[1]王雪娟 黄瑞诚,张永琴,官志杰,等.赤芍颗粒调控 HBV 感染免疫耐受期患者免疫通道的临床研究[J].大众科技,2019,21(12):44-46.
 Clinical Study on the Regulation of Immune Channels of Patients with HBVInfection in Immune Tolerance Period by Chishao Granule[J].Popular Science & Technology,2019,21(12):44-46.
点击复制

赤芍颗粒调控 HBV 感染免疫耐受期患者免疫通道的临床研究()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
21
期数:
2019年12
页码:
44-46
栏目:
医药与卫生
出版日期:
2019-12-20

文章信息/Info

Title:
Clinical Study on the Regulation of Immune Channels of Patients with HBVInfection in Immune Tolerance Period by Chishao Granule
作者:
王雪娟1 黄瑞诚 2 张永琴 1 官志杰 1 刘 潇 1 潘 哲 1 潘红霞 1 黄小丽 1唐美莲1
(1.广西中医药大学第一附属医院,广西 南宁 530023;2.广西中医药大学,广西 南宁 530001)
关键词:
赤芍颗粒免疫耐受期临床研究
Keywords:
Chishao granule immune tolerance phase clinical research
文献标志码:
A
摘要:
目的:探讨赤芍颗粒对 DC/IL-12/CTL 免疫通道中相关免疫因子的调节、免疫细胞功能的促进作用,明确赤芍颗粒打破 HBV 免疫耐受的作用机制。方法:选取 60 例符合纳入标准的 HBV 感染免疫耐受期患者,按照随机数字法分为治疗组及对照组各 30 例,治疗组给予赤芍颗粒治疗,对照组给予中药安慰剂治疗。治疗结束后比较两组患者 CD80、CD86、HLA-DR、IL-12、CD8+T 细胞数及血清 HBV-DNA 水平变化情况。结果:疗程结束后,治疗组 CD80、CD86、HLA-DR、IL-12、CD8+T细胞数及血清 HBV-DNA 水平均有明显改善,且明显优于对照组,差异具有统计学意义。结论:赤芍颗粒能显著改善 HBV 感染免疫耐受期患者的免疫指标,抑制 HBV-DNA 复制,打破 CHB 免疫耐受,其机制可能与 DC/IL-12/CTL 免疫通道的激活有关。
Abstract:
Objective: To explore the effect of red peony granules on the regulation of related immune factors in DC/ il-12 /CTLimmune channel and the promotion of immune cell function, and to clarify the mechanism of Chishao granule to break HBV immunetolerance and to clarify the mechanism of Chishao granule to break HBV immune tolerance. Methods: 60 patients with HBV infectionimmune tolerance stage that met the inclusion criteria were selected, and were divided into treatment group and control group with 30cases each according to the random number method. The treatment group was treated with Chishao granule and he control group wastreated with traditional Chinese medicine placebo. After treatment, the number of CD80, CD86, HLA-DR, IL-12, CD8 T cells and thelevel of serum HBV-DNA were compared between the two groups. Results: After the treatment, the number of CD80, CD86, HLA-DR,IL-12, CD8 T cells and the level of serum HBV-DNA in the treatment group were significantly improved. It is obviously superior to thecontrol group.The difference is statistically significant. Conclusion: Chishao granule can significantly improve the immune indexe ofpatients with HBV infection in immune tolerance period, suppress HBV-DNA replication, and break CHB immune tolerance. Themechanism may be related to the activation of the DC/ IL-12/ CTL immune channel.

参考文献/References:

[1] Liang P, Zu J, Yin J, et al. The independent impact ofnewborn hepatitis B vaccination on reducing HBVprevalence in China,1992-2006: A mathematical modelanalysis[J]. Journal of Theoretical Biology, 2015, 386(4):115-121.[2] Kim G A, Lim Y S, Han S, et al. High risk of hepatocellularcarcinoma and death in patients with immune-tolerant-phase chronic hepatitis B[J]. Gut, 2017, 67(5): 945-952.[3] Milich D R.The concept of immune tolerance in chronichepatitis B virus infection is alive and well[J].Gastroenterology, 2016, 151(5): 801-804.[4] 高红艳,刘娜,卢荣增,等. 慢性乙型肝炎免疫耐受期临床特征的研究[J]. 肝脏,2017(2): 170-172.[5] 吴凤萍,党双锁. 慢性 HBV 感染免疫耐受研究进展[J].临床肝胆病杂志,2017,33(5): 949-953.[6] 王贵强,王福生,成军,等. 慢性乙型肝炎防治指南(2015年版)[J]. 中华实验和临床感染病杂志(电子版),2015,9(5): 6-25.[7] 刘玉明,李珂娴,沈先荣. 中医药对神经-内分泌-免疫网络的调节作用[J]. 解放军预防医学杂志,2017,35(1): 76-78.[8] 徐雪芹. 滋水涵木法治疗慢性乙型肝炎临床疗效的系统评价研究[J]. 中医临床研究,2015(16): 87-88.[9] 聂红明,梅昭荷,高月求,等. 补肾颗粒对慢性乙型肝炎患者 CD4+T 淋巴细胞整体免疫调控网络的影响[J].上海中医药大学学报,2016,30(2): 18-22.[10] 唐开斌,夏仁兴. 补肾解毒方与健脾解毒方对慢性乙肝患者不同阶段的 T 淋巴细胞功能影响的研究[J]. 世界中医药,2015(8): 1190-1193.[11] 曾庆磊,李春霞,徐光华,等. HBeAg 阳性慢性 HBV 感染者免疫耐受期和免疫清除期的误判[J]. 中华临床感染病杂志,2016,9(1): 59-61.[12] 蒋开平. 运用“春夏养阳 秋冬养阴”理论干预治疗慢性HBV 感染免疫耐受的探讨[J]. 中国中医药现代远程教育,2011(1): 7-9.[13] Bertoletti, A. The immune response during hepatitis B virusinfection[J]. Journal of General Virology, 2006, 87(6):1439-1449.[14] Li M , Zhou Z H , Sun X H , et al. Hepatitis B core antigenupregulates B7-H1 on dendritic cells by activating theAKT/ERK/P38 pathway: a possible mechanism of hepatitisB virus persistence[C]// Lab Invest, 2016: 1156-1164.[15] Said E A , Al-Reesi I , Al-Riyami M , et al. Increased CD86but Not CD80 and PD-L1 expression on liver CD68+ cellsduring chronic HBV infection[J]. PLOS ONE, 2016, 11(6):e0158265.[16] Tavakoli S, Mederacke I, Herzoghauff S, et al. Peripheralblood dendritic cells are phenotypically and functionallyintact in chronic hepatitis B virus (HBV) infection[J].Clinical and Experimental Immunology, 2010, 151(1):61-70.[17] Wu J, Meng Z, Jiang M, et al. Hepatitis B Virus SuppressesToll-like Receptor-Mediated Innate Immune Responses inMurine Parenchymal and Nonparenchymal Liver Cells[J].Hepatology, 2010, 49(4): 1132-1140.[18] Greyer M, Whitney P, Stock A, et al. T Cell Help AmplifiesInnate Signals in CD8+ DCs for Optimal CD8+ T CellPriming[J]. Cell Reports, 2016, 14(3): 586-597.[19] Montfoort N V, Aa E V D, Bosch A V D, et al. Hepatitis Bsurface antigen activates myeloid dendritic cells via asoluble CD14-dependent mechanism[J]. Journal ofVirology, 2016, 90(14): 6187-6199.[20] Wang H, Feng F, Wang X P, et al. Dendritic cells pulsed withHsp70 and HBxAg induce specific antitumor immuneresponses in hepatitis B virusassociated hepatocellularcarcinoma[J]. Molecular Medicine Reports, 2016, 13(2):1077-1082.[21] 梅昭荷,聂红明,汪蓉,等. 从 Th1 /Th2、Treg /Th17 之间的平衡研究轻、中度慢性乙型肝炎患者 CD4+T 淋巴细胞的免疫失衡状态[J]. 肝脏,2017(6): 513-516.[22] Rossol S, Marinos G, Carucci P, et al. Interleukin-12induction of Th1 cytokines is important for viral clearancein chronic hepatitis B[J]. Journal of Clinical Investigation,1997, 99(12): 3025-3033.[23] 史继静,张纪元,王福生. HBV 感染的免疫发病机制及抗病毒治疗策略[J]. 中国病毒病杂志,2017,7(3):5-10.[24] Moreno-Cubero E, Larrubia J R, et al. Specific CD8~+ Tcell response immunotherapy for hepatocellular carcinomaand viral hepatitis[J]. World Journal of Gastroenterology,2016, 22(28): 6469-6483.

备注/Memo

备注/Memo:
【收稿日期】2019-09-28【基金项目】2018 年广西高校中青年教师基础能力提升项目(2018KY0277)。【作者简介】王雪娟(1980-),女,广西中医药大学第一附属医院副主任护师,研究方向为中医药防治肝病。
更新日期/Last Update: 2020-03-10