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系统性红斑狼疮外周血干扰素积分与临床相关研究
  • ISSN号:1007-7480
  • 期刊名称:《中华风湿病学杂志》
  • 时间:0
  • 分类:R593.241[医药卫生—临床医学;医药卫生—内科学] R541.4[医药卫生—心血管疾病;医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:[1]福建医科大学附属第二医院免疫内科,362000, [2]上海交通大学医学院附属仁济医院风湿免疫科,200001
  • 相关基金:国家自然科学基金(30471582)
中文摘要:

目的探讨Ⅰ型干扰素(IFN)诱导基因(IFIG)的表达与系统性红斑狼疮(SLE)的临床相关性。方法实时定量聚合酶链反应(PCR)检测67例SLE患者及23名健康对照外周血白细胞中5个IFIG(OAS-1、Mx-1、Ly6e、IFIT1和IFIT4)的mRNA水平,计算IFN积分,并与相应临床资料进行统计学分析;随机挑取17例患者采用荧光素酶报告基因测定其血清IFN活性并与IFN积分行相关分析。结果IFN积分在SLE患者中显著增高,并与血清IFN活性及SLE疾病活动指数(SLEDAI)-2K积分呈显著正相关,与补体C3水平呈负相关。此外,抗Sm、抗RNP抗体阳性的患者中存在IFN积分显著升高。结论IFN积分与血清IFN活性密切相关,与SLE的疾病活动性及特定自身抗体表型相关,是反映SLE活动的新的生物标志物。

英文摘要:

Objective To correlate the expression levels of interferon inducible genes (IFIGs) with disease activity and clinical features in systemic lupus erythematosus (SLE) patients. Methods Peripheral blood cells obtained from 67 SLE patients and 23 healthy donors (HDs) were subjected to real-time PCR to measure the transcriptional levels of five IFIGs (OAS-1, Mx-1, Ly6e, IFIT1 and IFIT4). Interferon scores were calculated and were compared between various groups of SLE patients as well as between patients and controls; ISRE luciferase reporter gene activity was measured in 17 of 67 patients and correlated with interferon score. Results Interferon scores were strongly correlated with ISRE reporter gene activity, which represented for the type I interferon activity in serum. The expression levels of IFIGs and interferon scores were significantly elevated in SLE patients compared with HDs (P〈0.0001). Interferon scores were correlated positively with SLEDAI-2K (P=0.0006) and negatively with C3 levels (P=0.0162). Interferon scores were also significantly elevated in SLE patients with a positive anti-Sin or anti-RNP autoantibodies. Conclusion The interferon score may be regarded as a good indicator for serum type Ⅰ interferon activity in SLE and serves as a new biomarker for disease activity in SLE patients.

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期刊信息
  • 《中华风湿病学杂志》
  • 中国科技核心期刊
  • 主管单位:中国科学技术协会
  • 主办单位:中华医学会
  • 主编:
  • 地址:山西省太原市东华门23号
  • 邮编:030013
  • 邮箱:cmafsb@163.com
  • 电话:0351-7553295 7553182
  • 国际标准刊号:ISSN:1007-7480
  • 国内统一刊号:ISSN:14-1217/R
  • 邮发代号:22-153
  • 获奖情况:
  • 1998年,《中华风湿病学杂志》社被共青团省委、山...,1999年获山西省第二届书刊装帧艺术作品一等奖,1999—2002年被评为山西省一级期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),中国中国科技核心期刊,中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:16745