目的:探讨急性心肌梗死(AMI)后外周血循环单个核细胞(MNC)中1型多聚二磷酸腺苷核糖合成酶(PARP-1)的活性与肿瘤坏死因子-α(TNF-α)、白细胞介素-10(IL-10)水平的关系。方法:选取AMI组患者46例,稳定型心绞痛组10例,正常对照组10例。用三氯乙酸沉淀法测定MNC中PARP-1的活性;酶联免疫吸附测定法测定血浆中IL-10和TNF-α的水平。结果:所有AMI组患者MNC中PARP-1的活性均显著升高,为正常对照组的4.08倍、稳定型心绞痛组的4.47倍。所有AMI患者血浆中TNF-α、IL-10的水平均显著升高。AMI组患者外周血循环MNC中PARP-1的活性与血浆TNF-α、IL-10的水平呈正相关。结论:患者AMI后外周血血浆中TNF-α、IL-10水平的增高与MNC中PARP-1的活化显著相关。PARP-1可能是免疫炎症系统激活过程中的重要调节因子。
Objective: To explore the relationship between the poly (ADP-ribose) polymerase-1 (PARP-1) activation of circulated mononuclear cell (MNC) and the concentrations of tumor necrosis factor-α (TNF-α) or interleukin-10 (IL-10) in plasma in patients with acute myocardial infarction (AMI). Method:There were 46 patients with AMI, 10 with stable angina and 20 as normal control enrolled in this study. PARP activity was measured with trichloroacetonitrile (TCA) precipitation method. Plasma IL-10 and TNF-α were measured with ELISA. Result:PARP-1 activity of circulating MNC increased significantly in all post-AMI patients. It was about 4.08 times higher than the healthy cases or 4.47 times higher than the stable angina pectoris cases. Plasma TNF-α, IL-10 increased significantly in all post AMI patients. PARP-1 activity of MNC correlated positively with plasma TNF-α level, IL-10 level respectively. Conclusion: Increases in plasma TNF-α and IL-10 are associated with the activation of PARP-1 of circulating MNC in patients with AMI, suggesting that PARP-1 might be an important regulatory factor in the inflammatory response.