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Am J Resp Crit Care:血小板调节肺结核的炎症和组织破坏!

2018-02-09 xing.T MedSci原创

由此可见,血小板促进TB患者炎症和组织降解。

结核病(TB)患者的血小板可能与免疫系统相互作用,以调节导致感染发病和传播的人类炎症反应。近日,呼吸内科以及重症医学领域权威杂志Am J Resp Crit Care上发表了一篇研究文章,该研究旨在明确血小板在TB患者先天性炎症和基质降解反应中的功能作用。

研究人员对50名治疗前的TB患者和50名对照者血浆中的血小板活化标志物进行了检测,并纵向随访了25例患者。在感染活的强毒结核分枝杆菌(M.tb)的共培养模型中研究血小板-单核细胞相互作用,并使用Qpcr、Luminex多重阵列、基质降解测定和菌落计数进行分析。免疫组织化学检测肺TB小鼠模型的CD41表达,并对来自于15名TB患者和匹配的对照者支气管肺泡灌洗液(BALF)测量分泌的血小板因子水平。

与对照组相比,TB患者六种血小板相关介质中的五种在血浆中有所上调,在治疗的第60天时浓度回到基线。在M.tb感染中,单核细胞胶原酶MMP-1的基因表达可被血小板上调。血小板还增强了M.tb诱导的MMP-1和MMP-10分泌,这导致了I型胶原降解。与M2单核细胞表型一致,血小板增加了单核细胞IL-1和IL-10,并降低了IL-12和单核细胞衍生的趋化因子(MDC,也称为CCL-22)分泌。细胞内M.tb的单核细胞杀伤作用减弱。在TB小鼠模型的肺脏中可以检测到血小板,并且在人BALF中分泌的血小板介质有所上调,并且与MMP和IL-1β浓度相关。

由此可见,血小板促进TB患者炎症和组织降解。

原始出处:

Katharine A Fox,et al. Platelets Regulate Pulmonary Inflammation and Tissue Destruction in Tuberculosis.AM J RESP CRIT CARE 2018. https://doi.org/10.1164/rccm.201710-2102OC    

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    2018-02-13 wzb521zf

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    2018-02-12 wzb521zf

    一起学习学习

    0

  4. 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    2018-02-11 wzb521zf

    一起学习学习

    0

  5. 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    2018-02-10 wzb521zf

    一起学习学习

    0

  7. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/TDiaAWyicHgedzX3wKo3qcxudVJib7AfibfvNeufHRF2jG3Bw8MmZyWjIhtBV1mpJI7Sy9n7RcBKK5t3CuOKuOFxkg/0, createdBy=dd702206933, createdName=wzb521zf, createdTime=Sat Feb 10 07:46:38 CST 2018, time=2018-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286710, encodeId=6536286e106f, content=阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Sat Feb 10 07:41:23 CST 2018, time=2018-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286705, encodeId=3d87286e05cb, content=阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sat Feb 10 07:39:42 CST 2018, time=2018-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286554, encodeId=7a7a286554a6, content=学习了受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Feb 09 14:23:28 CST 2018, time=2018-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286533, 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    2018-02-10 sunfeifeiyang

    0

  8. 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channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sat Feb 10 07:39:42 CST 2018, time=2018-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286554, encodeId=7a7a286554a6, content=学习了受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Feb 09 14:23:28 CST 2018, time=2018-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=286533, encodeId=e20f28653365, content=结核病(TB)患者的血小板可能与免疫系统相互作用.以调节导致感染发病和传播的人类炎症反应.近日.呼吸内科以及重症医学领域权威杂志AmJRespCritCare上发表了一篇研究文章.该研究旨在明确血小板在TB患者先天性炎症和基质降解反应中的功能作用., beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Fri Feb 09 13:28:57 CST 2018, time=2018-02-09, status=1, ipAttribution=)]
    2018-02-10 神功盖世

    0

  9. 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    2018-02-09 131****1460

    学习了受益匪浅

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    0

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