Effect of inflammatory media on bone marrow mesenchymal stem cell transplantation in leukemia patients
-
摘要: 目的 探究相关促炎症因子对白血病患者进行骨髓间充质干细胞(bone marrow mesenchyma stem cells,BMSC)移植的转归和预后的影响。 方法 选取自2015年11月3日-2017年5月3日来浙江省人民医院接受治疗的白血病患者82例,采用完全随机设计,按随机数字表法将其随机分为A (常规支持治疗)、B (采用骨髓间充质干细胞移植)2组,各41例,采用ELISA实验分析治疗前后血清相关炎症因子INF-γ、IL-1、TNF-α、IL-6、IL-4和IL-12的变化以及B组患者治疗前后骨髓增生活力变化。 结果 2组患者治疗后血清中IL-1、TNF-α显著低于治疗前,且A组患者治疗后2项指标显著高于B组,差异具有统计学意义(t=13.652,P<0.001);B组患者经治疗后INF-γ、IL-1、TNF-α、IL-6、IL-4和IL-12显著降低,且除IL-6外,均显著低于A组治疗后血清表达水平,差异具有统计学意义(t=12.247,P<0.001);B组患者治疗后骨髓增生程度为活跃的百分比显著高于治疗前(治疗后vs.治疗前:43.9% vs.24.4%),差异具有统计学意义(χ2=6.276,P=0.022);治疗后骨髓增生程度为极度减低的百分比显著降低(治疗后vs.治疗前:19.5% vs.43.9%),差异具有统计学意义(χ2=5.632,P=0.032)。 结论 骨髓间充质干细胞移植能够有效降低炎症反应,增强骨髓增生活力,改善造血环境,可以作为白血病备选辅助治疗措施。Abstract: Objective To investigate the effect of proinflammatory cytokines on the outcome and prognosis of bone marrow mesenchyma stem cells (BMSCs) transplantation in leukemia patients. Methods A total of 82 patients with leukemia who underwent treatment from our hospital from 3 November, 2015 to 3 May, 2017 were randomized to A (conventional supportive therapy) according to the random number table method. IL-1, IL-6, IL-4 and IL-12 were detected by ELISA before and after treatment, and the levels of IL-1, IL-1, IL-6, IL-6 and IL-12 were detected by ELISA And the changes of bone marrow hyperplasia before and after treatment in group B patients. Results The levels of IL-1 and TNF-α in the serum of the two groups were significantly lower than those in the control group (P<0.001), and the difference was statistically significant (t=13.652, P<0.001). IL-1, TNF-α, IL-6, IL-4 and IL-12 were significantly decreased in the B group after treatment, and the expression of IL-1 was significantly lower than that of IL-6 (t=12.247, P<0.001). The percentage of active myeloproliferation in group B was significantly higher than that before treatment (before treatment vs. before treatment:43.9% vs. 2.4%), and the difference was significant (χ2=6.276, P=0.022); the percentage of myeloproliferation was significantly reduced after treatment (before treatment vs. 19.5% vs. 43.9%), the difference was statistically significant (χ2=5.632, P=0.032). Conclusion Bone marrow mesenchymal stem cell transplantation can effectively reduce the inflammatory response, enhance myeloproliferative activity, improve the hematopoietic environment, and can be used as an adjunctive treatment for leukemia.
-
Key words:
- Leukemia /
- Bone marrow mesenchymal stem cells /
- Inflammatory factors
点击查看大图
计量
- 文章访问数: 158
- HTML全文浏览量: 21
- PDF下载量: 6
- 被引次数: 0