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红霉素对哮喘患者肺泡巨噬细胞介质释放功能的影响 被引量:8

Effect of Erythromycin on Release of Inflammatory Mediators by Alveolar Macrophages in Patients with Asthma
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摘要 目的:探讨红霉素的抗哮喘气道炎症作用。方法:对26例发作期过敏性哮喘患者肺泡巨噬细胞(AM)进行体外分别加红霉素、地塞米松、生理盐水(空白对照组)培养,测定培养上清液中血栓素B-2(TXB_2)、肿瘤坏死因子-α(TNF-α)、白介素-8(IL-8)水平。结果:加红霉素培养组培养上清液中TNF-α、IL-8水平明显低于空白对照组,TXB_2水平与空白对照组差异无显著性。地塞米松组培养上清液中TXB2、TNF-α水平低于空白对照组,IL-8与空白对照组差异无统计学意义。结论:红霉素可通过抑制哮喘患者肺泡巨噬细胞分泌TNF-α、IL-8起抗炎作用,且其抗炎作用与地塞米松既交叉又互补。 Objective:To investigate the anti-airway-inflammation effect of erythromycin in asthma , Method: 26 patients with atopic asthma on attack were enrolled in this study. The alveolar macrophages (AM ) from asthmatic patient were incubated with erythromycin, dexamethasone and normal saline in vitro respetively. The concentrations of TXB_2 TNF-α and IL-8 in culture supernatants were measured. Results: The levels of TNLF-α and IL-8 in culture supernatants of AM treated with erythromycin were significantly lower than placebo group. The levels of TNF-α and TXB_2 in culture supernatants of AM treated with dexamethasone were significantly lower than placebo group. Conclusion: Erythromycin might have anti- inflammatory effect through inhibiting TNF-α and IL-8 production by alveolar macrophages, and effect of erythromycin was somewhat similar to dexamethasone.
出处 《天津医药》 CAS 1999年第2期70-71,共2页 Tianjin Medical Journal
关键词 哮喘 肺泡巨噬细胞 红霉素 介质释放功能 治疗 asthma alveolar macrophage erythromycin
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参考文献4

  • 1中华医学会呼吸系病学会.支气管哮喘的定义、诊断、严重度分级,疗效判定标准(修正方案)[J].中华结核和呼吸杂志(哮喘增刊),1993,16:5-5.
  • 2孙永昌.肺泡巨噬细胞在哮喘发病中的作用研究进展[J].国外医学:免疫学分册,1993,3:120-120.
  • 3孙永昌,国外医学.免疫学分册,1993年,3卷,120页
  • 4团体著者,中华结核和呼吸杂志,1993年,16卷,哮喘增刊,5页

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