国际眼科纵览

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HIV/AIDS泪液采集及泪液中病毒学和细胞因子的研究现状

钱宇婧  魏文斌   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼内肿瘤诊治研究北京市重点实验室 眼科学与视觉科学北京市重点实验室 北京市感染性眼病诊疗中心
  • 收稿日期:2018-02-06 出版日期:2018-04-22 发布日期:2018-05-04
  • 通讯作者: 魏文斌,Email:weiwenbintr@163.com
  • 基金资助:

    北京市医院管理局“登峰”人才培养计划(DFL20150201);国家自然科学基金(81570891);北京市自然科学基金(7151003);北京市卫生系统高层次卫生技术人才培养计划(2014-2-003)

Tear collection methods and virology and cytokine studies in tears of HIV/AIDS

QIAN Yu-jing, WEI Wen-bin   

  1. Beijing Tongren Eye Center, Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment, Beijing Key Laboratory of Ophthalmology and Visual Sciences, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2018-02-06 Online:2018-04-22 Published:2018-05-04
  • Contact: WEI Wen-bin, Email: weiwenbintr@163.com
  • Supported by:

    Beijing Municipal Administration of Hospitals’Ascent Plan (DFL20150201); National Natural Science Foundation of China (81570891); Beijing Natural Science Foundation (7151003); Advanced Health Care Professionals Development Project of Beijing Municipal Health Bureau (2014-2-003)

摘要:

在艾滋病眼病的研究中,泪液具有易采集、易分析等优势,且有重要研究价值。目前已成功用于HIV/AIDS研究的泪液采集方法有反射性泪液采集法、毛细玻璃管虹吸法、Schirmer试纸法,以及其他眼病研究中可借鉴的方法(如冲洗泪液法)。艾滋病患者泪液分析主要包括病毒学和细胞因子分析两个方面。对泪液中HIV病毒进行定性、定量研究,有助于明确泪液中HIV病毒的传染性,探索HIV病毒眼部储存库的特点;而对泪液中细胞因子水平进行分析,则有利于了解HIV病毒在眼部的致病机制及临床表现。HIV/AIDS泪液中只包含极少量的HIV病毒组织感染剂量,故通过泪液接触感染HIV的几率非常小。但泪腺及泪液相关组织可能是HIV病毒的另一储存库。(国际眼科纵览, 2018,  42:  125-128)

Abstract:

In the study of HIV-associated ocular disease, tears are useful tools with many advantages including easy to collect and analyze, and of great research value. At present, the tear collection methods which have been successfully applied to HIV/AIDS researches including reflective tear collection, capillary glass siphon collection and Schirmer test paper collection, and other approaches learned from various areas (such as tear flushing collection). Furthermore, virological characteristics and cytokine analysis, which are two major aspects involved in the study of tears of HIV/AIDS patients. Qualitative and quantitative studies can clarify the infectiousness of HIV virus in tears and explore the HIV reservoirs. By studying the level of cytokines in tears, it is helpful to understand the pathogenesis and clinical features of HIV virus in eyes. Tears in HIV/AIDS patients contain only a very small amount of HIV virus infection dose, so the risk of HIV infection through tear contact is very small. But it is speculated that the lacrimal gland and tear related tissues may be another repository of HIV virus. (Int Rev Ophthalmol,  2018,  42:   125-128)