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辛伐他汀对肾移植后高脂血症患者RANTES及其受体CCR5 mRNA表达影响
辛伐他汀对肾移植后高脂血症患者RANTES及其受体CCR5 mRNA表达影响
作者:史艳玲, 邹和群, 王玉新, 徐琴君, 唐孝达 【关键词】; ,肾移植 ; Effect of simvastatin on expression of RANTES and its receptor CCR5 mRNA in renal transplant recipients with hyperlipidemia 【Abstract】 AIM: To study whether hyperlipidemia after renal transplantation is related to the expression of RANTES (regulated on activation normal Tcell expressed and secreted) and its receptor CCR5 (chemokine receptor 5) mRNA in peripheral monocyte cells (PMCs) and to explore its therapy. METHODS:; Renal recipients were divided into normal lipidemia group (n=30) and hyperlipidemia group (n=30) according to the serum lipid level 6-8 months after transplantation. The patients in the hyperlipidemia group were treated with simvastatin for 1.5 months (1.5month treatment group) or 3 months (3month treatment group). The control group consisted of 30 healthy subjects. Serum total cholesterol (TC), triglyceride (TG), lowdensity lipoprotein (LDL), highdensity lipoprotein (HDL) were measured and RTPCR was used to detect the expression of RANTES and CCR5 mRNA in PMCs. RESULTS:; The renal function of all the patients was normal. TC, TG, LDL and expression of RANTES and CCR5 mRNA in the normal lipidemia group were lower than those in the hyperlipidemia group, but higher than those in control group (Plt;0.05), and those in 3month treatment group were significantly lower than those in 1.5month treatment group (Plt;0.05). CONCLUSION:; The expression of RANTES and CCR5 mRNA is involved in the earlystage chronic injury of kidney allografts. Hyperlipidemia can strengthen the increased expression of RANTES and CCR5 mRNA. Simvastatin can reduce the expression of RANTES and CCR5 mRNA in the kidney transplant recipients with hyperlipidemia. 【Keywords】 kidney transplantation;hyperlipidemia;RANTES;RTPCR;simvastatin 【摘要】 目的: 探讨肾移植术后高脂血症患者外周血RANTES (regulated on activation normal Tcell expressed and secreted)及其受体CCR5(chemokine receptor 5) mRNA表达及治疗. 方法: 根据患者肾移植术后6~8 mo的血脂水平分血脂正常组(n=30)
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