BDKRB2+9/-9基因多态性通过TLR-2表达影响膝骨关节炎中的促炎性细胞因子水平
The BDKRB2 +9/-9 polymorphisms influence pro-inflammatory cytokine levels in knee osteoarthritis by altering TLR-2 expression
  
DOI:10.3969/j.issn.1006-7108.2018.02.001
中文关键词:  缓激肽受体B2  基因多态性  骨关节炎  toll样受体-2  滑膜细胞  炎性细胞  骨质疏松
英文关键词:Bradykinin B2 receptor  Gene polymorphism  Osteoarthritis  Toll-like receptor-2  Synoviocytes  Inflammatory cells  Osteoporosis
基金项目:国家自然科学基金项目(81301582);中国博士后科学基金面上项目(2015M572812)
作者单位
施犇 陈烁 赵建宁* 第二军医大学南京临床医学院 南京总医院骨科,江苏 南京 210002 
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中文摘要:
      目的 探究缓激肽B2受体(BDKRB2)+9/-9基因多态性和骨关节炎(osteoarthritis,OA)炎性细胞因子水平的关系,以及其涉及的分子机制。方法 共有156例膝关节OA患者及121名健康对照者被纳入研究。BDKRB2 +9/-9基因多态性被测定分型。用酶联免疫吸附试验(enzyme linked immunosorbent assay,ELISA)测定炎性细胞因子水平,包括肿瘤坏死因子(tumor necrosis factor,TNF)-α、白介素(interleukin,IL)-1β(IL-1β)、IL-6、IL-8。实时荧光定量(polymerase chain reaction,PCR)测定toll样受体(toll-like receptor,TLR)-2和TLR-4的mRNA水平。用ELISA测定TLR-2对基底和缓激肽(bradykinin,BK)刺激促进炎性细胞因子的分泌量。结果 在OA患者中-9/-9基因型组血清和滑液TNF-α和IL-8水平显著高于+9/+9组(P<0.05);而-9/-9和+9/-9基因型组IL-6水平显著高于+9/+9组。在滑膜组织中-9/-9和+9/-9基因型组的TLR-2 mRNA水平显著高于+9/+9基因型组(P<0.01)。BDKRB2拮抗剂MEN16132和TLR-2沉默抑制IL-6和IL-8在人类OA滑膜细胞的分泌(P<0.01)。结论 BDKRB2 +9/-9多态性可以通过改变TLR-2表达影响膝骨关节炎中的促炎性细胞因子水平。
英文摘要:
      Objective To investigate the correlation between the bradykinin B2 receptor +9/-9 polymorphisms and pro-inflammatory cytokine levels in osteoarthritis (OA) and the molecular mechanisms involved. Methods A total of 156 patients with primary knee OA and 121 healthy controls were enrolled. The BDKRB2 +9/-9 polymorphisms were genotyped. The tumor necrosis factor (TNF)-α, interleukin (IL)-1β, IL-6 and IL-8 levels were determined using Enzyme-linked immunosorbent assay (ELISA). The toll-like receptor (TLR)-2 and TLR-4 mRNA levels were determined by quantitative real-time PCR. The basal and bradykinin-stimulated pro-inflammatory cytokine secretion in human OA synoviocytes was investigated. Results In OA patients, significantly higher TNF-α and IL-8 levels were detected in the serum and synovial fluid of the BDKRB2 -9/-9 genotype carriers compared with the +9/+9 carriers (P<0.05). IL-6 levels were significantly higher in the BDKRB2 -9/-9 and +9/-9 genotype carriers compared with the +9/+9 (P<0.05). In the synovial tissue significantly higher TLR-2 mRNA levels were detected in the +9/-9 and -9/-9 carriers compared with the +9/+9 carriers (P<0.01); TLR-2 silencing inhibited IL-6 and IL-8 secretion in human OA synoviocytes (P<0.01). Conclusion The data suggested that the BDKRB2 +9/-9 polymorphisms influence pro-inflammatory cytokine levels in knee osteoarthritis by altering TLR-2 expression.
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