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山东大学学报(医学版)

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轻、中度持续性哮喘患者气道黏膜病理变化及与嗜中性粒细胞的关系

苏莉莉1,张先欣2,伊洪莉1,张萌1,李怀臣1   

  1. 1. 山东大学山东省立医院呼吸科, 山东 济南 250021; 2. 山东省胸科医院呼吸科, 山东 济南 250021
  • 收稿日期:2006-03-24 修回日期:1900-01-01 出版日期:2007-07-24 发布日期:2007-07-24
  • 通讯作者: 李怀臣

Pathological characters of the bronchial mucus membrane and inflammatory cell changes of BALF in mild and moderately persistent asthmatic patients

SU Li-li1,ZHANG Xian-xin2,YI Hong-li1,ZHANG Meng1,LI Huai-chen1   

  1. 1. Department of Respiratory, Shandong Provincial Hospital, Shandong University, Jinan 250021, Shandong, China;2. Department of Respiratory, Shandong Chest Hospital, Jinan 250021, Shandong, China
  • Received:2006-03-24 Revised:1900-01-01 Online:2007-07-24 Published:2007-07-24
  • Contact: LI Huai-chen

摘要: 目的:研究轻、中度持续性哮喘患者气道粘膜病理变化与嗜中性粒细胞的关系及其机制。方法:选择12例间歇哮喘患者(A组)、16例轻度或中度持续性哮喘患者(B组)、14例早期周围型肺癌患者(C组,对照组),经纤维支气管镜进行支气管肺泡灌洗和气道黏膜活检,做HE和免疫组化染色、炎性细胞计数及介质测定。结果:A、B、C组支气管肺泡灌洗液(BALF)中嗜酸性粒细胞(Eos)计数A、B组显著高于C组(P<0.05);嗜中性粒细胞计数B组显著高于A、C组(P<0.05);嗜酸粒细胞性阳离子蛋白(ECP)含量A、B组显著高于C组(P<0.05);嗜中性粒细胞髓过氧化物酶(MPO)含量B组显著高于A、C组(P<0.05);白细胞介素-8(IL-8)含量B组显著高于A、C组(P<0.05)。A、B组气道上皮均有不同程度的脱落、变薄,基底膜增厚;B组的气道黏膜下层MPO阳性细胞计数显著高于A组(P<0.05)。结论:嗜中性粒细胞与Eos共同参与了轻、中度持续性哮喘患者气道黏膜炎症反应,嗜中性粒细胞可能在其中发挥了更重要的作用。

Abstract: Objective: To study the pathological characters of the bronchial mucus membrane in mild and moderately persistent asthmatic patients and to explore the possible functions of neutrophils. Methods: Bronchial biopsy specimens and bronchial alveolar lavage fluids(BALF) were obtained from 12 patients with intermittent asthma(group A), 16 patients with mild or moderately persistent asthma(group B) and 14 patients with peripheral lung cancer in an early stage (group C). The pathological characters were observed by light microscopy using HE staining. Expression of MPO in the bronchial mucus membrane was determined by immunohistochemical staining. The cell count and MPO, ECP, IL8 contents in BALF were determined at the same time. Results: The Eos count in BALF of the A, B and C groups(×106/ml)was (7.58±4.42),(8.89±4.25) and(4.32±2.13)respectively, which was significantly higher in groups A and B than in group C(P<0.05). The neutrophil count was (4.04±2.14),(15.03±6.79) and(4.15±1.09)respectively, which was significantly higher in group B than in groups A and C(P<0.05). The ECP content was (72.50±28.27)(mg/ml),(76.88±22.85)(mg/ml) and(42.67±24.00)(mg/ml) respectively, which was significantly higher in groups A and B than in group C(P<0.05). The MPO content was(11.35±5.87)(u), (25.31±15.71)(u) and(12.67±6.44)(u)respectively, which was significantly higher in group B than in groups A and C(P<0.05). The IL8 content was (3.43±1.46)(ng/ml), (14.12±11.41)(ng/ml) and (2.93±0.93)(ng/ml)respectively, which was significantly higher in group B than in groups A and C(P<0.05). The MPO positive cells under the mucus membrane in group B were significantly higher than in group A(P<0.05). Conclusion: Both neutrophils and Eos participate in the inflammatory reaction of mild and moderately persistent asthma and neutrophils play a more important role in it.

Key words: Neutrophil, Persistent asthma, Biopsy, BALF

中图分类号: 

  • R562.2
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