文章摘要
张炼 钱济先 刘永明 裘秀春 马保安.退变腰椎间盘中IL-17表达的变化及其意义[J].,2015,15(8):1457-1460
退变腰椎间盘中IL-17表达的变化及其意义
The Changes of IL-17 Expression in Degenerated Human LumbarIntervertebral Disc and its Significance
  
DOI:
中文关键词: 椎间盘退变  Th17 细胞  IL-17  RORγt
英文关键词: Intervertebral disc  Th17 cell  IL-17  RORγt
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作者单位
张炼 钱济先 刘永明 裘秀春 马保安 第四军医大学唐都医院骨科兰州军区兰州总医院骨科 
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中文摘要:
      目的:研究退变的椎间盘组织中IL-17 表达的变化及其与椎间盘退变严重程度之间的关系。方法:收集退变椎间盘标本23 例,正常椎间盘标本12 例,通过免疫组织化学染色、免疫荧光染色、实时- 定量PCR(RT-PCR)和酶联免疫吸附实验(ELISA)从细 胞、蛋白和基因水平检测椎间盘组织中IL-17 和孤独受体(retinoid-related orphan receptor,RORγt )的表达。结果:免疫组化染色显 示退变椎间盘组织中IL-17 阳性细胞比例较对照组明显增高,有统计学差异(P<0.05);免疫荧光染色显示退变椎间盘组织中Th17 细胞含量明显增多(P<0.05);退变的椎间盘组织中IL-17 和RORγt mRNA的相对表达量较对照组增加,有统计学差异(P<0.001), 且两者之间呈显著正相关(r=0.6919,P<0.001);退变的椎间盘组织中IL-17 的含量较对照组明显增加(P<0.01),且与椎间盘退变的 严重程度呈正显著相关(r=0.4714,P<0.01)。结论:IL-17 含量增加参与了腰椎间盘退变的病理过程,并且可能对椎间盘退变起促 进作用。
英文摘要:
      Objective:To investigate the expression of IL-17 in degenerated human lumbar intervertebral disc tissues, and explore the relationship between IL-17 expression and severity of intervertebral disc degeneration.Methods:The level of IL-17 protein and Th17 cells were respectively determined by immunohistochemistry and immunofluorescence in 35 surgical lumbar intervertebral disc tissues (23 samples from patients with lumbar disc degeneration and 12 non-degenerated control tissues from patients with lumbar acute fractures). IL-17 and retinoid-related orphan receptor (RORγt) mRNA levels were respectively measured by real-time PCR (RT-PCR) and ELISA.Results:The percentage of IL-17(+) cells was significantly higher than that of the control group(P<0.05). Immunofluorescent staining showed that the percentage of Th17 (+) cells in degenerated human lumbar intervertebral disc tissues was evidently increased (p<0.05). The mean IL-17 and RORγt mRNA levels in degenerated disc tissues group were significantly higher than those in the non-degenerated controls (P<0.001). ELISA results showed IL-17 expression was significantly enhanced in degenerate human lumbar intervertebral disc tissues, compared with the non-degenerated control tissues (P<0.01). The expression level of IL-17 mRNA was evidently higher than that of the control group(P<0.01), and was positively correlated with the severity of intervertebral disc degeneration (r=0.4714, P<0.01).Conclusion:The increase of IL-17 expression was involved in the pathological process of lumbar disc degeneration, which may contribute to the incidence of lumbar disc degeneration.
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