口腔医学研究 ›› 2019, Vol. 35 ›› Issue (5): 461-465.DOI: 10.13701/j.cnki.kqyxyj.2019.05.012

• 龋病牙髓病学研究 • 上一篇    下一篇

HIV感染与非HIV感染患者慢性根尖周炎的炎性因子及免疫功能对比

赵恒越1, 何文娟2*   

  1. 1. 江汉大学附属湖北省第三人民医院口腔科 湖北 武汉 430033;
    2.华中科技大学同济医学院附属武汉协和医院 湖北 武汉 430022
  • 收稿日期:2018-11-08 出版日期:2019-05-28 发布日期:2019-05-21
  • 通讯作者: 何文娟,E-mail:hardwork98@163.com。
  • 作者简介:赵恒越(1979~ ),男,湖北武汉人,硕士,主治医师,研究方向:牙体牙髓病学。
  • 基金资助:
    湖北省卫生厅科研基金项目(编号:JX5B39)

Comparison of Inflammatory Factors and Immune Function between HIV-infected and Non-HIV-infected Patients with Chronic Apical Periodontitis.

ZHAO Heng-yue1, HE Wen-juan2*   

  1. 1. Hubei NO.3 People‘s Hospital of Jianghan University, Wuhan 430033, China;
    2. Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science &Technology, Wuhan 430022, China.
  • Received:2018-11-08 Online:2019-05-28 Published:2019-05-21

摘要: 目的: 比较HIV感染和非HIV感染患者慢性根尖周炎的炎性因子及免疫功能的差异。方法: 收集48例(24例HIV感染患者和24例非HIV感染患者)慢性根尖周炎患者手术切除的慢性根尖周炎病变组织,组织来源于患者牙齿,所有患者在手术之前未进行牙髓治疗,用光学显微镜对标本进行组织病理学和免疫组化分析。免疫表达分为2级:局灶性至弱与中至强。结果: HIV感染组CD3、CD4、CD8、CD68、IFN-g、IL-6、IL-18表达低于非HIV感染组,TNF-α表达高于非HIV感染组,差异有统计学意义(P<0.05),两组间CD20表达差异无统计学意义(P>0.05)。结论: HIV感染影响患者慢性根尖周炎的炎性因子表达及免疫功能。

关键词: HIV感染, 慢性根尖周炎, 免疫组化, 炎性因子, 免疫功能

Abstract: Objective: To compare the differences of inflammatory factors and immune function between HIV-infected and non-HIV-infected patients with chronic apical periodontitis. Methods: The excised pathological tissues were obtained from the teeth of 48 patients (24 HIV-infected patients and 24 non-HIV-infected patients) with chronic apical periodontitis. No patients were treated with preoperative endodontic treatment. The samples were histopathologically and immunohistochemically analyzed by an optical microscope. The immune expression was divided into 2 levels: focal to weak and moderate to strong. Results: The expressions of CD3, CD4, CD8, CD68, IFN-g, IL-6, and IL-18 in HIV-infected group were lower than those in non-HIV-infected group, and the expression of TNF-α in infected group was higher than that in non-HIV-infected group (P<0.05). There was no significant difference in CD20 expression between two groups (P>0.05). Conclusion: HIV infection has an effect on the expression of inflammatory factors and immune function in patients with chronic apical periodontitis.

Key words: HIV infection, Chronic apical periodontitis, Immunohistochemistry, Inflammatory factors, Immune function