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银屑病患者维生素D受体基因多态性与外周血NK细胞、T淋巴细胞亚群分析

The analysis of vitamin D receptor genotypes polymorphism and T lymphocyte subpopulations/natural killer cells in psoriatic patients

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【作者】 朱慧琴吴瑞勤陈玲娣谢匡成朱光斗

【Author】 ZHU Hui-qin, WU Rui-qin, CHEN Ling-di, XIE Kuang-cheng, ZHU Guang-dou(Department of Dermatology, Shanghai First People’s Hospital, Shanghai 200080, China)

【机构】 上海市第一人民医院皮肤科上海市第一人民医院中心实验室上海市第一人民医院皮肤科 上海200080上海200080上海200080

【摘要】 目的:探讨银屑病患者的维生素D受体(VDR)基因多态性与外周血自然杀伤(NK)细胞、T淋巴细胞亚群的关系。方法:采用聚合酶链反应(PCR)、限制性内切酶酶切技术(RFLP),以及流式细胞仪对112例无血缘关系的银屑病患者和108名无血缘关系的健康人VDR基因型进行分析,并对其外周血NK、CD3、CD4、CD8细胞进行测定。结果:银屑病患者与健康人的VDR基因型的分布情况有明显不同,纯合子AA﹑杂合子Bb基因型在银屑病患者中出现的频率明显高于健康人。银屑病患者CD4、CD8细胞均显著高于健康人,而Bb基因型患者的NK细胞显著高于健康人,CD3细胞明显低于健康人。结论:纯合子AA基因型或杂合子Bb基因型的出现可能增加汉族人患银屑病的危险性。Bb基因型患者可能存在免疫缺陷。

【Abstract】 Objective: To study the correlation between the polymorphism of vitamin D receptor (VDR) genotype and T lymphocyte subpopulations/NK cells in psoriasis. Methods: PCR-RFLP and flow cytometric analysis were used to determine VDR genotypes in 112 unrelated psoriatic patients as well as in 108 unrelated healthy people. Results: There was a significant difference in VDR genotypes between psoriatic patients and normal controls. A significant increase of subjects carrying homozygotes AA heterozygotes Bb in psoriatic patients were found compared with those in normal controls. In addition, there was a significant increase of CD4, CD8 cells in psoriatic patients; patients carrying Bb genotype had a great increase in NK cells and a great decrease in CD3 cells. Conclusions: The presence of homozygote AA or heterozygote Bb may increase the risk of developing psoriasis in Chinese. The immune defects may exist in the patients carrying Bb genotype.

【基金】 中华医学会皮肤科学会科研基金资助课题(2000年度杨森基金)
  • 【文献出处】 临床皮肤科杂志 ,Journal of Clinical Dermatology , 编辑部邮箱 ,2003年07期
  • 【分类号】R758.63
  • 【被引频次】12
  • 【下载频次】179
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