羟基喜树碱对类风湿关节炎患者外周血单个核细胞作用的研究
首发时间:2015-11-20
摘要:目的:通过体外研究观察羟基喜树碱对类风湿关节炎(RA)患者外周血单个核细胞(PBMC)的增殖、凋亡及细胞因子分泌的影响,探讨其在治疗RA中可能的免疫作用机制。方法:体外培养RA患者PBMC,不同浓度羟基喜树碱(HCPT)刺激72h后,通过3H掺入法检测药物对PBMC增殖作用的影响;应用Annexin V/PI流式细胞术检测药物对PBMC凋亡的影响;应用酶联免疫吸附法(ELISA)检测药物刺激前后细胞上清转化生长因子(TGF)-β1分泌水平的变化。结果:1. 三种工作浓度的HCPT对RA患者 PBMC的增殖均有明显抑制作用,且呈现剂量依赖性,随药物浓度的增加抑制作用增强。2. 应用HCPT刺激PBMC后,PBMC的凋亡明显增加,表明HCPT能显著促进PBMC的凋亡。3. 经HCPT刺激后可以明显上调PBMC细胞上清中TGF-β1的表达水平。结论: HCPT可以显著抑制RA患者PBMC的增殖作用,明显诱导细胞凋亡,可以上调细胞上清中TGF-β1的表达水平,提示HCPT可能对RA患者有治疗作用。
关键词: 风湿病学与自体免疫病学 羟基喜树碱 类风湿关节炎 外周血单个核细胞 增殖 凋亡
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The effect of 10-hydrocamptothecin on the peripheral blood mononuclear cell in rheumatoid arthritis
Abstract:Objective To observe the effect of 10-hydrocamptothecin (HCPT) on the proliferation, apoptosis and cytokine production of peripheral blood mononuclear cell (PBMC) in rheumatoid arthritis (RA) and to explore the immunoregulatory mechanism of HCPT in the treatment of RA. Methods We cultured the PBMC in vitro and stimulated the cells by the different concentration of HCPT. Proliferation was assayed by 3H-TdR incorporation test. The level of cell apoptosis was measured by flow cytometry with Annexin V/FITC Staining (FCM) method. Transforming growth factor beta1 (TGF-β1), Interleukin (IL)-10 and tumor necrosis factor (TNF) -α in the cell culture supernatant were detected by ELISA kit. Results 1. Three concentration of HCPT could inhibit the proliferation of the PBMC in vitro and the effect was dose-dependent (p<0.05). 2. HCPT could induce apoptosis of PBMC (p<0.05). 3. The level of TGF-β1 secretion was significantly higher in the supernatant of PBMC stimulated with HCPT than that in the negative control. Conclusions HCPT could obviously inhibit the proliferation and induce the apoptosis of PBMC in RA, and HCPT could up-regulate the level of TGF-β1. HCPT might be an alternative choice in the treatment of RA.
Keywords: Rheumatology & Autoimmunity 10-hydrocamptothecin rheumatoid arthritis peripheral blood mononuclear cell proliferation apoptosis
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