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调节性T细胞与老年性骨质疏松的关系
江 艳1,2,3
1.(1)昆明医科大学第一附属医院内分泌一科,云南 昆明 650032;2.2)玉溪市人民医院内分泌科,云南玉溪 653100;3.3)昆明医科大学第一附属医院检验科,云南 昆明 650032)
摘要:
[摘要]目的 检测不同年龄组雄性SD大鼠血调节性T细胞(Treg)数量占CD4+T细胞百分比,了解Treg细胞对老年性骨质疏松症的影响.方法 选取6~8周龄、6月龄、12月龄、24月龄雄性SD大鼠每组各10只作为研究对象,采用双能X线吸收仪(DEXA)检测大鼠股骨、脊柱、骨盆、全身的骨密度;大鼠心脏采血,采用CD25+联合FoxP3+表达来描述Treg细胞,流式细胞仪测定血Treg数量占CD4+T细胞的百分比.结果(1)6~8周龄组、6月龄组、12月龄组、24月龄组Treg数量不同,差异有统计学意义(P<0.01).6~8周龄组Treg数量百分比低于6月龄组、12月龄组、24月龄组,差异有统计学意义(P<0.01);6月龄组Treg数量百分比低于12月龄组、24月龄组(P<0.05);24月龄组Treg数量百分比低于12月龄组比较,但差异无统计学意义(P>0.05).(2)Treg数量占CD4+T细胞百分比与股骨、脊柱、骨盆、全身骨密度值均成正相关,差异均有统计学意义(P<0.01).结论(1)6~8周龄组、6月龄组、12月龄组、24月龄组Treg数量占CD4+T细胞百分比不同,6~8周龄时最低,6月龄时开始升高,12月龄时达到最高值,24月龄时出现下降,提示不同年龄组大鼠Treg数量占CD4+T细胞有明显差异(P<0.05).(2)Treg数量占CD4+T细胞百分比与检测部位骨密度值呈正相关性,提示随着Treg数量百分比的增高,骨吸收减少,骨密度值升高,随着Treg数量百分比的降低,骨密度降低,鉴于随着年龄的增长,Treg数量出现下降,推测外源性注射Treg可抑制破骨细胞性骨吸收,可成为治疗老年性骨质疏松的新方向.
关键词:  [关键词]骨质疏松症  调节性T细胞  老年
DOI:
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基金项目:[基金项目]云南省内设研究机构科技计划项目(2012ws0031)
The Relationship of Regulatory T Cells and Senile Osteoporosis
JIANG Yan1,2,3
1.(1)Dept. of Endocrinology,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032;2)Dept.of Endocrinology,People’s Hospital of YUXI City,Yunnan 653100;3)Dept. of Laboratory Medicine,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)
Abstract:
[Abstract]Objective To understand the effect of regulatory T cells on senile osteoporosis by measuring the percentage of regulatory T cells in CD4+T cells in different age groups of male SD rats. Methods Sprague-Dawley male rats which was 6-8 weeks,6 months,12 months,24 months old were selected as subjects. There were 10 rats in each group. We detected bone mineral density of femur,spine,pelvis,whole-body of rats by dual-energy X -ray absorptiometry. We collected blood samples from the heart,used CD25/forkhead box P3 double-positive to describe regulatory T cells and then measured the percentage of regulatory T cells in CD4+T cells by flow cytometry. Results(1)The percentage of regulatory T cells in CD4+T cells in 6-8 weeks,6 months,12 months,24 months old male rats groups were not the same, the difference was statistically significant(P=0.000). The percentage of regulatory T cells in CD4+T cells of 6-8weeks old groups was lower than 6 months,12 months,24months old groups, the difference was statistically significant(P=0.000). The percentage of regulatory T cells in CD4+T cells of 6 months old groups was lower than 12 months,24 months old groups, the difference was statistically significant(P<0.05). The percentage of regulatory T cells in CD4+T cells of 24 months old groups was lower than 12months, but there was no significant difference(P>0.05).(2)There was a positively correlation between the percentage of regulatory T cells in CD4+T cells and bone mineral density of femur,spine,pelvis,whole-body. Conclusions (1)The percentage of regulatory T cells in CD4+T cells in four groups are not the same,the lowest at 6-8 weeks of age,by 6 months,there is an increase and when 12 months increase to a maximum then decrease at 24 months of age,indicating that the percentage of regulatory T cells in CD4+T cells in different age groups are significantly different. (2)There is a positive correlation between the percentage of regulatory T cells in CD4+T cells and bone mineral density of femur,spine,pelvis,whole-body,indicating that because of the bone resorption reducing with the percentage of regulatory T cells increasing,the values of bone mineral density raising,when the percentage of regulatory T cells decreasing,the values of bone mineral density declining. In view of the number of regulatory T cells declining with aging,suggesting that exogenous injection of regulatory T cells may inhibit the bone resorption by osteoclast,which may become the new direction of senile osteoporosis treatment.
Key words:  [Key words]Osteoporosis  Regulatory T cells  Aging