Expression and significance of neutrophil extracellular traps in patients with Candida vaginitis
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摘要: 目的 研究单纯性外阴阴道念珠菌病(VVC)和复杂性外阴阴道念珠菌病(RVVC)阴道内中性粒细胞胞外陷阱(NETs)量的差异以及NETs含量对阴道炎病程的影响。 方法 收集2016年1月1日-10月30日期间在杭州市妇产医院就诊的患外阴阴道念珠菌病的已婚妇女193例进行研究,其中单纯性VVC患者120例,RVVC患者73例。 结果 所有研究对象阴道涂片中均找到NETs,单纯性VVC患者治疗前NETs+级41例,++级60例,+++级19例,RVVC患者治疗前NETs +级50例,++级20例,+++级3例,2组比较,单纯性VVC组患者NETs平均含量高于RVVC组,差异有统计学意义(Z=-9.732,P<0.05)。单纯性VVC组患者治疗后第7天复查,NETs+级41例,念珠菌转阴患者30例,转阴率为73.17%,NETs ++级患者60例,念珠菌转阴患者56例,转阴率为93.33%,NETs +++级患者19例,念珠菌转阴患者18例,转阴率为94.73%,NETs ++级、+++级患者治疗后7 d念珠菌转阴率高于NETs+级患者,差异有统计学意义(χ2=6.317、6.774,均P<0.05)。 结论 NETs参与念珠菌阴道炎的免疫反应,念珠菌阴道炎的治愈时间及复发和NETs形成的程度密切相关。Abstract: Objective To study the difference of extracellular traps (NETs) between VVC and RVVC and whether the amount of NETs would have influence on the cure time of VVC. Methods This study was conducted between January, 2016 and October, 2016 on women suffering from Candida vaginitis at Hangzhou Maternity Hospital. Total 193 patients were recruited, including 120 VVC and 73 RVVC. Results NETs were found in all samples. The grade of NETs were rated as +, ++ and +++. In the group of VVC, 41 samples were rated as +, 60 samples were rated as ++ and 19 were rated as +++ before treatment. In the group of RVVC, 50 samples were rated as +, 20 samples were rated as ++ and 3 were rated as +++. The NETs formation in VVC group was stronger than that in RVVC group, the difference was statistically significant (Z=-9.732, P<0.05). The VVC group patients came back to hospital 7 days after treatment, 30 cases of Candida turned negative among NETs + patients, negative rate is 73.17% (30/41), 56 cases of Candida turned negative among NETs ++ patients, negative rate is 93.33% (56/60), 18 cases of Candida turned negative among NETs +++ patients, negative rate is 94.73% (18/19), the negative rate in NETs ++, +++ patients was higher than that in NETs+ patients, the difference was statistically significant (χ2=6.317 and 6.774, P<0.05). Conclusion Our results indicated that NETs were involved in the immune response in Candida vaginitis. The responses to antifungal therapy showed a close correlation between the cure time and the degree of NETs formation in Candida vaginitis.
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Key words:
- Neutrophil extracellular traps /
- Candida albicans /
- Vaginitis /
- Vaginal Smears
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