基础医学与临床 ›› 2010, Vol. 30 ›› Issue (9): 981-983.

• 研究论文 • 上一篇    下一篇

急性丙型病毒性肝炎患者颗粒溶素在外周血中表达增高

李新立 居军 徐向红 王晚霞   

  1. 兰州大学第一临床医学院 甘肃省人民医院 甘肃省人民医院 甘肃省人民医院
  • 收稿日期:2009-09-03 修回日期:2009-12-29 出版日期:2010-09-05 发布日期:2010-09-05
  • 通讯作者: 居军

The increased expression of granulysin in peripheral blood of acute viral hepatitis C

Xin-li LI, Jun JU, Xiang-hong XU, Wan-xia WANG   

  1. The First Affiliated Medical College of Lanzhou Gansu Provincial People's Hospital Gansu Provincial People's Hospital
  • Received:2009-09-03 Revised:2009-12-29 Online:2010-09-05 Published:2010-09-05
  • Contact: Jun JU,

摘要: 目的 研究急性丙型病毒性肝炎患者外周血颗粒溶素(granulysin, GNLY)的表达水平及其临床意义。方法 收集30例急性丙型病毒性肝炎患者和30例体检健康者的全血和血清,分别行反转录聚合酶链反应(RT-PCR)测外周血单核淋巴细胞(PBMC)中GNLYmRNA的表达水平,酶联免疫吸附法(ELISA)法测血清中GNLY蛋白含量,并检测丙肝患者AST、ALT水平。结果 急性丙型病毒性肝炎患者组PBMC中GNLYmRNA表达水平(7.71±1.44)高于体检健康者(0.83±0.17)(P<0.01);血清GNLY平均浓度(20.16 ± 6.03 ) ng/mL也高于体检健康者(9.94 ± 2.99)ng/mL (P<0.01)。PBMC中GNLYmRNA表达水平与血清HCV RNA表达水平呈负相关(r=﹣0.869,P<0.01);血清GNLY含量与肝功能指标ALT呈正相关(r=0.522,P<0.01),与AST呈正相关(r=0.661,P<0.01)。结论 急性丙型病毒性肝炎患者PBMC中GNLYmRNA表达和血清中GNLY蛋白含量显著高于健康人群,其表达水平的变化有助于了解患者机体细胞免疫状态,监测病情。

关键词: 丙型病毒性肝炎, 颗粒溶素, GNLYmRNA, 酶联免疫吸附法

Abstract: Objective To investigate granulysin expression in peripheral blood of patients with acute viral hepatitis C and its clinical significance. Methods The level of GNLYmRNA in the PBMC and the content of serum GNLY were determinded by RT-PCR and ELISA, respectively. Results The expression of PBMC GNLYmRNA in patients with acute hepatitis C (7.71 ± 1.44) was higher than that of controls (0.83 ± 0.17) (P<0.01);and serum GNLY average content (20.16 ± 6.03)ng/mL was also higher than that of controls (9.94 ± 2.99)ng/mL (P<0.01). The level of GNLYmRNA expression in PBMC had negatively correlation with the level of HCV-RNA expression (r=-0.869, P<0.01); the content of serum GNLY and the ALT was positively correlated (r=0.522, P <0.01), and was also positively correlated with AST (r=0.661, P<0.01). Conclusion The GNLY gene and protein expression levels are both higher in patients with acute viral hepatitis C compared with those in normal controls. The change level of GNLY expression may be helpful for determining of the cell immune status of acute viral hepatitis C patients, monitoring the condition of acute viral hepatitis C.

Key words: acute viral hepatitis C, granulysin, GNLYmRNA, ELISA