实用医学杂志2017，Vol.33Issue(2)：285-288,4.DOI:10.3969/j.issn.1006-5725.2017.02.033
结核患者血清TNF-α、IL-1、IL-10和HMGB-1动态变化及临床意义
The dynamic changes of serum TNF-α,IL-1,IL-10 and HMGB-1 during tuberculosis disease progres-sion
摘要
Abstract
Objective To investigate the dynamic changes and clinical significanes of TNF⁃α,IL⁃1,IL⁃10 and HMGB⁃1 in patients with tuberculosis. Methods Fifty⁃nine patients with active tuberculosis were enrolled in this study. The patients received the standard chemotherapy and the curative effect of the patient was evaluat ed according to the outcome classification in our country. The peripheral blood serum from the patients during the treatment and 12 healthy volunteers were collected. The concentrations of serum TNF⁃α,IL⁃1,IL⁃10 and HMGB⁃1 were detected by ELISA tests. Results Significant decreases of the concentrations of serum TNF⁃α,IL⁃1 and HMGB⁃1 were shown in patients from the initial treatment,to retreatment and extra⁃pulmonary tuberculosis (P<0.01),and the serum IL⁃10 was increased significantly (P<0.01) along with the chemotherapy and improvement of the disease. At the beginning of the treatment ,the levels of 4 kinds of inflammatory factors had no significant differences between the completed and uncompleted treatment patients (P>0.05). At the end of the treatment , the levels of serum TNF⁃α,IL⁃1 and HMGB⁃1 of the uncompleted treatment group were significantly higher than the normal levels (P<0.01) ,but the level of IL⁃10 was significantly lower than the normal level (P<0.01). Conclusion The dynamic testing of the inflammatory cytokines contributes to evaluation and judgement of the curative effect and the condition of patients with the active tuberculosis.关键词
活动性结核/TNF-α/IL-1/IL-10/HMGB-1/动态检测Key words
Active tuberculosis/TNF-α/IL-1/IL-10/HMGB-1/Dynamic changes引用本文复制引用
周安,徐巧玲,李明强,刘清蒙..结核患者血清TNF-α、IL-1、IL-10和HMGB-1动态变化及临床意义[J].实用医学杂志,2017,33(2):285-288,4.基金项目
贵州省卫生厅基金课题 （）
