Citation: | HUANG Yanyan, LIN Shudian, ZHAN Feng, XIAO Lu, ZHAN Yuwei, MO Biyao, HAN Yeguang. Relationships of expressions of soluble programmed death receptor-1 and interferon regulatory factor 4 with disease activity and immunoinflammation of patients with rheumatoid arthritis[J]. Journal of Clinical Medicine in Practice, 2022, 26(11): 118-121, 137. DOI: 10.7619/jcmp.20214386 |
To detect the expressions of soluble programmed death receptor-1 (sPD-1) and interferon regulatory factor 4 (IRF4) in the serum of patients with rheumatoid arthritis (RA) and to explore their clinical significance.
A total of 100 RA patients (RA group) were selected as study objects, including 50 patients in remission stage (remission RA group) and 50 patients in active stage (active RA group). In addition, 50 patients with osteoarthritis (OA) who received treatment during the same period (OA group) and 50 healthy people who underwent physical examination (control group) were selected. The venous blood was collected, and serum was separated, and the expression levels of sPD-1, IRF4, interleukin-4 (IL-4), interleukin-17 (IL-17) and interferon gamma (IFN-γ) in serum of subjects were detected by enzyme-linked immunosorbent assay (ELISA), the correlations of serum sPD-1, IRF4 levels with serum IL-4, IL-17, IFN-γ levels in RA patients were analyzed by Pearson method.
Compared with the control group, the levels of serum sPD-1, IRF4, IL-4, IL-17 and IFN-γ of subjects in the OA and RA groups were significantly increased (P < 0.05); compared with the OA group, the levels of serum sPD-1, IRF4, IL-4, IL-17, and IFN-γ in the RA group were significantly increased (P < 0.05); compared with the remission RA group, the levels of serum sPD-1 and IRF4 in the active RA group were significantly increased (P < 0.05); the level of serum sPD-1 in RA patients was positively correlated with the levels of serum IL-4, IL-17, and IFN-γ (P < 0.05); the level of serum IRF4 in RA patients were positively correlated with the levels of serum IL-4, IL-17 and IFN-γ (P < 0.05).
The expression levels of sPD-1 and IRF4 in the serum of RA patients are elevated, they are related to disease activity and abnormal levels of inflammatory factors in the patients, and have the potential to become new therapeutic targets.
[1] |
钟玉梅, 吴菲, 罗小超, 等. 基于PD-1/PD-L1信号通路艾灸治疗类风湿性关节炎的机制研究[J]. 中国针灸, 2020, 40(9): 976-982. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE202009020.htm
|
[2] |
KITAS G D, NIGHTINGALE P, ARMITAGE J, et al. A multicenter, randomized, placebo-controlled trial of atorvastatin for the primary prevention of cardiovascular events in patients with rheumatoid arthritis[J]. Arthritis Rheumatol, 2019, 71(9): 1437-1449. doi: 10.1002/art.40892
|
[3] |
吴晨, 魏昀, 高慧琴. 基于网络药理学的类风湿关节炎药物治疗研究进展[J]. 中医药学报, 2020, 48(2): 67-71. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXB202002017.htm
|
[4] |
CHEN Z, HU K, FENG L, et al. Senescent cells re-engineered to express soluble programmed death receptor-1 for inhibiting programmed death receptor-1/programmed death ligand-1 as a vaccination approach against breast cancer[J]. Cancer Sci, 2018, 109(6): 1753-1763. doi: 10.1111/cas.13618
|
[5] |
冯秀南, 姜振宇. 淋巴毒素β受体、TIPE2和可溶性PD-1分子在类风湿性关节炎患者中的表达及其临床意义[J]. 中国免疫学杂志, 2019, 35(15): 1876-1879. doi: 10.3969/j.issn.1000-484X.2019.15.016
|
[6] |
KANG M, LEE H S, CHOI J K, et al. Deletion of Irf4 in T cells suppressed autoimmune uveitis and dysregulated transcriptional programs linked to CD4+ T cell differentiation and metabolism[J]. Int J Mol Sci, 2021, 22(5): 2775. doi: 10.3390/ijms22052775
|
[7] |
黄丽奋, 黄俊彬, 陈纯. 调控调节性T细胞转录因子的研究新进展[J]. 国际输血及血液学杂志, 2020, 43(2): 129-133. doi: 10.3760/cma.j.cn511693-20200115-00016
|
[8] |
张建丽, 崔春婷, 侯晓东. 艾拉莫德联合美洛昔康治疗老年类风湿关节炎的疗效[J]. 西北药学杂志, 2020, 35(5): 720-724. doi: 10.3969/j.issn.1004-2407.2020.05.019
|
[9] |
李茜, 张国栋, 刘毅, 等. IL-17和IRF4在类风湿关节炎中的表达及临床意义[J]. 西部医学, 2016, 28(11): 1506-1509. doi: 10.3969/j.issn.1672-3511.2016.11.007
|
[10] |
中华医学会风湿病学分会. 2018年中国类风湿关节炎诊疗指南[J]. 中华内科杂志, 2018, 57(4): 242-251. doi: 10.3760/cma.j.issn.0578-1426.2018.04.004
|
[11] |
PREVOO M L, VAN 'T HOF M A, KUPER H H, et al. Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis[J]. Arthritis Rheum, 1995, 38(1): 44-48. doi: 10.1002/art.1780380107
|
[12] |
铁宁, 王勇, 满大夫, 等. 类风湿关节炎患者血清长链非编码RNA-Hox转录反义RNA表达变化及其意义[J]. 山东医药, 2019, 59(33): 23-26. doi: 10.3969/j.issn.1002-266X.2019.33.006
|
[13] |
苗帅莹, 熊先智. 诱导性协同共刺激分子研究进展[J]. 国际免疫学杂志, 2019, 42(2): 167-174. doi: 10.3760/cma.j.issn.1673-4394.2019.02.011
|
[14] |
WU D, LIU Y, PANG N N, et al. PD-1/PD-L1 pathway activation restores the imbalance of Th1/Th2 and treg/Th17 cells subtypes in immune thrombocytopenicpurpura patients[J]. Medicine, 2019, 98(43): e17608. doi: 10.1097/MD.0000000000017608
|
[15] |
武加标, 任敏, 成菊兰, 等. 活动性类风湿关节炎调节性T细胞程序性细胞死亡蛋白-1/程序性死亡配体1表达及与临床指标的相关性[J]. 中华临床免疫和变态反应杂志, 2019, 13(2): 113-117. doi: 10.3969/j.issn.1673-8705.2019.02.005
|
[16] |
郭艳华, 王新建. 血清sPD-1在类风湿关节炎患者中的表达及意义[J]. 河南医学研究, 2019, 28(17): 3214-3215. doi: 10.3969/j.issn.1004-437X.2019.17.078
|
[17] |
郭锦均, 梁木华, 郑燕冰, 等. 外周血PU. 1、IRF4因子在脓毒症患儿血清中的表达及其临床意义[J]. 国际医药卫生导报, 2020, 26(16): 2374-22387. doi: 10.3760/cma.j.issn.1007-1245.2020.16.014
|
[18] |
郭钊林. SLE患者血清IRF4与疾病活动性指数、抗SSA抗体的相关性分析[J]. 中国医学创新, 2015, 12(19): 6-8. doi: 10.3969/j.issn.1674-4985.2015.19.002
|