山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (6): 73-78.doi: 10.6040/j.issn.1673-3770.0.2018.365
姜晓丹1,董庆喆2,党志红1,李慎玲1,苗玉3,赵涵4,张念凯1
JIANG Xiaodan1, DONG Qingzhe2, DANG Zhihong1, LI Shenling1, MIAO Yu3, ZHAO Han4, ZHANG Niankai1
摘要: 目的 探讨不同剂量的外源性白细胞介素17A(IL-17A)干预对变应性鼻炎小鼠气道炎症的影响。 方法 将48只小鼠采用随机数字表法分为A、B、C、D、E、F组,每组8只。分别于第0、7、14天将溶于50 μL生理盐水的20 μg卵清蛋白(OVA)加2 mg铝佐剂腹腔注射处理D、E及F组小鼠,间隔7 d,于第22天开始鼻腔激发,每天每侧鼻孔各滴入OVA 10 μL,连续7 d。D、E及F组小鼠于每次OVA鼻腔激发前1 h分别给予生理盐水、IL-17A蛋白100 ng、IL-17A蛋白500 ng滴鼻,A、B及C组小鼠于相同时点予等量生理盐水腹腔注射并滴鼻,B、C组小鼠于每次生理盐水鼻腔激发前1 h分别给予IL-17A蛋白100 ng、IL-17A蛋白500 ng滴鼻。所有小鼠于最后一次激发后评估鼻部症状学变化,Diff-Quik染色观察鼻腔灌洗液(NLF)中嗜酸性粒细胞浸润情况,ELISA法检测血清及NLF中IL-6、IL-10水平,鼻黏膜组织行甲苯胺蓝染色观察肥大细胞数。 结果 4周末D组所有小鼠症状学评分均>5分,造模成功。A、B、C、D、E及F组症状学评分分别为1.5(1.0~2.8)、2.0(1.0~3.0)、2.5(2.0~3.0)、7.0(6.3~8.0)、3.0(2.3~3.8)及8.0(7.0~8.8)分。E组小鼠挠鼻及喷嚏次数少于D组(H=21.375, P=0.033; H=20.250, P=0.049)。D组小鼠血清及NLF中IL-6水平高于A组(H=25.750, P=0.004; H=20.688, P=0.047),IL-10水平低于A组(H=22.875, P=0.016; H=20.625, P=0.048)。E组小鼠血清及NLF中IL-6水平与A组相比差异无统计学意义(H=19.875, P=0.068; H=8.125, P>0.999)。E组小鼠血清中IL-10水平高于D组(H=27.062, P=0.002)。F组小鼠血清及NLF中IL-6水平高于A组(H=22.250, P=0.008; H=28.688, P=0.001)。F组小鼠血清及NLF中IL-10水平与D组相比差异无统计学意义(H=13.062, P=0.930; H=0.500, P>0.999)。C组小鼠NLF中嗜酸性粒细胞数高于A组(H=20.688, P=0.047)。E组小鼠NLF中嗜酸性粒细胞数低于D组(H=21.188, P=0.037)。F组小鼠NLF中嗜酸性粒细胞数与D组相比差异无统计学意义(H=2.875, P>0.999)。D组小鼠鼻黏膜组织中肥大细胞数与A组相比增多(H=27.188, P=0.002)。E组小鼠鼻黏膜组织中肥大细胞数少于D组(H=20.938, P=0.042)。F组小鼠鼻黏膜组织中肥大细胞数与D相比差异无统计学意义(H=1.188, P>0.999)。 结论 500 ng的外源性IL-17A能促使小鼠鼻腔嗜酸性粒细胞募集,100 ng的外源性IL-17A对变应性鼻炎小鼠模型气道炎症有保护作用。
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