Clinica Chimica Acta:中国自身免疫性甲状腺疾病患儿血清IL-21和维生素D浓度的相关性

2020-06-24 MedSci原创 MedSci原创

小儿自身免疫性甲状腺疾病(AITD)的病因是多因素的,但主要与免疫功能紊乱有关。已有研究报道,白细胞介素-21 (IL-21)和维生素D在自身免疫性疾病中发挥关键作用。

小儿自身免疫性甲状腺疾病(AITD)的病因是多因素的,但主要与免疫功能紊乱有关。已有研究报道,白细胞介素-21 (IL-21)和维生素D在自身免疫性疾病中发挥关键作用。我们研究了IL与21、25(OH)D的相关性及其在AITD发病中的潜在作用。

南京医科大学附属无锡妇幼保健院于2017年9 - 11月至2019年9月共收治原发性Graves病(GD)患者54例, HT患者36例,健康受试者30例。测定血清中IL-21、25(OH)D、促甲状腺激素(TSH)、甲状腺过氧化物酶抗体(TPOAb)、TSH受体抗体(TRAb)和甲状腺球蛋白抗体(TGAb)的浓度。

研究结果显示,GD和HT患者血清中25(OH)D浓度低于对照组,IL-21浓度高于对照组。HT组血清25(OH)D浓度与TPOAb、TGAb呈负相关,而血清IL-21浓度与TPOAb、TGAb、TRAb呈正相关。治疗前后HT、GD患儿血清25(OH)D浓度与血清IL-21呈显著负相关。因此,我们研究了IL与21和25(OH)D的相关性,推断它们在AITD中发挥作用。此外,添加维生素D可以抑制TPOAb、TGAb和IL-21的表达浓度。

研究结果表明,IL-21和维生素D可能参与了AITD的发生和发展。以IL-21和维生素D为靶点可能是未来治疗AITD的一种有希望的方法。

原始出处:

Yaling Feng,Ting Qiu,Association of serum IL-21 and vitamin D concentrations in Chinese children with autoimmune thyroid disease

 

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    2020-11-01 baoya
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    2020-08-19 windight
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    2020-06-26 tomyang93
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    2020-06-25 Ahui

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