眼科

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慢性闭角型青光眼患者房水中炎症因子浓度升高

张勇  杨钦媚  郭凤  陈侠  谢琳   

  1. 400042重庆,第三军医大学大坪医院野战外科研究所眼科,重庆市眼科学重点实验室
  • 收稿日期:2017-02-09 出版日期:2017-07-25 发布日期:2017-07-24
  • 通讯作者: 谢琳,Email:xielin_66@163.com

Levels of multiple inflammatory cytokines in aqueous humor of patients with chronic primary angle-closure glaucoma

ZHANG Yong, YANG Qin-mei, GUO Feng, CHEN Xia, XIE Lin.   

  1. The Department of Ophthalmology, Daping Hospital & Research Institute of Surgery, Third Military Medical University, Chongqing 400042, China
  • Received:2017-02-09 Online:2017-07-25 Published:2017-07-24
  • Contact: XIE Lin, Email: xielin_66@163.com

摘要:

 目的 比较急、慢性原发性闭角型青光眼与老年性白内障患者房水中多种炎症因子浓度的差异。设计 实验研究。研究对象 连续的16例急性闭角型青光眼患者、16例慢性闭角型青光眼患者、22例老年性白内障患者的房水。方法 使用悬浮液相芯片技术同时检测房水中多种细胞因子浓度,比较不同组之间的差异,并进行细胞因子间相关性分析。显著水准0.0167。主要指标 房水中粒细胞集落刺激因子(G-CSF)、干扰素-γ(IFN-γ)、白介素-6(IL-6)、白介素-8(IL-8)、单核细胞趋化蛋白-1(MCP-1),血小板衍生生长因子-AA(PDGF-AA)、血小板衍生生长因子-AB(PDGF-AB)、趋化因子配体5(RANTES)、肿瘤坏死因子-α(NF-α)的浓度。结果 急性闭角型青光眼患者房水中G-CSF、PDGF-AA、IL-6、IL-8、MCP-1、RANTES和TNF-α浓度均显著高于白内障组(P均<0.0167),慢性闭角型青光眼患者房水中G-CSF、PDGF-AA、IL-6、IL-8和MCP-1浓度显著高于白内障组(P均<0.0167),急性和慢性闭角型青光眼房水中各炎症因子浓度均无统计学差异(P均>0.0167)。结论 除了急性闭角型青光眼外,慢性闭角型青光眼眼前节也存在炎症反应。(眼科,2017,26: 229-233)

关键词: 青光眼, 房水, 炎症因子

Abstract:

 Objective To compare the difference of the concentration of inflammatory cytokines in the aqueous humor of patients with primary angle-closure glaucoma. Design Experimental study. Participants This study included 16 eyes with acute primary angle-closure glaucoma, 16 eyes with chronic primary angle-closure glaucoma, and 22 eyes with cataract. Methods The concentrations of nine cytokines in aqueous humor were measured with the Luminex suspension array technique. The clinical characteristics of patients were also obtained for correlation analysis. Significant level was P=0.0167. Main Outcome Measures The concentrations of granulocyte colony-stimulating factor (G-CSF), interferon-γ(IFN-γ), interleukin-6,(IL-6), interleukin-8(IL-8), monocyte chemotactic protein-1(MCP-1), platelet derived growth factor-AA(PDGF-AA), PDGF-AB, RANTES and tumor necrosis factor-α (TNF-α) in aqueous humor. Results Compared with those from the senile cataract group, the concentrations of G-CSF, PDGF-AA, IL-6, IL-8, MCP-1, RANTES and TNF-α were significantly higher in the aqueous humor samples from acute primary angle-closure glaucoma (all P<0.0167), and the concentrations of G-CSF, PDGF-AA, IL-6, IL-8, and MCP-1 were significantly elevated in the aqueous humor of patients with chronic primary angle-closure glaucoma (all P<0.0167). There was no significant difference in the concentration of inflammatory factors between acute primary angle-closure glaucoma and chronic primary angle-closure glaucoma (all P>0.0167 ). Conclusions In addition to acute angle closure glaucoma, chronic angle closure glaucoma also had inflammation in ocular anterior segment. (Ophthalmol CHN, 2017, 26: 229-233)

Key words: glaucoma, aqueous humor, inflammatory cytokines