• 1 北京大學(xué)第三醫(yī)院呼吸內(nèi)科(北京 100083);;
  • 2 北京大學(xué)醫(yī)學(xué)部生理系;

目的  探討尾加壓素Ⅱ(UⅡ)在哮喘發(fā)病中的意義。方法  采用放射免疫法測定哮喘患者在急性發(fā)作期和治療后緩解期誘導(dǎo)痰中UⅡ含量,并常規(guī)進(jìn)行肺功能檢測和誘導(dǎo)痰細(xì)胞計數(shù)分類。結(jié)果  26例哮喘患者在急性發(fā)作期和臨床緩解期誘導(dǎo)痰UⅡ含量分別為(58.88±47.38)pg/mL及(12.69±12.78)pg/mL,二者差異顯著(t=4.779,P lt;0.01);急性發(fā)作期誘導(dǎo)痰UⅡ含量隨病情惡化而升高,但差異無統(tǒng)計學(xué)意義(P gt;0.05);男性與女性之間、吸煙與不吸煙之間誘導(dǎo)痰UⅡ含量差異無統(tǒng)計學(xué)意義(P gt;0.05);哮喘急性發(fā)作期誘導(dǎo)痰UⅡ含量與第1秒用力呼氣容積(FEV1)占預(yù)計值百分比呈負(fù)相關(guān)(r=-0.326,P lt;0.05),與誘導(dǎo)痰細(xì)胞總數(shù)和中性粒細(xì)胞百分比無明顯相關(guān)性(P gt;0.05)。結(jié)論   哮喘時氣道UⅡ分泌增加,UⅡ可能參與哮喘的發(fā)病。

引用本文: 伍蕊 ,陳亞紅,姚婉貞,王配配,耿彬,唐朝樞. 支氣管哮喘患者誘導(dǎo)痰中尾加壓素Ⅱ的變化及其意義. 中國呼吸與危重監(jiān)護(hù)雜志, 2008, 08(2): 128-131. doi: 復(fù)制

1. Conlon JM,Yano K,Waugh D,et al.Distribution and molecular forms of urotensin Ⅱ and its role in cardiovascular regulation in vertebrates.J Exp Zool,1996,275:226-238.
2. Coulouarn Y,Lihrmann I,Jegou S,et al.Cloning of Cdna encoding the urotensin Ⅱprecusor in frog and human reveals intense expression of the urotensin Ⅱgene in motoneurons of the spinal cord.Proc Natl Acad Sci USA,1998,95:15803-15808.
3. 陳亞紅,趙鳴武,夏春芳,等.尾加壓素在大鼠平滑肌細(xì)胞增殖中的作用及其機制.中華醫(yī)學(xué)雜志,2000,80:928-930.
4. 李建東,于忠和,劉伯英,等.支氣管哮喘患者血漿尾加壓素Ⅱ、腎上腺髓質(zhì)素水平的變化及其臨床意義.中華結(jié)核和呼吸雜志,2003,26:797.
5. 張珺輝,張靖薄.尾加壓素Ⅱ與支氣管哮喘相關(guān)性的研究.中國臨床醫(yī)學(xué),2004,11:971-973.
6. 中華醫(yī)學(xué)會呼吸病學(xué)會哮喘學(xué)組.支氣管哮喘防治指南(支氣管哮喘的定義、診斷、治療及教育和管理方案).中華內(nèi)科雜志,2003,42:817-822.
7. Pavord ID,Pizzicbini M,Pizzicbini E,et al.The use of induced sputum to investigate airway inflammation.Thorax,1997,52:498-501.
8. Takanobu Y,Mike M,Yukio H,et al.Role of urotensin Ⅱ in peripheral tissueasan autocrine/peracrine growth factor.Peptides,2004,25:1775-1781.
9. 石云,杜軍保,曾超美,等.慢性低氧性肺動脈高壓大鼠肺內(nèi)肺動脈中尾加壓素Ⅱ的變化.基礎(chǔ)醫(yī)學(xué)與臨床,2002,22:78-83.
10. 路明,姚婉貞,陳亞紅,等.尾加壓素Ⅱ在慢性阻塞性肺病大鼠中的變化.基礎(chǔ)醫(yī)學(xué)與臨床,2006,26:1063-1066.
11. 路明,姚婉貞,陳亞紅,等.慢性阻塞性肺病患者血漿及誘導(dǎo)痰中尾加壓素Ⅱ的變化及其意義.北京大學(xué)學(xué)報,2006,38:155-158.
12. Tzanidis A,Hannan RD,Thomas WG,et al.Direct Actions of Urotensin Ⅱ on the Heart Implications for Cardiac Fibrosis and Hypertrophy.Circ Res,2003,93:246-253.
13. Douglas SA,Tayara L,Ohlstein EH,et al.Congestive heart failure and expression of myocardial urotensin Ⅱ.Lancet,2002,359:1990-1997.
14. 劉伯英,于忠和,郝淑玲.低氧大鼠血漿和支氣管肺泡灌洗液尾加壓素Ⅱ的變化.第三軍醫(yī)大學(xué)學(xué)報,2004,26:1742-1744.
15. 龔永生,胡良岡,唐朝樞,等.慢性低氧對大鼠血漿尾加壓素Ⅱ濃度和右心室尾加壓素Ⅱ受體的影響.中國病理生理雜志,2003,19:704-705.
  1. 1. Conlon JM,Yano K,Waugh D,et al.Distribution and molecular forms of urotensin Ⅱ and its role in cardiovascular regulation in vertebrates.J Exp Zool,1996,275:226-238.
  2. 2. Coulouarn Y,Lihrmann I,Jegou S,et al.Cloning of Cdna encoding the urotensin Ⅱprecusor in frog and human reveals intense expression of the urotensin Ⅱgene in motoneurons of the spinal cord.Proc Natl Acad Sci USA,1998,95:15803-15808.
  3. 3. 陳亞紅,趙鳴武,夏春芳,等.尾加壓素在大鼠平滑肌細(xì)胞增殖中的作用及其機制.中華醫(yī)學(xué)雜志,2000,80:928-930.
  4. 4. 李建東,于忠和,劉伯英,等.支氣管哮喘患者血漿尾加壓素Ⅱ、腎上腺髓質(zhì)素水平的變化及其臨床意義.中華結(jié)核和呼吸雜志,2003,26:797.
  5. 5. 張珺輝,張靖薄.尾加壓素Ⅱ與支氣管哮喘相關(guān)性的研究.中國臨床醫(yī)學(xué),2004,11:971-973.
  6. 6. 中華醫(yī)學(xué)會呼吸病學(xué)會哮喘學(xué)組.支氣管哮喘防治指南(支氣管哮喘的定義、診斷、治療及教育和管理方案).中華內(nèi)科雜志,2003,42:817-822.
  7. 7. Pavord ID,Pizzicbini M,Pizzicbini E,et al.The use of induced sputum to investigate airway inflammation.Thorax,1997,52:498-501.
  8. 8. Takanobu Y,Mike M,Yukio H,et al.Role of urotensin Ⅱ in peripheral tissueasan autocrine/peracrine growth factor.Peptides,2004,25:1775-1781.
  9. 9. 石云,杜軍保,曾超美,等.慢性低氧性肺動脈高壓大鼠肺內(nèi)肺動脈中尾加壓素Ⅱ的變化.基礎(chǔ)醫(yī)學(xué)與臨床,2002,22:78-83.
  10. 10. 路明,姚婉貞,陳亞紅,等.尾加壓素Ⅱ在慢性阻塞性肺病大鼠中的變化.基礎(chǔ)醫(yī)學(xué)與臨床,2006,26:1063-1066.
  11. 11. 路明,姚婉貞,陳亞紅,等.慢性阻塞性肺病患者血漿及誘導(dǎo)痰中尾加壓素Ⅱ的變化及其意義.北京大學(xué)學(xué)報,2006,38:155-158.
  12. 12. Tzanidis A,Hannan RD,Thomas WG,et al.Direct Actions of Urotensin Ⅱ on the Heart Implications for Cardiac Fibrosis and Hypertrophy.Circ Res,2003,93:246-253.
  13. 13. Douglas SA,Tayara L,Ohlstein EH,et al.Congestive heart failure and expression of myocardial urotensin Ⅱ.Lancet,2002,359:1990-1997.
  14. 14. 劉伯英,于忠和,郝淑玲.低氧大鼠血漿和支氣管肺泡灌洗液尾加壓素Ⅱ的變化.第三軍醫(yī)大學(xué)學(xué)報,2004,26:1742-1744.
  15. 15. 龔永生,胡良岡,唐朝樞,等.慢性低氧對大鼠血漿尾加壓素Ⅱ濃度和右心室尾加壓素Ⅱ受體的影響.中國病理生理雜志,2003,19:704-705.
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