中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (5): 404-405.

• 科研论著 • 上一篇    下一篇

1型糖尿病患儿血清维生素A浓度变化及其与Th1/Th2平衡相关性

陈永兴,卫海燕,李春枝,张英娴,王会贞,刘晓景,刘芳   

  1. 郑州市儿童医院内分泌科,河南 郑州 450052
  • 收稿日期:2011-12-06 发布日期:2012-05-06 出版日期:2012-05-06
  • 通讯作者: 卫海燕,E-mail:haiyanwei2009@126.com
  • 作者简介:陈永兴(1975-),男,河南人, 主治医师, 硕士学位,研究方向为小儿内分泌疾病
  • 基金资助:
    郑州市科技局基金赞助项目(20091116-35)

Change of serum concentration of vitamin A and the balance of Th1/Th2 in children with type 1 diabetes mellitus

CHEN Yong-xing,WEI Hai-yan,LI Chun-zhi,ZHANG Ying-xian,WANG Hui-zhen,LIU Xiao-jing,LIU Fang   

  1. Department of Endocrinology of Zhengzhou Childern's Hospital,Zhengzhou,Henan 450052,China
  • Received:2011-12-06 Online:2012-05-06 Published:2012-05-06

摘要: 【目的】 探讨1型糖尿病(type 1 diabetes mellitus,T1DM)患儿血清维生素A浓度变化及其与辅助性T淋巴细胞Th1/Th2平衡相关性,了解维生素A在儿童TIDM中的作用。 【方法】 选取32例T1DM患儿为实验组,28例健康儿童为对照组,微量荧光法检测两组血清维生素A水平,酶联免疫吸附(ELISA)法检测培养上清液中干扰素-γ(IFN-γ)、白细胞介素-4(IL-4)水平变化; 【结果】 1)T1DM组的血清维生素A水平明显低于对照组(P<0.01);2)T1DM组PBMC产生IFN-γ水平高于对照组(P<0.01),IFN-γ/IL-4比值明显高于对照组(P<0.01);3)二组血清维生素A浓度与PBMC产生IFN-γ水平皆呈负相关(P<0.05或<0.01),与IL-4水平均无相关性(P均>0.05),与IFN-γ/IL-4比值皆呈负相关(P<0.01或<0.01)。 【结论】 T1DM患儿存在维生素A缺乏,其与T1DM患儿Th1/Th2失衡关系密切。

关键词: 维生素A, 1型糖尿病, 辅助性T淋巴细胞, 儿童

Abstract: 【Objective】 To explore change of serum concentrtion of vitamin A,and its influence on the balance of Th1/Th2 in children with type 1 diabetes mellitus. 【Methods】 Totally 32 children with T1DM were taken as T1DM group,and 28 healthy children as control group.The serum level of vitamin A was determined by the method of micro-flourescence,and the levels of IFN-γ and IL-4 in the supernatant were determined by enzyme-linked immunosorbent assay. 【Results】 1)The level of vitamin A in T1DM group was lower than that in control group(P<0.01).2)IFN-γ level produced from PBMC in T1DM group was higher than that in normal control group(P<0.05),IFN-γ/IL-4 ratio was higher than that of normal control group(P<0.01).3)The levels of vitamin A in T1DM group and normal control group both had negative correlation with the levels of IFN-γ produced from PBMC(P<0.05 or <0.01),and negative correlation with the ratio of IFN-γ/IL-4(P<0.05 or <0.01),but had no correlation with the levels of IL-4(P>0.05). 【Conclusions】 The deficiency of vitamin A is present in children with type 1 diabetes mellitus,which is closely correlated with the balance of Th1/Th2.

Key words: vitamin A, type 1 diabetes mellitus, helper-inducer T-lymphocytes, children

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