Comparison of blood immunological indexes in henoch-schonlein purpura rat and rabbit models and pediatric patients
CSTR:
Author:
  • Article
  • | |
  • Metrics
  • |
  • Reference [27]
  • | | | |
  • Comments
    Abstract:

    Objective To offer the help for exploring the pathogenesis, diagnosis and therapy of anaphylactoid purpura through detection of blood immunological indexes in rat and rabbit models, and comparation with changes of blood indexes in pediatric patients.Methods Establishment of rat and rabbit models; For anaphylactoid purpura, then take symptom observation and histopathological analysis; Blood routine tests; Detection of serum cytokines IL-2, IL-4, TNF-α; white cells surface markers CD3, CD4, CD8; immunoglobulins IgA, IgG, IgE, and complements C3 and C4 contents in rat, rabbit and pediatric patients. Results Rats and rabbits models manifested different degrees of skin Petechiae, and gastrointestinal, joint and kidney also showed various degrees of inflammatory reaction; Compared with the control group, rats and rabbits of model group and patients presented increased number of white blood cells (WBC), neutrophils (NEU) and percentage (NEU%), lymphocytes (LYM) and percentage (LYM%) decreased, normal count of (platelet) TLP at acute phase; serum CD4+ T lymphocytes was decreased, CD4+/CD8+ ratio were decreased, and TNF-α, IL-4 increased; serum immunoglobulin IgA level elevated, C3,C4 decreased, all had statistically significant differences between the two groups. But these indexes changed in different degrees, serum IL-2, IgG, IgE changes were not the same. Conclusions Hematological changes of Henoch-Schonlein purpura in rat and rabbit models were similar to humans. These results will provide a valuable basis for clarifying pathogenesis, diagnosis and treatment of HSP.

    Reference
    [1] Aalberse J, Dolman K, Ramnath G, et al. Henoch-Schönlein purpura in children: an epidemiological study among Dutch paediatricians on incidence and diagnostic criteria[J]. Ann Rheum Dis, 2007, 66(12): 1648-1650.
    [2] Penny K, Fleming M, Kazmierczak D, et al. An epidemiological study of Henoch-Schönlein purpura[J]. Paediatr Nurs. 2010, 22(10): 30-35.
    [3] Allen D, Diamond L, Howell D. Anaphylactoid purpura in children (SchönleinHenoch syndrome): review with a follow-up of the renal complications[J]. AMA J Dis Child.1960, 99: 833-854.
    [4] Saulsbury F. Epidemiology of Henoch-Schönlein purpura[J]. Cleve Clin J Med, 2002, 69: S II 87-89.
    [5] Yang YH, Chuang YH, Wang LC, et al. The immunobiology of Henoch-Schönlein purpura[J]. Autoimmun Rev. 2008, 7(3):179-184.
    [6] Ronkainen J, Nuutinen M, Koskimies O. The adult kidney 24 years after childhood Henoch-Schonlein purpura: a retrospective cohort study[J]. Lancet, 2002, 360(9334): 666-670.
    [7] Gedalia A. Henoch-Schönlein purpura[J]. Curr Rheumatol Rep. 2004, 6(3):195-202.
    [8] Reamy BV, Williams PM, Lindsay TJ. Henoch-Schönlein Purpura[J]. Am Fam Physician, 2009, 80(7):697-704.
    [9] Calviño MC, Llorca J, García-Porrúa C, et al. HenochSchönlein purpura in children from northwestern Spain: a 20-year epidemiologic and clinical study[J]. Medicine. 2001, 80(5):279-290.
    [10] Trapani S, Micheli A, Grisolia F, et al. Henoch-Schönlein purpura in childhood: epidemiological and clinical analysis of 150 cases over a 5-year period and a review of the literature[J]. Semin Arthritis Rheum. 2005, 35(3):143-153.
    [11] Bailey M, Chapin W, Licht H, et al. The effects of vasculitis on the gastrointestinal tract and liver[J]. Gastroenterol Clin North Am. 1998, 27(4):747-782.
    [12] Fervenza FC. Henoch-Schönlein purpura nephritis[J]. Int J Dermatol. 2003, 42(3):170-177.
    [13] Wiereinski R, Zoch-Zwierz W, Wasilewska A, et al. Lymphocyte subpopulations of peripheral blood in children with Henoch-Schonlei npurpura and IgA nephropathy[J]. Polmer kuriuszlek, 2001, 10 (58): 244-246.
    [14] 李秋, 杨锡强, 李永柏, 等.过敏性紫癜T淋巴细胞功能状态的研究.中华儿科杂志[J]. 2001, 39 (3): 157.
    [15] Namgoong MK, Lim BK, Kim JS. Eosinophil cationic protein in Henoch Schonle in purpur a and in IgA nephropathy[J]. Pediatr-Nephrol, 1997, 11(6): 703-706.
    [16] Besbas N, Saatci U, Ruacan S, et al. The role of cytokines inHenoch-schönlein purpura[J]. Scand J Rheumatol. 1997, 26(6):456-60.
    [17] Lau KK, Suzuki H, Novak J, et al. Pathogenesis of Henoch-Schönlein purpura nephritis[J]. Pediatr Nephrol. 2010, 25(1): 19-26.
    [18] Saulsbury FT. Henoch-Schönlein purpura in children: report of 100 patients and review of the literature. Medicine (Baltimore). 1999, 78(6): 395-409.
    [19] Fretzayas A, Sionti I, Moustaki M, et al. HenochSchönlein purpura: a long-term prospective study in Greek children[J]. J Clin Rheumatol. 2008, 14(6): 324-331.
    [20] Levy M, Broyer M, Arsan A, et al. Anaphylactoid purpura nephritis in childhood: natural history and immunopathology[J]. Adv Nephrol Necker Hosp. 1976, 6:183-228.
    [21] Smith GC, Davidson JE, Hughes DA, et al. Complement activation in Henoch-Schonlein purpura[J]. Pediatr Nephrol. 1997, 11 (4):477-480.
    [22] Islek I, Muslu A, Dagdemir A, et al. Is low serum complement 3 in Henoch Schonlein purpura unusual and of prognostic value?[J]. Eur J Pediatr. 2001, 160(6):3897-3898.
    [23] Lee KA, Ha TS. A Case of Hypocomplementemic Henoch-Schonlein Purpura Presenting Features of Membranoproliferative Glomerulonephritis.Korean jounal of pediatrics[J]. Korean J Pediatr. 2005, 48(1):81-84.
    [24] Wiercinski R, Zoch-Zwierz W, Wasile wasa A, et al. Lymphocyte subpopulations of peripheral blood in children with Schonlein-Henoch purpura and IgA nephropathy[J].Pol Merkuriusz Lek, 2001, 10(58):244-246.
    [25] Simila S, Kouvalainen K, Lanning M. Serum immunoglobulin levels in the course of anaphylactoid purpura in children[J].Acta Paediatr Scanning, 1977 Sep; 66(5):537-540.
    [26] 陈宁宁, 闰京京, 王玫瑰等. 常见吸入、食物性过敏原与儿童过敏性紫癫体液免疫的相关研究[J].黑龙江医药科学, 2012, 35(5):65-66.
    [27] Kondo N, Kasahara K, Shinoda S, et al. Acceleratedex pression of secretedalpha - chain gene inanaphy lactoid purpura[J]. J Clin Immunol, 1992, 12(3): 193-196.
    Related
    Cited by
    Comments
    Comments
    分享到微博
    Submit
Get Citation
Share
Article Metrics
  • Abstract:2257
  • PDF: 3794
  • HTML: 0
  • Cited by: 0
History
  • Revised:December 09,2013
  • Online: January 23,2014
Article QR Code