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穿孔素基因对噬血细胞综合征患儿细胞因子影响与临床分析

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摘要 目的:探讨穿孔素基因对HLH患儿血清IL-18、IL-10、IL-12、TNF-α、NF-Kβ及新碟呤的影响。方法应用酶联免疫吸附法(ELISA)检测20例HLH患儿确诊时、化疗第1~2周、第2~3周、第3~4周、第5~7周及8~10周,共6组的血清IL-18、IL-10、IL-12、TNF-α、NF-Kβ及新碟呤水平变化,11例患儿穿孔素基因阴性,5例患儿穿孔素基因阳性,对穿孔素阴性组和阳性组的细胞因子水平进行比较。结果穿孔素阳性组的IL-10、IL-12、TNF-α水平明显高于穿孔素阴性组,两组相比差异有统计学意义(P〈0.01)。穿孔素阳性组的IL-18水平高于穿孔素阴性组,两组相比差异有统计学意义(P〈0.05)。穿孔素阳性组与穿孔素阴性组相比新碟呤水平无差异,两组相比差异无统计学意义(P〉0.05)。结论穿孔素基因影响HLH患儿IL-10、IL-12、TNF-α及IL-18的表达。
机构地区 郑州市儿童医院
出处 《中国实用医药》 2014年第3期49-50,共2页 China Practical Medicine
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