寻常型银屑病中医三证型形成与皮肤组织中JAK1/STAT3信号通路关系的研究
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国家自然科学基金面上项目(81273755);国家自然科学基金青年基金(81403403、81403404)


Relationship Between Three TCM Syndromes of Psoriasis and JAK/STAT Signaling Pathway
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    摘要:

    目的:探讨寻常型银屑病血热、血瘀、血燥证形成与皮肤组织中JAK1/STAT3信号通路的关系。方法:选取2013年10月至2014年10月东直门医院皮肤科门诊和病房收治的寻常型银屑病患者18例(严格中医辨证分为血热证、血瘀证、血燥证三型),正常人受试者6例,记录患者一般情况,用RT-PCR法检测各组受试者皮肤组织中IL-22R1、JAK1、STAT3、C-myc、VEGF的mRNA表达差异。结果:检测24例受试者皮肤组织,IL-22R1、JAK1、STAT3、C-myc的mRNA表达相互间均呈正相关,差异有统计学意义(P<0.05或P<0.01);血热证患者皮损中,IL-22R1、JAK1、STAT3、C-myc的mRNA表达均明显高于正常人,差异有统计学意义(P<0.01),血燥证IL-22R1、JAK1、STAT3的mRNA表达高于正常人,差异有统计学意义(P<0.05)。结论:JAK1/STAT3信号通路的异常活跃,可能是银屑病血热证临床表现形成的重要因素;且JAK/STAT信号通路活化差异可能与血热证向血瘀、血燥证转变的过程相关。

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    To observe the differences between blood heat syndrome, blood dryness syndrome and blood stasis syndrome of psoriasis in JAK/STAT signaling pathways. Methods:A total of 18 psoriasis cases in our hospital were divided into 3 groups based on TCM syndrome differentiation. The three groups were blood heat syndrome group, blood dryness syndrome group and blood stasis syndrome group. And 6 healthy participants also participated in the trail. Their general information was recorded. RT-PCR was employed to test the difference of IL-22R1, JAK1, STAT3 and c-myc in participants' skin tissue samples. Results:The gene transcription correlation test among 24 psoriasis patients show that IL-22R1, JAK1, STAT3 and c-myc were all positively correlated to each other (P<0.05 or P<0.01). The gene transcriptions of IL-22R1, JAK1, STAT3 and c-myc in blood heat group were significantly higher than healthy case group (P<0.01). In blood dryness group, gene transcription of IL-22R1, JAK1 and STAT3 were higher than healthy group (P<0.05). Conclusion:The active status of JAK/STAT signaling pathway could be an important factor in the formation of psoriasis blood heat syndrome. While the JAK/STAT signaling pathway may result in blood heat syndrome turning into blood dryness syndrome and blood stasis syndrome.

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张润田,陈曦,李玲玲,杭海燕,段行武.寻常型银屑病中医三证型形成与皮肤组织中JAK1/STAT3信号通路关系的研究[J].世界中医药,2017,(07).

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  • 收稿日期:2016-12-08
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  • 在线发布日期: 2017-07-24
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