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目的:探讨白细胞介素-5(IL-5)在支气管哮喘发病机制中的作用。方法:随机选择8例哮喘患者雾化吸入人重组IL-5,并分别于吸入前、吸入后2,24和48h进行外周血有核细胞计数和分类,并以放射免疫法测定血清中嗜酸阳离子蛋白(ECP)及总IgE水平。结果:吸入IL-5后嗜酸性粒细胞(EOS)占细胞总数的百分比、EOS绝对细胞数以及ECP水平均随时间而明显升高,至24h达最高值,48h后仍维持在较高水平;而IL-5在整个实验过程中对血清总IgE水平并无明显影响。结论:吸入重组IL-5不仅可以促使循环中EOS数明显增多,而且还能导致其活化从而参与哮喘的发病过程。
Objective: To investigate the role of interleukin-5 (IL-5) in the pathogenesis of bronchial asthma. Methods: Eight patients with asthma were randomly selected to inhaled recombinant human interleukin-5 (IL-5). Peripheral blood mononuclear cells were counted and classified at 2, 24 and 48 hours after inhalation. The levels of eosinophils Cationic protein (ECP) and total IgE levels. Results: The percentage of eosinophils (EOS) in total cells, the absolute number of EOS and the level of ECP significantly increased with time after inhaling IL-5, up to the highest value at 24 hours and remained at a relatively high level after 48 hours. However, IL-5 had no significant effect on serum total IgE levels throughout the experiment. Conclusion: Inhaled recombinant IL-5 can not only promote the number of circulating EOS significantly increased, but also lead to its activation and thus participate in the pathogenesis of asthma.