels in PBMC of each group was measured and compared. The diagnostic efficacy of each index for severe MPP was analyzed by ROC curve. Results In terms of the expression of PBMC IL-17 mRNA level:severe group>mild group>control group (P<0.05);in terms of the expression of IL-10 and Foxp3 mRNA levels:severe group<mild group<control group (P<0.05). Before treatment,The areas under the curve (AUC) of PBMC IL-17,IL-10,and Foxp3 mRNA ex-pression levels for diagnosing severe MMP were 0.953,0.913,and 0.908,respectively. The severity of MMP was positively correlated with the level of PBMC IL-17 mRNA expression (P<0.05) and negatively correlated with the levels of IL-10 and Foxp3 mRNA expression (P<0.05). Conclusions The upregulated expression of PBMC IL-17 mRNA and downregulat-ed expression of IL-10 and Foxp3 mRNA in children with MPP might be related to MPP severity. Detection of the expression levels of PBMC IL-17,IL-10,and Foxp3 mRNA has high diagnostic value for severe MPP.

Mycoplasma pneumoniaeChildrenPeripheral blood mononuclear cellsInterleukin-17Interleukin-10Forkhead transcription factor P3Receiver Operating Characteristic curveArea Under the Curve (AUC)

李金巍、钱晓蕾、武海博

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075100 河北 张家口,河北北方学院附属第二医院

肺炎,支原体 儿童 外周血单个核细胞 白细胞介素17 白细胞介素10 叉头状转录因子P3 ROC曲线 曲线下面积

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(4)