摘要
目的研究人免疫缺陷病毒(HIV)感染者外周血单个核细胞(PBMC)中白细胞介素15(IL-15)、白细胞介素15受体α(IL-15Rα)及解聚素-金属蛋白酶17(ADAM17)mRNA的表达,探讨其在HIV感染疾病进展中的作用。方法应用实时定量PCR(RT-PCR)检测9例HIV早期感染者(感染<1年,EHI组)、30例慢性HIV感染者(感染≥1年,CHI组)及9例健康对照(NC组)PBMC中IL-15、IL-15Rα、ADAM-17 mRNA水平。结果 CHI组PBMC中IL-15 mRNA的表达明显高于NC组(P<0.01);EHI组及CHI组PBMC中IL-15Rα、ADAM17 mRNA的表达明显高于NC组(P<0.05);HIV感染者PBMC中IL-15、IL-15Rα、ADAM17 mRNA的表达与病毒载量(VL)呈正相关(P<0.05); HIV感染者IL-15 mRNA表达与IL-15RαmRNA表达呈正相关(P<0.001), IL-15RαmRNA表达与ADAM17mRNA表达水平呈正相关(P<0.001)。结论 HIV感染后IL-15、IL-15Rα、ADAM17表达上调,皆与HIV病毒复制水平相关。
Objective To study expressions of interleukin-15(IL-15), interleukin-15 receptor α(IL-15 Rα) and a disintegrin and metalloprotease domain 17(ADAM 17) in peripheral blood mononuclear cells(PBMC) from HIV-infected individuals and to explore roles of the expressions in the progression of HIV infection. Methods Reverse transcription-PCR(RT-PCR) was used to detect IL-15, IL-15 Rα and ADAM 17 mRNA in PBMC of 9 early HIV-infected individuals(infected within one year, EHI group), 30 chronic HIV-infected individuals(infected for more than one year, CHI group), and 9 healthy controls(NC group). Results The expression of IL-15 mRNA in PBMC of CHI group was significantly higher than that in NC group(P < 0.01). The expression of IL-15 Ra and ADAM 17 mRNA in PBMC of EHI group and CHI group was significantly higher than those in NC group(both P< 0.05). The expression of IL-15, IL-15 Ra and ADAM 17 mRNA in PBMC of HIV-infected individuals were positively correlated with viral load(VL)(P< 0.05). IL-15 mRNA expression in PBMC was positively correlated with IL-15 Rα mRNA expression in HIV-infected individuals(P < 0.001), and IL-15 Ra mRNA expression was positively correlated with ADAM 17 mRNA expression(P< 0.001). Conclusion HIV-infection increases the expression of IL-15, IL-15 Rα, and ADAM 17 in PBMCs and their expressions are related to HIV viral load in HIV-infected individuals.
引文
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