高血压患者免疫特性及基因多态性研究。

IF 2
Xin Wei, Zhongxin Wang, Yigui Tang, Lu Tian, Yuanhong Xu, Meijuan Zheng
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引用次数: 0

摘要

目的:高血压严重危害患者健康。我们研究了高血压患者的免疫特征和基因多态性。方法:选取46例高血压患者(包括19例无其他疾病的孤立性高血压患者(IHP)、27例合并高血压相关并发症患者(CHP)和28例健康者(hc)。流式细胞术检测免疫细胞和细胞因子,免疫比浊法检测免疫球蛋白(Ig),化学发光法检测激素。此外,采用PCR检测基因多态性。结果:与hc相比,高血压患者循环B细胞频率和计数明显增加,CD56dim自然杀伤细胞(NK)明显减少。与hc患者相比,IHP患者循环双阳性T细胞(DPT)的频率和计数显著增加,而CHP患者循环双阴性T细胞(DNT)的频率和计数显著减少。高血压患者的激素和细胞因子表达与正常人相比明显升高。B细胞与ACTH表达呈正相关,与高血压密切相关。然而,高ACTH水平可以抑制CHP患者IgM的表达。此外,部分CHP患者在他汀类药物和降压药代谢方面存在基因多态性,可能需要个体化用药调整。结论:本研究发现了高血压患者的免疫特征和基因多态性,为高血压的防治提供了新的思路和理论依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Study on Immune Characteristics and Gene Polymorphisms of Hypertension Patients.

Objective: Hypertension seriously endangers the health of patients. We studied the immune characteristics and gene polymorphisms of hypertension patients.

Methods: Forty-six hypertension patients (including 19 isolated hypertension patients without other diseases (IHP) and 27 complicated hypertension patients with related complications (CHP) and 28 healthy individuals (HCs) were recruited in this study. Immune cells and cytokines were detected by flow cytometry, immunoglobulins (Ig) were detected by immunoturbidimetry, and hormones were detected by chemiluminescence. Besides, gene polymorphisms were detected by PCR.

Results: Compared with HCs, the frequency and counts of circulating B cells increased significantly, while CD56dim natural killer (NK) cells decreased significantly in hypertension patients. The frequency and counts of circulating double positive T (DPT) cells increased significantly in IHP patients, while double negative T (DNT) cells decreased significantly in CHP patients as compared with HCs. Hormones and cytokines expression in hypertension patients increased significantly as compared with HCs. B cells were positively correlated with ACTH expression and strongly associated with hypertension. However, high ACTH levels can inhibit IgM expression in CHP patients. Besides, some CHP patients had gene polymorphisms in statins and antihypertensive drug metabolism, which may require individualized adjustments to drug use.

Conclusion: This study found the immune characteristics and gene polymorphisms of hypertension patients, which may provide new ideas and a theoretical basis for the prevention and treatment of hypertension.

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