白细胞介素1β在131I治疗甲亢合并内分泌性眼病中的意义

The roles of IL-1β in hyperthyroid with thyroid eye disease patients treated with 131I

  • 摘要: 目的 获得内分泌性眼病的自身免疫病理变化过程中机体的相关细胞因子白细胞介素IL-1β(IL-1β)表达痕迹的数据,探讨131I治疗甲亢后对合并内分泌性眼病患者外周血中IL-1β水平的影响。方法 采用前瞻性调查方法,选取内分泌性眼病患者3l例,均有眼部症状和体征,血清甲状腺激素水平高于正常范围,并经眼眶CT检查排除其他疾病所导致的突眼,131I治疗剂量按照公式计算IL-lβ的检测采用放射免疫分析法。结果 内分泌性眼病组较正常对照组血清IL-1β水平有不同程度升高:治疗前(0.15±0.07) ng/ml>治疗后(0.11±0.05) ng/ml正常对照组(0.10±0.03) ng/ml,H=68.088,P<0.001;131I治疗后较治疗前内分泌性眼病患者血清IL-1β水平亦有所下降(H=88.56,P<0.001);治疗后内分泌性眼病患者突眼度亦得到改善。结论 外周血中IL-1β水平与内分泌性眼病发病密切相关,并且内分泌性眼病患者经131I治疗后血清IL-1β水平较治疗前有所下降,突眼症状也明显改善。

     

    Abstract: Objective To obtain the level of IL-1β in auto-immue pathological processes of thyroid eye disease patients treated with 131I.Methods By the prepositive dignose,a total of 31 patients of thyroid eye disease was investigated.They all had opthalmic symptoms,their thyroid hormones were higher than that of normal persons.These patients were foreclosed the ophthalmology caused by other diseases making use of the orbit CT.The degree of binocular exopthalmos was measured by a specialist.The dosage of 131I treatment according to formula calculation.To detect the serum level of IL-1β by rdioimmunoassay.Results The serum level of IL-1β in thyroid eye disease group is higher than that of control group in some degree (pretherapeutic level of IL-1β is (0.15±0.07)ng/ml,therapeutic level of IL-1β is (0.11±0.05) ng/ml,normal control is (0.10±0.03) ng/ml,H=68.088,P<0.001.After 131I treatment,serum level of IL-1β were dropped in thyroid eye disease patients (H=88.56,P<0.001),and the degree of ophthalmic symptom was also mended. Conclusion The level of IL-1β in peripheral blood of thyroid eye disease patients is closely associated with morbility,and there is a reduction of IL-1β level in the serum of thyroid eye disease patient after 131I treatment compared with that before treatment,also there is a significant improvement after treatment.

     

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