MsPGN中活化NFκBp65mRNA、IL1βmRNA、IL4mRNA的检测及其意义
MsPGN,,系膜增生性肾小球肾炎NFκBp65;,细胞因子;,系膜细胞;,原位杂交,1材料和方法,2结果,3讨论,参考文献:
摘要: 目的:研究系膜增生性肾小球肾炎(MsPGN)肾组织中活化核因子κBp65、IL1β及IL4基因表达的意义,探讨MsPGN的发病机制。方法: 应用原位杂交技术分别检测正常对照组9例与病例组41例MsPGN肾组织中NFκBp65mRNA、IL1βmRNA及IL4 mRNA水平,并分析3项检测指标之间的相互关系及其与MsPGN病变程度的关系。结果:(1)正常对照组中肾小球系膜区活化NFκBp65mRNA、IL1DmRNA阳性检出率分别为11.1%、33.3%,而IL4 mRNA为0;病例组3项检测指标阳性率分别为70.7%、75.6%、61.1%。2组肾小球中3项检测指标阳性率差异有统计学意义(P<0.05)。(2) MsPGN肾小球组织中NFκBp65mRNA活化与IL1βmRNA之间呈显著正相关(r=0.383 6,P<0.05),IL1βmRNA与IL4mRNA之间亦呈显著正相关(r=0.477 1,P<0.01)。(3)活化NFκBp65mRNA、IL1βmRNA及IL4mRNA阳性率均随着病变程度加重增高,但差异无统计学意义。(4)正常肾组织及MsPGN的肾小管中3项指标检测结果无一定规律性。结论:3项指标在MsPGN发病环节中共同起着作用。MsPGN对致病原的反应更接近于Th2反应。关键词: 系膜增生性肾小球肾炎NFκBp65; 细胞因子; 系膜细胞; 原位杂交
Detection of activated NFκBp65mRNA, ILlβmRNA and IL4mRNA inmesangial proliferative glomerulonephritis and its
siginificanceLIU Xia, ZHANG Wei, WEN Hao
(Department of Pathology, First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054, China)Abstract: Objective: To study the roles of activated nuclear factorkaapB (NFκB) p65mRNA, Interleukin1β(IL1β) mRNA and Interleukin4 (IL4) mRNA in the pathogenesis of mesangial proliferative glomerulonephritis, and discuss the potential the raptatic way in renal inflammatory. Methods: To use in situ hybridization (ISH) to detect activated nuclear factorkaapB (NFκB) p65mRNA, Interleukin1β (IL1) mRNA, Interleukin4 (IL4) mRNA in biopsy specimens of kidney from patients with mesangial proliferation glomerulonephritis (MsPGN) (n=41) and in structurall normal kidneys (n=9). Results: (1) Weak staining of Activated NF κBp65 , IL1β in glomerulus of normal kidney(11.1%,33.3%), inter leukin4 positive cells were not found in the normal control kidney tissues, the positive rates of threephase detecting index are higher in glomerulus of MsPGN than in normal kidney(P<0.05); (2)The positive rate of activated NF κBp65mRNA is showed a positive correlation with IL1β mRNA (r=0.383 6, P<0.05) and also positive correlation with IL1βmRNA and IL4mRNA(r=0.477 1, P<0.05). (3)A correlation was found between the positive rate of actived NFκBp65mRNA, I11β mRNA, IL4mRNA with the degree of Mesangial proliferation, but with no statistic significance. (4) There are not certain regularity in the tubular cells of normal kidney and MsPGN. Conclusion: Activated NFκBp65mRNA , IL1 13 mRNA and Ⅱ4mRNA are associated with the development of MsPGN. The reactive of Th2 may have relation with the pathogenesis of MsPGN ......
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