基础医学与临床 ›› 2014, Vol. 34 ›› Issue (7): 914-920.

• 研究论文 • 上一篇    下一篇

非霍奇金淋巴瘤患者外周血单核细胞hepcidin可能导致慢性病贫血

韩潇1,周道斌1,段明辉2,汪玄3,赵永强3,沈悌1,武永吉1   

  1. 1. 中国医学科学院 北京协和医学院 北京协和医院
    2. 中国医学科学院 北京协和医学院 北京协和医院血液科
    3. 北京协和医院血液科
  • 收稿日期:2013-07-01 修回日期:2013-10-24 出版日期:2014-07-05 发布日期:2014-06-24
  • 通讯作者: 周道斌 E-mail:daobinzhou@yahoo.com

Peripheral blood monocyte hepcidin in patients of non-Hodgkin's lymphoma may lead to anemia of chronic disease

  • Received:2013-07-01 Revised:2013-10-24 Online:2014-07-05 Published:2014-06-24
  • Contact: Dao-bin ZHOU E-mail:daobinzhou@yahoo.com

摘要: 目的 探讨非霍奇金淋巴瘤患者外周血单核细胞hepcidin可能发挥的作用。方法 收集符合条件的非霍奇金淋巴瘤患者的临床资料及外周静脉血,ELISA法测定血清IL-6和TNF-α浓度,CD14+磁珠分选外周血单核细胞,实时定量PCR测定外周血单核细胞hepcidin,IL-6和TNF-α mRNA。结果 非霍奇金淋巴瘤患者血红蛋白浓度低于正常对照(113±21.7g/l),其外周血单核细胞hepcidin表达高于正常(P<0.05)。初治患者单核细胞hepcidin表达与血红蛋白浓度和血清IL-6负相关(P<0.05),但和TSAT%,SF及血清TNF-α无关联。结论 初治淋巴瘤患者外周血单核细胞升高的hepcidin可能导致慢性病贫血的发生。

关键词: 非霍奇金淋巴瘤, 慢性病贫血, hepcidin, 白介素-6, 肿瘤坏死因子-α

Abstract: Objective The role of monocytes hepcidin in NHL patients.Methods Collecting the clinical information and peripheral venous blood of non-Hodgkin’s lymphoma patients.Serum concentration of IL-6 and TNF-α was detected by ELISA. Peripheral blood monocytes were isolated by CD14+ Magnetic beads.Hepcidin, IL-6 and TNF-α mRNA of monocytes were detected by Real time PCR quantitative assay.Results In NHL patients, hemoglobin was reduced(112.5±21.7g/l),monocyte hepcidin expression was higher than normal(P=0.013).Monocyte hepcidin in untreated patients was negatively correlated with Hb and IL-6 levels(P<0.05),but not associated with TSAT%, SF and TNF-α levels.Conclusions The increased monocyte hepcidin in untreated lymphoma patients may play an etiologic role in ACD.

Key words: non-Hodgkin’s lymphoma, anemia of chronic disease, hepcidin, interleukin 6, tumor necrosis factor α

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