急性颅脑损伤后血清TNF-α和IL-18的含量变化及临床意义

韦俐, 周鹏, 袁志诚

韦俐, 周鹏, 袁志诚. 急性颅脑损伤后血清TNF-α和IL-18的含量变化及临床意义[J]. 实用临床医药杂志, 2009, (3): 51-53,57. DOI: 10.3969/j.issn.1672-2353.2009.03.014
引用本文: 韦俐, 周鹏, 袁志诚. 急性颅脑损伤后血清TNF-α和IL-18的含量变化及临床意义[J]. 实用临床医药杂志, 2009, (3): 51-53,57. DOI: 10.3969/j.issn.1672-2353.2009.03.014
WEI Li, ZHOU Peng, YUAN Zhi-cheng. Changes and clinical significance of serum TNF-α and IL-18 contents in patients with acute brain trauma[J]. Journal of Clinical Medicine in Practice, 2009, (3): 51-53,57. DOI: 10.3969/j.issn.1672-2353.2009.03.014
Citation: WEI Li, ZHOU Peng, YUAN Zhi-cheng. Changes and clinical significance of serum TNF-α and IL-18 contents in patients with acute brain trauma[J]. Journal of Clinical Medicine in Practice, 2009, (3): 51-53,57. DOI: 10.3969/j.issn.1672-2353.2009.03.014

急性颅脑损伤后血清TNF-α和IL-18的含量变化及临床意义

详细信息
  • 中图分类号: R651.1

Changes and clinical significance of serum TNF-α and IL-18 contents in patients with acute brain trauma

  • 摘要: 目的 探讨急性颅脑损伤后血清肿瘤坏死因子α(TNF-α)和白细胞介素18(IL-18)的含量变化及临床意义.方法 采用酶联免疫吸附(ELISA)法测定60例急性颅脑损伤患者伤后第1、3、7、10天血清TNF-α和IL-18的含量,观察TNF-α和IL-18血清含量的变化规律,分析颅脑损伤程度与TNF-α和IL-18含量之间的关系.结果 TNF-α在伤后早期即明显升高,于伤后第3天达到高峰,至第10天下降明显,但仍高于对照组(P<0.05);IL-18含量在伤后呈逐渐升高趋势,并在第10天达到高峰.重型颅脑损伤组在伤后各个时间点的血清TNF-α和IL-18含量较轻、中型组明显升高(P<0.05).结论急性颅脑损伤后血清TNF-α和IL-18含量明显升高,与颅脑损伤程度呈正相关;TNF-α和IL-18参与了急性颅脑损伤后的炎性反应过程,在继发性脑损害中起重要作用.
  • Morganti-Kossmann M C, Rancan M, Otto V I. Role of cerebral inflammation after traumatic brain knjury:a revisited concept [J]. Shock, 2001(3):165.doi: 10.1097/00024382-200116030-00001.
    贺晓生. 重视对创伤性脑损伤炎症反应的研究 [J]. 第四军医大学学报, 2004, (9):769.doi: 10.3321/j.issn:1000-2790.2004.09.001.
    Ahn M J, Sherwood E R, Prough D S. The effects of traumatic brain injury on cerebral blood flow and brain tissue nitric oxide levels and cytokine expression [J]. Journal of Neurotrauma, 2004, (10):1431.doi: 10.1089/neu.2004.21.1431.
    Rothwell N. Interleukin-1 and neuronal injury:mechanisms, modification, and therapeutic potential [J]. Brain Behavor and Immunity, 2003(3):152.
    Patel H C, Boutin H, Allan S M. Interleukin-1 in the brain:mechanisms of action in acute neurodegeneration [J]. Annals of the New York Academy of Sciences, 2003.39.doi: 10.1111/j.1749-6632.2003.tb03136.x.
    Schmidt O I, Morganti-Kossmann M C, Heyde C E. Tumor necrosis factor mediated Inhibition of interleukin-18 in the brain:a clinical and experimental study in head-injured patients and in a murine model of closed head injury [J]. Neuroinflammation, 2004, (13):1.
    龚超. 抗肿瘤坏死因子抗体减轻小鼠暂时性缺血损伤 [J]. 中国神经科学杂志, 1999(1):1.
    Yatsiv I, Morganti-Kossmann M C, Perez D. Elevated intracranial IL-18 in humans and mice after traumatic brain injury and evidence of neuroprotective effects of IL-18-binding protein after experimental closed head injury [J]. Journal of Cerebral Blood Flow and Metabolism, 2002(8):971.doi: 10.1097/00004647-200208000-00008.
    Hedtjarn M, Mallard C, Iwakura Y. Combined deficiency of IL-1beta18, but not IL-1alphabeta, reduces susceptibility to hypoxia-ischemia in the immature brain [J]. Developmental Neuroscience, 2005, (2-4):143.doi: 10.1159/000085986.
    Lebel-Binay S, Berger A, Zinzindohoue F. Interleukin-18:biological properties and clinical implications [J]. Eur CytokinevNetw, 2000.15.
    Ohshima K, Haraoka S, Takahata Y. Interferon-gamma, Interleukin-18, monkineinduced by interferon-gamma and interferon-gamma-inducible protein-10 in histiocytic necrotizing lymphadenitis [J]. Leukemia and Lymphoma, 2002.1115.
    Mori I, Hossain M J, Takeda K. Impaired microglial activation in the brainof IL-18-gene-disrupted mice after neurovirulent influenza A virus infection [J]. Virology, 2001, (1):163.doi: 10.1006/viro.2001.1029.
    Hedtjarn M, Leverin A L, Eriksson K. Interleukin-18 involvement in hypoxic-ischemic brain injury [J]. Journal of Neuroscience, 2002.5910.
计量
  • 文章访问数:  109
  • HTML全文浏览量:  22
  • PDF下载量:  0
  • 被引次数: 0
出版历程
  • 发布日期:  2009-04-14

目录

    /

    返回文章
    返回
    x 关闭 永久关闭