Graves病~(131)I治疗前后免疫指标及细胞因子的变化

The Change of Immune Indexes and Cytokines of Patients With Graves'Disease Before and After Treated With ~(131)I

  • 摘要: 通过研究Graves病(GD)患者治疗前后多种免疫指标及细胞因子的变化与甲状腺功能的相关性,探讨GD的发病机制。采用全自动生化分析及体外放射免疫分析法测定45例131I治疗前甲状腺功能亢进的GD患者及其中40例131I治疗后缓解的GD患者、30例正常对照者血清中的FT3、FT4、TSH、TGA、MCA,免疫指标IgG、IgM、IgA、C3、C4及细胞因子IL-2、IL-6、IL-8的水平。结果表明GD患者发病机制中,IgG、IgM、C3、C4、IL-2及IL-6、IL-8均参与其中,IgG、IL-2及IL-6在一定程度上反映了GD的活动性,可作为临床评价病情和进展的参考指标。

     

    Abstract: The changes of immune indexes and cytokines of patients with Graves'disease before and after treated with 131I and their correlation with thyroid function are studied in order to dicuss the pathogenesis of GD. Serum immune indexes IgG, IgA, IgM, C3, C4 and cytokines IL2, IL6, IL8 in 45 GD patients before treated with 131I, 40 GD patients of hyperthyroidism remission after treated with 131I,and 30 normal controls are measured by automatic biochemical analysis and in vitro radioassay methods. The results shows that IgG, IgM, C3, C4 and IL2, IL6, IL8 has taken part in the GD pathogenesis, the levels of IgG, IL2, IL6 had reflected the activation of GD in a way and could act as referance index to evaluate patient's condition and development of GD.

     

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