TLR2 mRNA和TLR4 mRNA在银屑病皮损中的表达

目的探讨Toll样受体2(TLR2)mRNA和Toll样受体4(TLR4)mRNA在银屑病皮损中表达的变化。方法采用原位杂交技术检测银屑病皮损处和正常皮肤中TLR2 mRNA和TLR4m RNA的表达情况。结果寻常型银屑病皮损中TLR2 mRNA和TLR4 mRNA主要表达于表皮基底上层;正常皮肤则表达于表皮的基底层。统计学分析表明,TLR2 mRNA和TLR4 mRNA在正常皮肤和银屑病皮损处基底层和基底上层的表达差异均有统计学意义(P<0.05),且TLR2 mRNA和TLR4 mRNA在银屑病皮损中的表达均高于正常皮肤组织(P<0.05)。结论 TLR2和TLR4可能在银屑病的发生与发展过程中发挥重要的作用。     

Effect of acitretin on the T helper cells of psoriasis vulgaris

Objective To investigate the effects of acitretin on T helper cell (Th) 1/Th2 balance and Th17 cells in psoriasis vulgaris (PV) patients. Methods A total of 13 men and 17 women with PV were investigated. 10 mg of acitretin was administered twice a day for 8 weeks for intervention therapy. Serum levels of interferon-gamma (IFN-γ), interleukin (IL)-4 and IL-17 were measured by enzyme-linked immunosorbent assay. T, Th1, Th2 and Th17 cells in skin biopsies were counted with double-labeled immunofluorescence. Psoriasis Area and Severity Index (PASI) score was calculated before and 8 weeks after treatment. Results Before treatment PV patients had higher serum levels of IFN-γ and IL-17, and increased T, Th1 and Th17 cells in skin biopsies. After treatment, both serum levels of IFN-γ and IL-17, and T, Th1 and Th17 cells infiltrating in PV skin decreased significantly. Th1/Th2 balance was restored to normal. However, their IL-4 and Th2 cells showed no significant change throughout the therapy. Conclusion Acitretin exerts influence on dermal Th1/Th2 balance and Th17 cell infiltration, so does it on production of systematic inflammatory cytokines IFN-γ and IL-17 in PV patients. However, Th2 cells and its derivative cytokine-IL-4 are not affected.     

Study on vasoactive intestinal polypeptide receptor 1 gene translation in psoriatic epidermis with the topical treatment of capsaicin ointment

Objective To investigate the mechanism of capsaicin in treating active psoriasis vulgaris. Methods A total of 42 patients with active psoriasis vulgaris diagnosed by histology and clinical features were given either placebo or 0.025% capsaicin ointment four times daily for 30 days randomly by double-blind method. Vasoactive intestinal polypeptide receptor 1(VIPR1) gene translation in active psoriatic lesions before and after treatment with capsaicin ointment was detected by in situ hybridization. Results There was positive staining of VIPR1 gene in all the layers of psoriatic epidermis (95.5%) before the treatment with capsaicin ointment, but nearly no dyeing in epidermis (18.2%) after the treatment for 30 days. There was nearly no brown staining before and after treatment in control group. Conclusion VIPR1 gene translation in psoriatic epidermis is down-regulated after capsaicin treatment for 30 days.     

EFFECT OF CAPSAICIN ON SUBSTANCE P IN PSORIASIS VULGARIS

Psoriasisischaracterizedbyabnormalker atinocyteprolifertion ,terminaldifferentiationanddermalangiogenesis.Presentevidencesuggeststhatpsoriasiscouldbeinducedandexacerbatedbystress(neuropsychicfactors) .Neuropeptideswhicharelo catedperivascularlyclosetosympatheticandsensorynerveendings,suchassubstanceP(SP)mayplayaroleinthepathogenesisofpsoriasisbyinvolvingindermalinflammatoryresponses[1 ] .Somestudiesin dicatedthatcapsaicincouldblocktheconductionofsensorynerveendingviainhibitingthesynthesizeand…     

维甲酸诱导前后异维甲酸受体α在银屑病中的变化

目的　研究他扎罗汀治疗进行期寻常型银屑病前后异维甲酸受体α(RXRα)的变化 ,并探讨其作用机制。方法　用原位杂交的方法检测进行期银屑病皮损用药前后RXRαmRNA的表达。结果　在银屑病皮损中 ,可见基底层和基底上层RXRαmRNA的表达 ,他扎罗汀治疗后可见RXRα表达于表皮全层 ,基底上层有显著上升的趋势 (P<0 .0 1)。结论　他扎罗汀通过促进RARγ RXRα的结合 ,上调银屑病表皮基底上层中RXRα的表达 ,抑制表皮角质形成细胞的增殖并诱导凋亡。     

寻常型银屑病皮损中肿瘤坏死因子-α、基质金属蛋白酶9及其抑制剂-1的表达

目的探讨肿瘤坏死因子-α(TNF-α)、基质金属蛋白酶-9(MMP-9)和基质金属蛋白酶组织抑制因子-1(TIMP-1)在寻常型银屑病发病机制中的作用及其相关性。方法采用免疫组织化学SABC法检测40例寻常性银屑病皮损组织、20例非皮损组织以及20例正常皮肤组织中TNF-α、MMP-9和TIMP-1的表达分布情况。结果TNF-α、MMP-9在银屑病皮损组织中阳性表达率明显高于非皮损组织和正常皮肤组织(P<0.05);TIMP-1在皮损组织中的阳性表达率与非皮损组织和正常皮肤组织中的表达差异无显著性(P>0.05)。在银屑病皮损中,TNF-α与MMP-9表达呈正相关(r=0.471,P<0.01);MMP-9与TIMP-1表达呈负相关(r=-0.589,P<0.01);TNF-α与TIMP-1表达呈负相关(r=-0.6,P<0.01)。结论TNF-α、MMP-9和TIMP-1可能在寻常型银屑病发病机制中起相互协同作用。     

4种夏枯草提取物对家兔离体胸主动脉的作用

目的　研究夏枯草提取物对血管收缩的影响。方法　运用去甲肾上腺素引起家兔胸主动脉收缩模型的方法,记录了4种夏枯草提取物对去甲肾上腺素引起的家兔离体胸主动脉收缩曲线的影响。结果　夏枯草氯仿提取物、正丁醇提取物和乙酸乙酯提取物使去甲肾上腺素引起的家兔胸主动脉收缩曲线右移,且使其最大收缩幅度变小,而夏枯草水提取物则对去甲肾上腺素引起的家兔胸主动脉收缩曲线无明显的左移或右移。结论　夏枯草具有舒张血管、降低血压的作用。     

他扎罗汀对银屑病增殖表皮中肝素结合表皮生长因子样生长因子基因的调节作用

目的　探讨他扎罗汀在进行期寻常型银屑病中的作用机制。方法　用原位杂交的方法检测进行期银屑病皮损用药前后的肝素结合表皮生长因子样生长因子(HB- EGF)mRNA的表达。结果　在银屑病皮损中,全层几乎无 HB- EGF mRNA的表达(9.1%),他扎罗汀治疗后10 d可见HB -EGF不仅表达于基底层(95.5%),且以灶状表达于基底上层(77.3%)。结论　他扎罗汀通过上调银屑病表皮中HB- EGF的表达抑制表皮角质形成细胞的增殖,并诱导其凋亡。     

银屑病患者初发皮损中单个核细胞的观察

用单克隆抗体、ABC法对10例寻常型泛发性进行期银屑病患者初发皮损中单个核细胞进行分析,发现初发皮损内增多的单个核细胞以T淋巴细胞为主,巨噬细胞次之,并且大部分呈DR~+,未见B淋巴细胞,表皮内DR~+树枝状细胞和DR~+角朊细胞常与其周斟DR~+T淋巴细胞位置很接近,说明银屑病的发生与细胞免疫紊乱密切相关。