目的:探讨IL-17、IL-23参与变应性鼻炎(AR)和非变应性鼻炎(NAR)发病的可能作用。方法:选取AR患者156例(AR组)、NAR患者59例(NAR组)、健康志愿者60例(对照组)。对AR组和NAR组的所有患者进行鼻部症状的VAS评分;采集全部研究对象外周血及鼻腔分泌物,检测其中IL-17、IL-23的表达水平。结果:AR组与NAR组患者VAS评分差异无统计学意义(P〉0.05);AR组与NAR组血清及鼻腔分泌物中的IL-17和IL-23含量均高于对照组,差异有统计学意义(P〈0.05);AR组和NAR组血清及鼻腔分泌物中IL-17、IL-23的表达具有相关性,差异有统计学意义(P〈0.05)。结论:IL-17和IL-23是AR和NAR的重要细胞因子,IL-23/IL-17轴在AR和NAR发病机制中发挥重要作用。
Objective:To investigate the effect of IL-17 and IL-23 in the pathogenesis of allergic rhinitis(AR)and non allergic rhinitis(NAR).Method:Selected 156 cases of patients with allergic rhinitis(AR group)and 59 cases of patients with non-allergic rhinitis(NAR group),60 cases of healthy people(control group).All cases in AR group and NAR groups were evaluated by a visual analog scale(VAS)score of nasal symptoms.Collected peripheral blood and nasal secretions in all cases and then detected IL-17 and IL-23 expression levels.Result:There was no significant difference in VAS score of AR group and NAR group(P〉0.05).IL-17 and IL-23 levels of serum and nasal secretions in AR group and NAR group were both higher than control group,with a highly significant difference(P〈0.05).The research showed a clear correlation between expression of IL-17 and IL-23 both in serum and nasal secretions of AR group and NAR(P〈0.05).Conclusion:IL-17 and IL-23 may be important cytokines and IL-23/IL-17 pathway may play a significant role in the pathogenesis of allergic rhinitis and non-allergic rhinitis.