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不同类型特发性间质性肺炎患者胶原与血管生成相关因子的表达差异

张曙 代华平 王同德 班承均

实用医学杂志2017,Vol.33Issue(5):713-717,5.
实用医学杂志2017,Vol.33Issue(5):713-717,5.DOI:10.3969/j.issn.1006⁃5725.2017.05.010

不同类型特发性间质性肺炎患者胶原与血管生成相关因子的表达差异

Collagen and angiogenesis related factors in different type of idiopathic interstitial pneumonia

张曙 1代华平 1王同德 2班承均1

作者信息

  • 1. 100020 北京呼吸疾病研究所,北京市呼吸与肺循环疾病重点实验室,首都医科大学附属北京朝阳医院呼吸与危重症医学科
  • 2. 100020 北京垂杨柳医院
  • 折叠

摘要

Abstract

Objective To investigate and compare the expression of collagen and angiogenesis related factors in patients with idiopathic interstitial pneumonia(IIP)in different type of idiopathic interstitial pneumonia. Methods There were 187 consecutive IIP patients including 118 patients with idiopathic pulmonary fibrosis(IPF) and 69 patients with nIPF?IIP including non?specific interstitial pneumonia(NSIP,n=30),cryptogenic organizing pneumonia (COP,n = 29),respiratory bronchiolitis interstitial lung disease (RB?ILD,n = 10). The controls includes 38 males and 30 females. Bronchoalveolar lavage fluid(BALF)and serum were collected. The levels of pro?collagens I(PCI)and pro?collagensⅢ(PCⅢ),ENA?78 and IP?10 in BALF and serum were measured by ELISA assays. Results The levels of PC Ⅲ in BALF and serum were increased in patients with IPF and nIPF?IIP compared with controls(P<0.01),and PCⅢin IPF was much higher than in nIPF?IIP(P=0.00). PCI levels had no difference among three groups(P>0.05). The levels of ENA?78 in BALF were significantly higher in patients with IIP than controls(P<0.01),and with no significant difference between IPF and nIPF?IIP(P>0.05). The concentration of IP?10 in BALF were significantly lower in patients with IIP than controls(P<0.01),and patients with nIPF?IIP is lower than in IPF(P=0.049). In IIP patients,the concentrations of ENA?78 and IP?10 in BALF had a negative correlation(r=-0.378 P=0.02). In peripheral blood,the concentrations of ENA?78 and IP?10 had no significant difference among the group between IPF,nIPF?IIP and control(P > 0.05). Conclusions Collagen synthesis increase much more in patients with IPF than nIPF?IIP. angiogenesis activities are increased in patients with IIP.

关键词

特发性肺纤维化/非特异性间质性肺炎/隐原性机化性肺炎/趋化因子/血管生成

Key words

Idiopathic pulmonary fibrosis/Nonspecific interstitial pneumonia/Cryptogenic organizing pneumonia/Chemokine/Angiogenesis

引用本文复制引用

张曙,代华平,王同德,班承均..不同类型特发性间质性肺炎患者胶原与血管生成相关因子的表达差异[J].实用医学杂志,2017,33(5):713-717,5.

基金项目

国家自然科学基金(编号:81270123) (编号:81270123)

北京市自然科学基金重点项目(编号:7131008) (编号:7131008)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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