喘息患儿肠道菌变迁与肠局部免疫及炎症的相关性研究
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刘海燕,E-mail :971421428@qq.com ;Tel :18031507989

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Correlations of intestinal bacteria changes with intestinal local immunity and inflammation in asthmatic children
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    摘要:

    目的 探讨喘息患儿肠道菌变迁与肠局部免疫及炎症的相关性。方法 选取2013 年10 月-2016 年4 月于河北省唐山市妇幼保健院诊治的<3 岁喘息患儿178 例作为观察组,选取唐山妇幼保健院同期健康体 检儿童178 例作为对照组,行肠道菌群(双歧杆菌、大肠杆菌及B/E 值),T 淋巴细胞(CD4 +、CD8 + 及CD4 +/ CD8 +),免疫球蛋白(IgA),炎症因子(白介素-17、C 反应蛋白及白细胞计数),及细胞因子(转化生长因 子-β1)检测。结果 观察组患儿双歧杆菌、B/E 值、CD4 +、CD8 +、CD4 +/CD8 +、IgA 及转化生长因子-β1 低于对照组(P <0.05)。双歧杆菌与CD4 +、CD8 +、CD4 +/CD8 +、IgA 及转化生长因子-β1 呈正相关(P <0.05), 与白介素-17、C 反应蛋白、白细胞计数呈负相关(P <0.05)。大肠杆菌与CD4 +、CD8 +、CD4 +/CD8 +、IgA 及转化生长因子-β1 呈负相关(P <0.05),与白介素-17、C 反应蛋白及白细胞计数呈正相关(P <0.05)。 结论 <3 岁喘息患儿肠道炎症反应增加可能与双歧杆菌及分泌型免疫球蛋白A 减少有关,其具体作用机制 有待进一步研究。

    Abstract:

    Objective To investigate the correlations of intestinal bacteria changes with intestinal local immunity and inflammation in asthmatic children. Methods Totally 178 asthmatic children <3 years in Tangshan Maternal and Child Health Hospital from October 2013 to April 2016 were selected as observation group, meanwhile 178 healthy children having physical examination in the same period were selected as control group. Intestinal bacteria (Bifidobacterium , Escherichia coli , B/E), T lymphocytes (CD4 +, CD8 + and CD4 +/CD8 + ), immunoglobulin (IgA), inflammatory cytokines (IL-17, C reactive protein and white blood cell count), and TGF-β1 were detected. Results Bifidobacterium , B/E, CD4 +, CD8 + , CD4 +/CD8 + , IgA and TGF-β1 in the observation group were statistically lower than those in the control group (P < 0.05). Escherichia coli , IL-17, C reactive protein, white blood cell count in the observation group were significantly higher than those in the control group (P < 0.05). Bifidobacterium was in positive correlation with CD4 +, CD8 + , CD4 +/CD8 + , IgA and TGF-β1 (P < 0.05), and in negative correlation with IL-17, C reactive protein and white blood cell count (P < 0.05). Escherichia coli was in negative correlation with CD4 +, CD8 + , CD4 +/CD8 + , IgA and TGF-β1 (P < 0.05), but in positive correlation with IL-17, C reactive protein and white blood cell count (P < 0.05). Conclusions Increased intestinal inflammation may be related to the reduction of Bifidobacterium and secretory IgA in asthmatic children under 3 years. The specific mechanism needs further study.

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曹向可,钱庆增,王维,王彬,刘海燕.喘息患儿肠道菌变迁与肠局部免疫及炎症的相关性研究[J].中国现代医学杂志,2018,(11):75-78

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  • 收稿日期:2016-04-06
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  • 在线发布日期: 2018-04-20
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