人外周血单核细胞人白细胞抗原-DR表达和细胞因子水平的增龄性改变
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广东省自然科学基金(8151001002000022)


Age-related changes in expression of human leukocyte antigen-DR and levels of cytokines in peripheral blood mononuclear cells
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    摘要:

    目的 研究人外周血单核细胞(PBMC)人白细胞抗原DR的表达和单核细胞体外分泌细胞因子水平的增龄性改变。方法 352例不同年龄的体检者按年龄分为A组120例(20~69岁)、B组85例(70~79岁)、C组98例(80~89岁)、D组49例(90~102岁)。用流式细胞仪检测PBMC表面人白细胞抗原(HLA)-DR的表达; 每组随机抽取10人, 用ELISA方法检测经内毒素(LPS)刺激前后PBMC分泌肿瘤坏死因子-?(TNF-?)、白细胞介素(IL)-6、IL-10等细胞因子的水平, 并比较各年龄组PBMC表面HLA-DR表达的变化以及分泌TNF-?、IL-6、IL-10等细胞因子水平的变化。结果 A, B, C, D各组之间PBMC表面HLA-DR的表达有显著性差异(F = 159.712, P = 0.000), 且不同年龄组人群PBMC表面HLA-DR的表达呈随龄性增加(r = 0.744, P=0.000); LPS刺激前各年龄组人群PBMC分泌TNF-?, IL-6, IL-10细胞因子的水平无显著性差异(P>0.05); LPS刺激后各年龄组人群PBMC分泌TNF-?, IL-6, IL-10细胞因子的水平较LPS刺激前均有明显增高(P<0.05); 将LPS刺激后各组PBMC分泌细胞因子的水平进一步行组内比较发现, 与A组相比, B, C, D各组分泌TNF-?、IL-6的水平明显减低(P<0.05), 分泌IL-10的水平明显增高(P<0.05)。结论 人PBMC细胞免疫功能呈随龄性改变, 其表面HLA-DR的表达呈随龄性增加; LPS刺激前各年龄组人群PBMC分泌TNF-?、, IL-6, IL-10细胞因子的水平无显著性差异; 而LPS刺激后, 70岁以上老年人PBMC分泌TNF-?和IL-6的水平明显减低, 分泌IL-10的水平明显增高。

    Abstract:

    Objective To investigate age-related changes in the expression of human leukocyte antigen-DR (HLA-DR) in peripheral blood mononuclear cells (PBMCs) and levels of cytokines secreted by PBMCs. Methods A total of 352 individuals who underwent physical examinations in our hospital were stratified into four groups based on age: group A, n = 120, age 20-69 years; group B, n = 85, age 70-79 years; group C, n = 98, age 80-89 years; group D, n = 49, age 90-102 years. Expression of HLA-DR in PBMCs was detected with flow cytometry. In addition, 10 individuals from each group were randomly selected, and their PBMCs were isolated and subsequently used for determining the levels of TNF-α, IL-6 and IL-10 by ELISA before and after LPS stimulation. HLA-DR expression and cytokine levels were compared between the different age groups. Results HLA-DR expression was significantly different between A, B, C, and D groups (F = 159.712, P = 0.000), and it increased in an age dependent manner (r = 0.744, P = 0.000). No significant difference was found in TNF-α, IL-6 and IL-10 levels in PBMCs before LPS stimulation between group A, B, C and D (P>0.05), while, their levels increased significantly after LPS stimulation (P<0.05). Compared with group A, TNF-α and IL-6 levels decreased, and the IL-10 level increased significantly(P <0.05) in group B, C and D after LPS stimulation. Conclusion Expression of HLA-DR increases in an age-dependent manner in human PBMCs, indicating an age-related change of immunological function. There is no significant difference in the levels of TNF-α, IL-6 and IL-10 secreted by PBMCs before LPS stimulation, while after LPS stimulation, the TNF-α and IL-6 levels decrease and IL-10 level increases significantly in individuals more than 70 years old.

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吴军, 刘泽, 王鲁妮, 等.人外周血单核细胞人白细胞抗原-DR表达和细胞因子水平的增龄性改变[J].中华老年多器官疾病杂志,2011,10(4):315~317

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