ABSTRACT
OBJECTIVE@#To explore the expression levels and clinical significance of helper T cell 1/helper T cell 2 (Th1/Th2) cytokine and interleukin-6 (IL-6) in patients with acute leukemia (AL) complicated by infection.@*METHODS@#68 patients with AL complicated by infection admitted to Wuhan Fifth Hospital from May 2017 to January 2020 were enrolled as study group, 50 AL patients without infection were enrolled as AL group, and 30 healthy volunteers checked in physical examination center were enrolled as healthy control group. The levels of serum tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) and interleukin-10 (IL-10), and peripheral blood Th1/Th2 cells subsets were measured and compared among the three groups. The serum IL-6, IL-10, TNF-α and Th1/Th2 were compared between the patients with mild to moderate infection (n=52) and septic shock (n=16). The relationship between IL-6, IL-10, TNF-α, Th1/Th2 and AL infection was analyzed.@*RESULTS@#The levels of IL-6, IL-10 , TNF-α, and the proportion of Th2 of the patients in study group and AL group were significantly higher than those in healthy control group (P<0.001), while the proportion of Th1 and Th1/Th2 were significantly lower than those in healthy control group (P<0.001). The levels of IL-6, IL-10 and TNF-α, and the proportion of Th2 the patients in study group were significantly higher than those in AL group (P<0.001), while the proportion of Th1 and Th1/Th2 were significantly lower than those in AL group (P<0.001). The serum IL-6, IL-10 and TNF-α level of the patients in septic shock group were significantly higher than those in mild-to-moderate infection group (P<0.001), while Th1/Th2 was lower than those in mild-to-moderate infection group (P<0.001). The results of ROC curve analysis showed that the area under the ROC curve (AUC) values of IL-6, IL-10, TNF-α and Th1/Th2 alone for the diagnosis of septic shock were 0.779, 0.761, 0.724 and 0.718, which were lower than that their combination (0.910) (P<0.05).@*CONCLUSION@#The levels of serum IL-6, IL-10 and TNF-α are high in patients with AL complicated infection and septic shock, while Th1/Th2 cell subsets is low. The combined detection of serum IL-6, IL-10, TNF-α and Th1/Th2 is a good diagnostic value for predicting the occurrence of severe septic shock.
Subject(s)
Humans , Cytokines/metabolism , Interleukin-10 , Interleukin-6/metabolism , Leukemia/metabolism , Shock, Septic/metabolism , Th1 Cells/metabolism , Th2 Cells/metabolism , Tumor Necrosis Factor-alpha/metabolismABSTRACT
Objective: To investigate the neuroprotective effect of vitexin (VT) on acute cerebral ischemia (ACI) reperfusion rats and its effect on helper T cell 1 (Th1)/Th2 drift. Methods: Rat models of ACI reperfusion were established and divided into model group, low, medium and high doses of VT (0.94, 1.88, 3.76 mg/kg) groups and sham operated group. After 1 h of ischemia-reperfusion, rats in different doses of VT were given different concentrations of VT by ip, and rats in sham operated group and model group were given the same amount of saline by ip for three consecutive days. The general state of rats was observed. Longa neurological score before and after administration, and morphological changes of neurons in brain tissue after administration were evaluated and compared. The damage rates of single and double strands breaks of DNA in brain tissue were compared. The levels of Th1 and Th2 markers interferon-γ (INF-γ) and interleukin-4 (IL-4) in brain tissue were measured and the INF-γ/IL-4 was calculated. Results: The success rate of ACI reperfusion model was 88.89%. The mental state of rats in the model group was not good, which was improved in the three doses of VT groups after administration. Compared with model group, the neurological function scores of rats in each dose group of VT were significantly decreased 1 d and 3 d after administration (P < 0.05) in a dose-dependent manner. The results of HE showed that the volume of neurons and nucleus of neurons in model group were reduced, and the injury of neurons in VT groups was alleviated after administration, especially in high dose group. Compared with the sham operated group, the damage rates of single and double strand breaks of DNA, INF-γ level and INF-γ/IL-4 in the model group were significantly higher (P < 0.05), while IL-4 level was significantly lower (P < 0.05). Compared with the model group, the rate of DNA single- and double-strand breakage damage, INF-γ level and INF-γ/IL-4 were significantly decreased (P < 0.05) and the level of IL-4 was significantly increased (P < 0.05) in each dose group of VT in a dose-dependent manner. Conclusion: VT has protective effect on nerve function in ACI reperfusion rats, and with the best protective effect at dose of 3.76 mg/kg, which may be related to regulating the balance of Th1/Th2 cells to shift to Th2 and alleviating DNA damage in brain cells.
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Objective To observe the immunological mechanism of glycyrrhizic acid ointment on chronic eczema mouse model. Methods Mice were randomly divided into blank control group,model control group,base material group, dexamethasone acetate cream group,glycyrrhizic acid ointment high,medium and low dose groups.Except for the blank control group,chronic eczema mouse model was established by chronic repeated 2,4-nitrochlorobenzene stimulation.The contents of IL-4, IL-18,IFN-γ in serum and the T lymphocyte subpopulation in the peripheral blood were all determined after 14 days. Results Glycyrrhizic acid ointment in high,medium groups could significantly reduce the contents of interleukin (IL)-2,IL-5,IL-6,IL-18,interferon(IFN)-γ in serum,with significant differences as compared with the model control group(P<0.01 or P<0.05).The content of IL-4 in serum was significantly increased in the glycyrrhizic acid ointment high,medium groups as compared with the model control group (P<0.01 or P<0.05).Compared with model control group,CD+4T lymphocyte percentage and CD+4/CD+8T in peripheral blood were significantly increased,and CD+8T lymphocyte percentage decreased significantly (P<0.01 or P<0.05). Conclusion Glycyrrhizic acid ointment's effect of treating chronic eczema may be related to regulating the balance of Th1 and Th2 and correcting the immune disorders.
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Objective:To explore the influence of disease severity and effectiveness of antituberculosis treatment on helper T-cells in peripheral blood from patients with pulmonary tuberculosis.Methods:Th1 cells and Th2 cells of peripheral blood of 62 pulmonary TB patients and 30 controls were marked by intracellular cytokine(INF-? and IL-4 representative of Th1 and Th2 subsets respectively) and counted by Flow Cytometry.The levels of Th1 and Th2 cell count from patients with different disease severities radiologically before antituberculosis therapy were compared and their correlation with effectiveness of different antituberculosis treatment radiologically was analyzed either.Results:The baseline levels of Th1 cell count and Th2 cell count in pulmonary tuberculosis group before antituberculosis therapy were significantly lower than those in the control group(P0.05,t test).The levels of Th1 cell count in the stable group were still significantly lower than those in the control group(P