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消化道的白念珠菌感染与脾虚的相关性及其免疫学机制研究
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摘要
目的:探讨小鼠在脾虚状态下对消化道感染白念珠菌的易感性及其免疫学机制。阐明脾虚小鼠对白念珠菌易感性的变化特点,以进一步控制其感染;明确脾虚小鼠感染白念珠菌前后某些免疫功能的变化及其与白念珠菌感染的关系;明确脾虚证易并发白念珠菌感染的免疫学机制,为临床防治白念珠菌感染和脾虚证提供一定的理论依据。
     材料与方法:本实验将小鼠分层随机分成四组,即正常对照组(A组)、脾虚模型组(B组)、正常感染白念珠菌组(C组)、脾虚感染白念珠菌组(D组)。采用饮食失节加劳倦过度的复合因素制备小鼠脾虚证模型。模型成功后,经口灌给C、D组小鼠白念珠菌悬液,之后连续3周,观察各组小鼠的体重变化及一般状况的改变,记录并计算平均生存天数及存活率,并检测粪便及肾脏中的活白念珠菌的数量,测定小鼠脾指数及胸腺指数。取小鼠空肠作HE染色观察小鼠小肠黏膜形态的病理学改变,电镜观察小肠超微结构的变化。应用动物血液分析仪检测小鼠外周血中白细胞总数、中性粒细胞、淋巴细胞数及单核细胞数,并测定红细胞数及血红蛋白含量的改变;应用酶联免疫吸附法(ELISA)测定脾虚模型小鼠肠组织表达的免疫球蛋白A(IgA)、血清中白细胞介素1β(IL-1β)、腹腔巨噬细胞肿瘤坏死因子α(TNF-α)、脾细胞γ-干扰素(IFN-γ)及白细胞介素10(IL-10)的含量。应用逆转录/聚合酶链式反应(RT-PCR)方法检测肠组织局部IFN-γmRNA和IL-10mRNA的表达水平。
     结果:
     1.白念珠菌消化道感染对脾虚小鼠体重及一般状况的影响
     脾虚小鼠比正常小鼠体重明显减轻(P<0.01),且一般状况欠佳。正常小鼠感染后体重无明显变化,而脾虚感染组小鼠的体重下降明显(P<0.01)。
     2.白念珠菌消化道感染对脾虚小鼠生存天数及生存率的影响
     脾虚小鼠平均生存天数缩短(P<0.05),生存率下降至75%;正常小鼠感染白念珠菌后,平均生存天数无统计学意义。而脾虚小鼠感染后平均生存天数明显缩短(P<0.01),生存率下降至55%。
     3.白念珠菌消化道感染对脾虚小鼠粪便活菌数的影响
     正常小鼠感染后,便活菌数呈先增高后减少的趋势,而脾虚小鼠感染后则呈逐渐增高趋势,并始终高于前者。在感染后第6天,两组小鼠的便活菌数有统计学意义(P<0.05);感染后第9天、第12天、第15天及第18天,统计学差异显著(P<0.01)。
     4.白念珠菌消化道感染对脾虚小鼠肾脏内活菌数的影响
     正常小鼠感染后,肾脏内活菌数相对较少,而脾虚小鼠感染后肾脏内活菌数明显增加(P<0.01)。
     5.白念珠菌消化道感染对脾虚小鼠脾指数及胸腺指数的影响
     脾虚小鼠的脾脏及胸腺重量均低于正常小鼠,但无统计学意义。小鼠感染白念珠菌后期,脾指数及胸腺指数均明显增高,统计学差异显著(P<0.05或P<0.01),尤其是脾虚小鼠脾脏重量增加更为明显。
     6.白念珠菌消化道感染对脾虚小鼠小肠黏膜形态学的影响
     脾虚组小鼠小肠绒毛略变短,游离面上皮松散。正常小鼠感染后期,小肠绒毛变短且稀疏,游离面上皮立方形改变,固有膜空泡样改变,细胞轻度水肿。脾虚感染组小肠绒毛稀疏不完整,柱状上皮立方形改变,固有膜空泡样改变。
     7.白念珠菌消化道感染对脾虚小鼠小肠黏膜超微结构的影响
     正常小鼠感染后期,微绒毛较细疏且长短大小不一,胞质内线粒体稍肿胀,嵴较松散,部分呈空泡样改变。脾虚感染组小鼠小肠微绒毛短少且不整齐,线粒体肿胀,嵴断裂消失,呈空泡样改变,并可见内质网扩张、核糖体脱落等。
     8.白念珠菌消化道感染对脾虚小鼠外周血细胞数量的影响
     脾虚小鼠外周血中红细胞数及血红蛋白含量均有所降低,尤其是感染后期的脾虚小鼠下降更加明显(P<0.01)。感染后小鼠体内白细胞数量增多,正常小鼠感染后期,淋巴细胞数明显增高(P<0.01);而脾虚小鼠感染后期,单核细胞数增高明显(P<0.01),中性粒细胞也明显增加。
     9.白念珠菌消化道感染对脾虚小鼠腹腔巨噬细胞分泌TNF-α的影响
     与正常组比较,脾虚组小鼠腹腔巨噬细胞TNF-α的分泌减少,而正常小鼠感染后期TNF-α的分泌增多,二者均有统计学差异(P<0.05);脾虚感染组小鼠TNF-α的分泌则明显高于其它各组(P<0.01)。
     10.白念珠菌消化道感染对脾虚小鼠血清中IL-1β含量的影响
     脾虚小鼠血清中IL-1β含量无明显改变;正常小鼠感染后期,IL-1β含量虽有增多,但无统计学意义;脾虚小鼠感染后期,IL-1β含量则明显升高(P<0.01)。
     11.白念珠菌消化道感染对脾虚小鼠小肠组织IgA含量的影响
     脾虚小鼠比正常小鼠小肠组织IgA含量减少,差异显著(P<0.01);小鼠感染后期,肠组织IgA分泌也呈下降趋势,特别是脾虚感染组小鼠IgA含量明显低于其它各组(P<0.01)。
     12.白念珠菌消化道感染对脾虚小鼠脾脏IFN-γ和IL-10表达的影响
     正常小鼠感染后表达IFN-γ和IL-10的水平均高于正常组,但无统计学差异;而脾虚小鼠感染白念珠菌后期,则显著高于其它各组(P<0.01)。
     13.白念珠菌消化道感染对脾虚小鼠肠组织中IFN-γmRNA及IL-10mRNA表达的影响
     与正常组比较,脾虚组小鼠IFN-γmRNA表达增高(P<0.01),IL-10mRNA差异不明显;与脾虚组比较,正常与脾虚小鼠感染后肠组织表达IFN-γmRNA和IL-10mRNA的水平均显著升高(P<0.01)。与正常感染白念珠菌组比较,脾虚小鼠感染后期IFN-γmRNA的表达水平仍处于高水平状态,有显著性差异(P<0.01),但IL-10mRNA表达减少(P<0.05)。
     结论:
     1.小鼠在脾虚状态下对消化道感染白念珠菌的易感性增强。可使脾虚小鼠体重显著下降,脾指数及胸腺指数明显增高,还可以使平均生存天数明显缩短,生存率大幅度下降,而且便活菌数持续增高,肾脏内活菌数也显著增加。
     2.小鼠在脾虚状态下消化道感染白念珠菌后,导致小肠组织IgA含量明显减少,削弱了消化道局部免疫防御功能。更容易加重小肠黏膜形态学改变及小肠上皮细胞超微结构的病理变化。还可入血播散至其它部位,造成外周血中红细胞数量减少,血红蛋白含量降低,体内炎性细胞大量增殖。
     3.消化道的白念珠菌感染是否致病与小鼠的免疫力密切相关,尤其是在免疫功能低下时危害更大,同时又进一步加重脾虚状态或感染的病情。脾虚小鼠在抗白念珠菌感染过程中,多种免疫细胞及细胞因子参与了免疫应答。
Purpose:To investigate the susceptibility of Candida albicans infection of alimentary tract in the state of deficiency of spleen and the immunological mechanisms.To illuminate the characteristics of change of susceptibility in deficiency of spleen,to further control their infection.To illuminate the relationship between immunological functions and Candida albicans and some immunological changes before and after the infection.To illuminate the immunological mechanisms of Candida albicans infection in the state of deficiency of spleen,for the prevention and treatment of the infection.
     Material and method:The experimental mice were randomly divided into four groups,that is,the normal control group(A group),deficiency of spleen model group(B group),Candida albicans infection in normal group(C group),deficiency of spleen with Candida albicans infection group(D group).The animal model of spleen deficiency was prepared by using of irregular-feeding and overstrain methods.The mice in group C and D were fed with suspension of Candida albicans, in the following 3 weeks,mice in each group were observed changes in body weight and general condition.The average survival days and survival rate were recorded and calculated.The number of living Candida albicans in fecal and kidney was detected;spleen index and thymus index were also measured.The jejunum of the mice were prepared with HE staining method,and the morphological changes of jejunum were observed with optical microscope.Ultrastructural changes of small intestine were observed with electron microscopy.The total number of peripheral blood leukocytes,neutrophils,lymphocytes and mononuclear cells,and RBC number and hemoglobin content of the change were also measured with animal blood analyzer.The expression of immunoglobulin A(IgA),serum interleukin-1β (IL-1β),macrophage tumor necrosis factor-α(TNF-α),spleen cells fromγ-interferon(IFN-γ) and interleukin-10(IL-10) content in intestinal tissue of spleen deficiency mice were detected with application of enzyme-linked immunosorbent assay(ELISA).Using reverse transcription / polymerase chain reaction(RT-PCR) method detected the expression of IFN-γmRNA and IL-10mRNA level in the intestinal tissue.
     Results:
     1.Effects on body weight and general condition of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     Body weight in spleen deficiency mice was significant lighter than normal mice(P<0.01),with the addition of poor general condition.In normal mice after infection,no significant changes in body weight,and the weight of spleen deficiency infected mice decreased significantly(P<0.01).
     2.Effects on the survival days and survival rate of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     The survival days of spleen deficiency mice were reduced(P<0.05),the survival rate dropped to 75%;the average survival days were no significant difference in normal mice infected with Candida albicans.And the average survival days was reduced significantly in spleen deficiency mice infected with Candida albicans,the survival rate also dropped to 55%.
     3.Effects on the number of living fecal bacteria of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     Normal mice after infection,the number of fecal living bacteria appeared a downward trend after an increase in initial stage,and that number shows an increasing trend,and always higher than the former in infected spleen deficiency mice.In the first six days after infection,the number of fecal living bacteria of the two groups mice have a statistically significance difference(P<0.05); the first 9 days,12 days,the first 15 days and 18 days,both statistically significance difference(P<0.01).
     4.Effects on the number of living renal bacteria of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     In normal mice after infection,a relatively small number of living bacteria was observed in kidney,and that number have a marked increase in the kidney of infected spleen deficiency mice(P<0.01).
     5.Effects on the spleen index and thymus index of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     The weight of spleen and thymus in spleen deficiency mice was lower than that of normal mice,but not statistically significant.After Candida albicans infection in mice,the spleen index and thymus index were significantly higher, with statistically significant differences(P<0.05 or P<0.01).In particular, increased weight of spleen deficiency mice became more evident.
     6.Effects on morphology of small intestinal submucosa of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     Intestinal villi in spleen deficiency mice became slightly shorter,and scattered free surface epithelial.In normal mice after infection,intestinal villi became shorter and sparse,and free surface epithelial became cubic form; the inherent membrane had vacuole-like change with mild edema in cells.In infected spleen deficiency mice,small intestinal villi became sparse and incomplete,with cubic columnar epithelium changes,the inherent membrane had vacuole-like change.
     7.Effects on ultrastructure of small intestinal submucosa of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     In normal mice after infection,microvilli became sparse and different in length and size,slightly swollen mitochondria in the cytoplasm,a looser ridge, and some showed vacuolated changes.In infected spleen deficiency mice, microvilli became untidily sparse and shorter,mitochondrial swelling, disappearance of ridge,vacuolated changes,and with addition of expansion of the endoplasmic reticulum and ribosome falling off,etc.
     8.Effects on the number of peripheral blood cells of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     The number of peripheral blood hemoglobin content of red blood cells are reduced in spleen deficiency mice,especially in the mice after infection(P<0.01).the number of leukocytes in infected spleen deficiency mice was significantly increased(P<0.01);the number of mononuclear cells increased significantly(P<0.01)in normal mice,and neutrophils also significantly increased.
     9.Effects on the Secretion of TNF-αof peritoneal macrophages of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     Compared to the normal group,the Secretion of TNF-αof peritoneal macrophages was reduced,and the infected normal mice was increased,both have significantly different(P<0.05);the Secretion of infected spleen deficiency mice was significantly higher than other groups(P<0.01).
     10.Effects on the content of serum IL-1βof spleen deficiency mice with Candida albicans infection of the alimentary tract.
     There was no significant change in serum IL-1βcontent in spleen deficiency mice;in final stage of infection in normal mice,serum IL-1βcontent increased, but without statistical significance,and in infected spleen deficiency mice, serum IL-1βcontent was significantly higher(P<0.01).
     11.Effects on IgA content of intestinal tissue of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     IgA content of intestinal tissue decreased significantly(P<0.01)in spleen deficiency mice,compared to normal mice.After infection,intestinal IgA secretion also declined,especially in infected spleen deficiency mice,the IgA content was significantly lower than the other groups(P<0.01).
     12.Effects on the expression of IFN-γand IL-10 of spleen of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     The expression of IFN-γand IL-10 in normal mice after infection was higher than the normal group,but no significant difference;and the expression in infected spleen deficiency mice was significantly higher than the other groups (P<0.01) in the final infectious stage.
     13.Effects on the expression of IFN-γmRNA and IL-10mRNA of intestinal tissue of spleen deficiency mice with Candida albicans infection of the alimentary tract.
     Compared to the normal group,the expression of IFN-γmRNA in spleen deficiency mice was increased(P<0.01),and that of IL-10mRNA had no obvious difference.Compared to spleen deficiency mice,the expressions of IFN-γmRNA and IL-10mRNA were both significantly increased(P<0.01) in the other groups. Compared to infected normal groups,the expression of IFN-γmRNA was still at a high level state in final infectious stage of infected spleen deficiency mice, but the expression of IL-10mRNA was reduced(P<0.05).
     Conclusion:
     1.The susceptibility of Candida albicans of mice was enhanced in a state of spleen deficiency.Which led to a significant drop in body weight,increasing of spleen index and thymus index,the shortened average number of days,the decreased survival rate,and a sustaining increasing number of living bacteria in feces and kidney.
     2.After Candida albicans infection in the alimentary tract in a state of spleen deficiency,IgA content of intestinal tissue decreased significantly,leading to hypofunction of the intestinal function of local immune defense,which caused the morphological changes of intestinal mucosa and pathological changes of intestinal epithelial cell ultrastructure.Meanwhile,bacteria could be disseminated into the blood and other parts of the body,so that cause reduction in the number of red blood cells in peripheral blood,hemoglobin decreased,the proliferation of a large number of inflammatory cells in vivo.
     3.Whether pathogenic or not of Candida albicans infection of the alimentary tract is closely related to the immune system of mice,especially in the hypofunction state of immune defense which is greater harmful to mice and at the same time,may further aggravate the deficiency state or infection,In the process of body against Candida albicans infection,a variety of immune cells and cytokines involved in immune response.
引文
[1]Zhang S,Ahearn DG,Mateus C,et al.In vitro effects of Ag+ on planktonic and adhered cells of fluconazole-resistant and susceptible strains of Candida albicans,C.glabrata and C.krusei[J].Biomaterials.2006,27:2755-2760.
    [2]Kullberg B J,J W van 't Wout,R van Furth,etal.Role of granulocytes in increased host resistance to Candida albicans induced by recombinant interleukin-1[J].Infect Immun.1990,58:3319-3324.
    [3]Beno DWA,Mathews HL.Growth inhibition of Candida albicans by interleukin-2activated splenocytes[J].Infect Immun.1992,60:853-863.
    [4]陈善娟,李少华,刘志香,等.小鼠白念珠菌性阴道炎局部组织中Th1/Th2因子的表达[J].中国麻风皮肤病杂志.2008,24(3):170-172.
    [5]李文刚,陈映玲,周礼义.白介素2激活人外周血单一核细胞抗白念珠菌活性的研究[J].中华皮肤科杂志.1999,32(5):303-305.
    [6]Cenci E,Romani L,Memcacci A,et al.Interleukin-4 and interleukin-10 inhibit nitric oxide-dependent macrophage killing of Candida albicans[J].Eur J Immunol.1993,23:1034-1038.
    [7]Roilides E,Kadiltsoglou I,Dimitriadou A,et al.Interleukin-4 suppresses antifungal activity of human mononuclear phagocytes against Candida albicans in association with decreased uptake of blastoconidia[J].FEMS Immunol Med Microbiol.1997,19:169-180.
    [8]陈开森,况南珍,周智兴,等.BALB/c小鼠系统感染白念珠菌血清IL-18,IL-4,IFN-γ的动态变化[J].中国皮肤性病学杂志.2006,20(7):389-390,418.
    [9]李家文,刘道凡,程纪群,等.小鼠白念珠菌系统性感染中白介素4表达的研究[J].中华皮肤科杂志.2001,34(5):343-345.
    [10]Talluri G,Marella VK,Shirazian D,et al.Immune response in patients with persistent candiduria and occult candidemia.[J].J Urol.1999,162:1361-1364.
    [11]水泉祥,王有成,倪宏.白细胞介素10与感染性和自身免疫性疾病研究进展[J].国外医学儿科学分册.2002,29(4):211-214.
    [12]Tavares D,Ferreira P,Arala-Chaves M.Increased resistance to systemic candidiasis in athymic or interleukin-10-depleted mice[J].J Infect Dis.2000,182:266-273.
    [13]Tonnetti L,Spaccapelo R,Cenci E,et al.Interleukin-4 and-10 exacerbate candidiasis in mice[J].Eur J Immunol.1995,25(6):1559-1565.
    [14]Del Sero G,Mencacci A,Cenci E,et al.Antifungal type 1 responses are upregulated in IL-10-deficient mice[J].Microbes Infect.1999,1(14):1169 - 1180.
    [15]葛红芬,陈兴平.抗白介素10单克隆抗体抗小鼠系统性白念珠菌感染的研究[J].中华皮肤科杂志.2004,37(11):642-644.
    [16]Romani L,Puccetti P,Bistoni F.Biological role of Th cell subsetsi candidiasis[J].Chem Immunol.1996,63:115-137.
    [17]Wang B,Zhuang I,Fujisawa H,et al.Enhanced epidermal langerhans cell migration in IL-10 knockout mice[J].J Immunol.1999,162:277-283.
    [18]Nakac S,Komiyama Y,Nambu A,et al.Antigen-specific T cell sensitization is impaired in IL-17 deficient mice,causing suppression of allergic cellular and humoral responses[J].Immunity.2002,17:375-387.
    [19]Steinbrink K,Graulich E,KubschS,et al.CD4(+) and CD8(+) anergic T cell induced by interleukin-10-treated human dendritic cells display antigen-specifics up pressor activity[J].Blood.2002,99(7):2468-2476.
    [20]Vazquez Tortes A,Jones Carson J,Wagner RD,et al.Early resistance of interleukin -10 knockout mice to acute systemic candidiasis[J].Infect Immun.1999,67(2):670-674.
    [21]Fidel PL Jr.Immunity to Candida[J].Oral Dis.2002,8(2):69-75.
    [22]Steele C,Fidel PL Jr.Cytokine and chemokine production by human oral and vaginal epithelial cellsin response to Candida albicans[J].Infect Immun.2002,70(2):577-583.
    [23]Lacraz S,Nicod hP,Chicheportiche R,et al.IL- 10 inhibits metalloproteinase and stimulates TIMP-1 production in human mononuclear phagocytes[J].J Clin Invest.1995,96(5):2304-2310.
    [24]唐艳琼,陈兴平.白细胞介素10对小鼠腹腔巨噬细胞体外抗白念珠菌活性的影响[J].华中科技大学学报(医学版).2004,33(6):742-748.
    [25]Romani L,Puccetti P,Bistoni F.Interleukin-12 in infectious diseases[J].Clin Microbiol Rev.1997,10:611-636.
    [26]MOSSER DM,KARP CL.Receptormediated subversion of macrophage cytokine production by intracelhlar pathogens[J].Curr Opin Immunol.1999,11(4):406-411.
    [27]李家文,刘道凡,王晓霞,等.系统性白念珠菌感染小鼠白介素IL-12的表达[J].中华皮肤科杂志.2005,28(1):55.
    [28]李家文,曹菲,谭志建,等.系统性白念珠菌感染小鼠IL-12和IL-23的表达[J].中国麻风皮肤病杂志.2006,22(4):270-273.
    [29]Grabstein KH J,Eisenman K,Shanebeck C,et al.Cloning of a T cell growth factor that interacts with the beta chain of the interleukin-2 receptor[J].Science.1994,264:965-968.
    [30]闻平,郭月芳,张建琴.白介素15对人外周血嗜中性粒细胞抗白念珠菌活性的影响[J].医学文选.2002,21(2):132-134.
    [31]Djeu JY K,Matsushima J,Oppenheim K,et al.Functional activation of human neutrophils by recombinant monocyte-derived neutrophil chemotatic factor/IL-8[J].J Immunol.1990,144:2205-2210.
    [32]Barbulescu K,Becker C,Schlaak JF,et al.IL-12 and IL-18 differentially regulate the transcriptional activity of the human IFN-gamma promoter in primary CD4+ lymphocytes[J].J Immunol.1998,160:3642-3647.
    [33]Nakanishi K,Yoshimoto T,Tsutsui H,et al.Interleukin-18 is a unique cytokine that stimulates both Th1 and Th2 response depending on its cytokine milieu[J].Cytokine Growth Factor Rev.2001,12:53-72.
    [34]唐艳琼,陈兴平.白介素18在抗系统性真菌感染中的作用[J].国外医学皮肤性病学分册.2003,29(6):385-387.
    [35]曹菲,李家文.IL-23研究进展[J].国外医学免疫学分册.2004,27:264-267.
    [36]Pflanz S,Timans JC,Cheung J,et al.IL-27,a heterodimeric cytokine composed of EBI3 and p28 protein,induces proliferation of naive CD4+T cells[J].Immunity.2002,16:779-790.
    [37]Hunter CA.New IL-12 familymembers:IL-23 and IL-27,cytokines with divergent functions[J].Immunology.2005,5:521-531.
    [38]吴艳,夏德超,刘厚君,等.白介素-27在小鼠白念珠菌性阴道炎局部的表达及其意义[J].中国麻风皮肤病杂志.2007,23(3):186-188.
    [39]马小兵,畅继武.参与Th1/Th2极化的细胞因子[J].中国煤炭工业医学杂志.2006,9(9):902-904.
    [40]杨义成,涂亚,黄巍,等.小鼠系统性白念珠菌感染脾γ-干扰素水平测定[J].中国皮肤性病学杂志.2007,21(2):82-84.
    [41]曹菲,李家文,严小枫,等.系统性白念珠菌感染宿主预后与肾脏脾脏免疫反应类型的关系[J].中国麻风皮肤病杂志.2005,21(11):854-857.
    [42]Garner R,Kurugnati U,Czamiceki C,etal.In vivo immune responses to Cnadida albicans modified by treatment with recombinant murine gamma interferon [J].Infect Immun.1989,57(6):1800-1808.
    [43]Fidan I,Yuksel S,Imir T,et al.The effects of fluconazole and cytokines on human mononuclear cells[J].Mem Inst Oswaldo Cruz.2007,102(2):127-131.
    [44]Kaoszta R,Tree P,Marodi L,et al.Characteristics of invasive candidiasisin gamma interferon-and interleukin-4-deficient mice:role of macrophages in host defense against Candida albicans[J].Infect Immun.1998,66(4):1708-1717.
    [45]Stevenhagen A,van Furth R.Interferon-gamma activates the oxidative killing of Candida albicans by human granulocytes[J].Clin Exp Immunol.1993,91(1):170-175.
    [46]Ibrahim AS,Filler SG,Ghannoum MA,et al.Interferon-gamma protects endothelial cells from damage by Candida albicans[J].J Infect Dis.1993,167(6):1467-1470.
    [47]Fratti RA,Ghannoum MA,Edwards JE Jr,et al.Gamma interferon protects endothelial cells from damage by Candida albicans by inhibiting endothelial cell phagocytosis[J].Infect Immun.1996,64(11):4714-4718.
    [48]吴玉厚,吴冰洁,周国利,等.干扰素研究进展[J].生物学教学.2007,32(7):2-4.
    [49]VanheeD,Gosset P,Boitelle A,et al.Cytokines and cytokine network in silicosis and coal workers' pneumoconiosis[J].Eur Respir J.1995,8:834-842.
    [50]陈慰峰.医学免疫学[M].第三版.北京:人民卫生出版社,2002:46.
    [51]江文,陈映玲,周礼义.肿瘤坏死因子和γ干扰素对调节PMN抗白念珠菌活性的研究[J].中华皮肤科杂志.1994,27(5):278-280.
    [52]李剑.白色念珠菌感染对小鼠免疫功能的抑制作用[J].上海免疫学杂志.1991,(6):339-340,348.
    [53]李岷,孙君江,陈伟,等.实验性小鼠系统性念珠菌病TNFoL水平的测定[J].临床皮肤科杂志.1998,27(3):156-157.
    [54]Ji X H,Sun L H,Qin J C,et al.Effects of rhM-CSF expressed in silkworm on cytokine productions and membrane molucule expressions of human monocytes[J].Acta Pharmacol Sin.2001,21(9):797-801.
    [55]张玉昆,唐英春,张扣兴,等.大肠埃希菌和白念珠菌混合感染小鼠PMN和巨噬细胞功能的研究[J].中国抗感染化疗杂志.2004,4(2):86-88.
    [56]Natarajan U,Randhawa N,Brummer E,et al.Effect of granulocyte-macrophage colony-stimulating factor on candidacical activity of neutrophils,monocytes or monocyte-derived macrophage and synergy with fluconzole[J].J Med Microbiol.1998,47(4):359.
    [57]Yoshimasa Yamamoto,Thomas W Klein,Mitsugu Tomioka,et al.Differential effects of granulocyte/ macrophage colony-stimulating factor(GM-CSF) in enhancing macrophage resistance to Legionella pneumophila vs Candiada albicans[J].Cell Immunol.1997,176(1):75.
    [58]Morofuji S,Abe S,Tansho S,et al.In vitor assay method for augmention of anti-candida activity of murine bone marrow cells by cytokines[J]. Kansenshogaku Zasshi.2001,75(4):326.
    [59]程健.rhGM-CSF抗系统性白念珠菌感染作用研究[J].中国现代药物应用.2008,2(4):32-34.
    [60]田小芸,焦瑞清,郑明明,等.rh-CSF对化疗小鼠抗白念珠菌感染的实验研究[J].南京大学学报(自然科学).2002,38(6):850-854.
    [61]Blobe GC,Schiemann WP,Lodish HF.Role of transforming growth factor beta in human disease[J].N Engl Med.2000,342:1350-1358.
    [62]Reed SG.TGF-β in infections and infectious diseases[J].Microbes Infect.1999,1:1313-1325.
    [63]陈娜,陈兴平.TGF-β 1对巨噬细胞抗白念珠菌活性影响的实验研究[J].中国麻风皮肤病杂志.2007,23(7):583-585.
    [1]Pichova I,Pavlickova L,Dostal J,et al.Secreted aspaetic proteases of Candida albicans,Candida tropicalis,Candida parapsilosis and Candida lusitaniae.Inhibition with peptidomimetic inhibitors[J].Eur J Biochem.2001,268(9):2669-26?7.
    [2]viscoli C,GiriIlenia C,M arinus A,et al.Candidemia in cancer patient:a prospective,multicenter surveillancestudy by the Invasive Fungal Irtfec tion Group(IFIG)of the European Organization for Researchan d Treatment of Cancer(EORTC)[J].Clin Infect Dis.1999,28:1071-1079.
    [3]Bodey GP,Mardani M,Hanna HA,et al.The epidemiology of Candida glabrata and Candida albicans fungemia in immunocom,promised patient with cancer[J].Am Med.2002,112:380-385.
    [4]Nebayi F,Ayala FJ,Renaud F,et al.Clonal population structure and genetic diversity of Candida albicans in AIDS patients from Abidjan(Cote d 'Ivotre)[J].Proc Natl Acad Sci USA.2006,103:3663-3668.
    [5]周祝安,孔海深.6428株念珠菌菌种分布与药敏分析[J].福建医药杂志.2007,29(6):104-105.
    [6]#12
    [7]schaller M,Boeld U,Oberbauer S,et al.Polymorphonuclear leukocytes(PMNs)induce protective Th1-type cytokine epithdial responscs in an in vitromodel of oral candidiasis[J].Microbiology.2004,150(9):2807-2814.
    [8]傅颖媛,莫冰,曾小平,等.体液免疫抗白念珠菌感染的研究[J].微生物学通报.2002,29(5):57-60.
    [9]况南珍,傅颖媛.抗白念珠菌IgG对白念珠菌性阴道炎小鼠的保护作用[J].现代诊断与治疗.2002,13(1):16-18.
    [10]杨义成,涂亚庭,黄巍,等.小鼠系统性白念珠菌感染脾γ-干扰素水平测定[J].中国皮肤性病学杂志.2007,21(2):82-84.
    [11]Steele C,LeighJ,Swoboda R,et al.Growth inhibition of candida by human oral epithelial cells[J].J Infec Dis.2000,182:1479-1485.
    [12]Kennedy MJ.Regulation of Candida albicans populations in the gastrointestinal tract:mechanisms an dsignificance in GI and system ic candidiasis[J].CurrTop Med Mycol.1989,3:315-402.
    [13]Cole GL,Halawa AA,Anaissie EJ.The role of thegastrointestinal tract in hematogenous can didiasis:from the laboratory to the bedside[J].Clin Infect Dis.1996,22:S73-S88.
    [14]关小凡,关洪全.白念珠菌静脉感染对脾虚小鼠致病性的研究[J].辽宁中医杂志.2003,30(5):417-418.
    [15]袁园,陈殿学.白色念珠菌腹腔感染对脾虚小鼠致病性的研究[J].辽宁中医药大学学报.2007,9(2):139-141.
    [16]贺新怀,席孝贤.中医药免疫学[M].第1版.北京:人民军医出版社,2002:22.
    [17]陶汉华,徐凤琴,张甦颖.中医病因病机学[M].北京:中国医药科技出版社,2002:296-301.
    [18]黄柄山,毛翼楷,范隆昌,等.饮食失节所致的脾虚动物模型及中药治疗观察[J].中西医结合杂志.1983,3(5):295-296.
    [19]陈小野,周永生,樊雅莉,等.脾气虚证动物模型规范化的初步研究.中国医药学报[J].2001,16(4):52-58.
    [20]李德新,王晓明,易杰,等.脾虚证对生物膜结构与功能影响的研究[J].辽宁中医杂志,1993,(06):39-43.
    [21]邱全瑛,关洪全.医学免疫学与病原生物学[M].修订版.北京:科学出版社,2007:225.
    [22]Krcmerg VC Jr,Babela R.Candidemia in the surgical intensive care unit[J].Clin Infect dis.2002,34(11):1537.
    [23]Losoca HS,Segal E.Interaction of Candida albicans with murine gastrointestine mucosa from methotrexate and 5-fluoroaracil treated animal in vitro dkhesion and prevention[J].J Med V ET Mucol.1990,28:279.
    [24]钟慈声.细胞和组织的超微结构[M].第1版.北京:人民卫生出版社,1984:97-102.
    [25]徐重明,汪自源,夏天.脾虚证的病理形态学改变[J].海军医学.1996,14(1): 84-86.
    [26]Noverr MC,Fuffnagle GB.Regulation of Candida albicans morphogenesis by fatty acid metabolites[J].Infect Immun.2004,72:6206-6210.
    [27]Sjogren J,Magnusson J,Broberg A,et al.Antifungal 3-hydroxy fatty acids from Lactobacillus plantarum MiLAB 14[J].Appl Environ Microbiol.2003,69:7554-7557.
    [28]Magnusson J,Strom K,Roos S,et al.Broad and complex antifungal activity among environmental isolates of lactic acid bacteria[]].FEMSMicrobiol Lett.2003,219:129-135.
    [29]Hogan DA,Vik A,Kolter R.A Pseudomonas aeruginosa quorum-sensing molecule influences Candida albicans morphology[]].Mol Microbiol.2004,54:1212-1223.
    [30]傅相琦,侯燕鸣,郭玉林.过劳和饮食失节塑造大鼠脾气虚症模型胃肠粘膜变化的扫描电镜观察[J].云南中医杂志.1987,8(2):1.
    [31]罗光宇,黄秀凤,杨明钧,等.偏食法塑造大鼠脾气虚证模型研究[J].中医杂志.1990,31(4):49.
    [32]姚永莉,宋于刚,赵彤.大鼠脾虚证模型的胃肠黏膜形态学研究[J].中国中西医结合脾胃杂志.2000,8(1):8-10.
    [33]陈平雁,黄淅明.SPSS10.0统计软件高级应用教程[M].第一版.北京:人民军医出版社,2004:13-23.
    [34]陈慰峰.医学免疫学[M].第三版.北京:人民卫生出版社,2002:46.
    [35]江文,陈映玲,周礼义.肿瘤坏死因子和γ干扰素对调节中性粒细胞抗白念珠菌活性的研究[J].中华皮肤科杂志.1994,27(5):278-280.
    [36]李剑.白色念珠菌感染对小鼠免疫功能的抑制作用[J].上海免疫学杂志.1991,(6):339-340,348.
    [37]李岷,孙君江,陈伟,等.实验性小鼠系统性念珠菌病TNF α水平的测定[J].临床皮肤科杂志.1998,(27)3:156-157.
    [38]Ji X H,Sun L H,Qin J C,et al.Effects of rhM-CSF expressed in silkworm on cytokine productions and membrane molucule expressions of human monocytes[J].Acta Pharmacol Sin.2001,21(9):797-801.
    [39]张玉昆,唐英春,张扣兴,等.大肠埃希菌和白念珠菌混合感染小鼠中性粒细胞 和巨噬细胞功能的研究[J].中国抗感染化疗杂志.2004,4(2):86-88.
    [40]吴义超,孙瑾.巨噬细胞集落刺激因子应用于抗白念珠菌感染的研究进展[J].国外医学皮肤性病学分册.2000,26(1):28-31.
    [41]袁玲玲,崔进,汤显斌,等.白念珠菌细胞壁不溶性β-葡聚糖升高小鼠血清IL-1β、TNF-α的研究[J].现代免疫学.2007,27(5):378-381.
    [42]杨藻宏.临床用药的药理学基础[M].第1版.北京:北京科学技术文献出版社,1997:133.
    [43]蒋祖军,孟凡义.rhIL-1和rhG-CSF联合应用对小鼠外周血T细胞亚群比例影响[J].现代免疫学.2004,24(4):297-300.
    [44]Kullberg B J,J W van 't Wout,R van Furth,etal.Role of granulocytes in increased host resistance to Candida albicans induced by recombinant interleukin-1[J].Infect Immun.1990,58:3319-3324.
    [45]Poutsiaka DD,Mengozzi M,Vannier E,et al.Cross-linking of the β-glucan receptor on human monocytes results in interleukin-1 receptor antagonist but not interleukin-1 production[J].Blood.1993,82(12):3695-3700.
    [46]杜岁增.脾虚患者基础生物电和甲皱循环的观察[J].实用中西医结合杂志.1990,3(3):165.
    [47]CasadevallA,FeldmesserM,PirofskiLA.Induced humoral immunity and vaccination againstmajor human fungalpathogens[J].CurrOpin Microbiol.2002,5(4):386-391.
    [48]莫冰,傅颖媛,曾小平,等.抗白念珠菌感染特异性免疫实验研究[J].中国皮肤性病学杂志.2003,17(2):88-90.
    [49]王志东,廖万清,徐红,等.伊曲康唑和γ-干扰素对裸小鼠、昆明种小鼠外周血IFN-γ、IL-10的影响[J].医学研究杂志.2007,36(9):46-49
    [50]Romani L.Immunity to fungal infections[J].Nat Rev Immuno.2004,4(1):1-23.
    [51]田蓉,苏雯静,张欣,等.抗白念珠菌天然抗体的检测与分析[J].细胞与分子免疫学杂志.2007,23(4):367-368.
    [52]Lomm M E.Interaction of antigens and antibodys at mucosal surface[J].Annu Rev Microbiol.1997,51:311-320.
    [53]郭宁如,吕桂霞,吴绍熙.念珠菌体外黏附上皮细胞的观察[J].中国医学科学院 学报.1994,164:312.
    [54]Bos N A,Bun J C,Popma S H,et al.Monoclonal immunoglobulin A derived from peritional B cells is encoded by both germ line and somatically mutated V H genes and is reactive with commensal bacteria[J].Infect Immun.1996,64(2):616.
    [55]白晓东,刘贤华,肖光夏.白念珠菌在肠腔中的增殖与局部IgA抗体分泌的关系[J].中华微生物学和免疫学杂志.2000,20(1):7-9.
    [56]白晓东,仝青英,刘春.白色念珠菌的肠道预刺激与烧伤后肠黏膜保护[J].武警医学.2003,14(8):468-470
    [57]郭宁如,沈永年,吕桂霞,等.不同免疫状态下的白念珠菌对小鼠肠粘膜的黏附及影响[J].中华皮肤科杂志.1994,27(02):86-88.
    [58]Wormley FL Jr,Cutright J,Fidel PL Jr.Multiple experimental designs to evaluate the role of T-cell-mediated immunity against experimental vaginal Candida albicans infection.Med Mycol.2003,41(5):401-409.
    [59]Fidel PL Jr,Wolf NA,KuKuruga MA.Tlymphocytesin the murine vaginal mucosa are phenotypically distinct from those in the periphery[J].Infect Immunity.1996,64:3793-3799.
    [60]Steele C,Leigh J,Swoboda R,et al.Growth inhibition of candida by human oral epithelial cells.J Infec Dis.2000,182:1479-1485.
    [61]廖万清,吴绍熙.真菌病研究进展[M].上海:第二军医大学出版社,1998:11-12.
    [62]马小兵,畅继武.参与Th1/Th2极化的细胞因子[J].中国煤炭工业医学杂志.2006,9(9):902-904.
    [63]陈善娟,李少华,刘志香,等.小鼠白念珠菌性阴道炎局部组织中Th1/Th2因子的表达[J].中国麻风皮肤病杂志.2008,24(3):170-172.
    [64]曹菲,李家文,严小枫,等.系统性白念珠菌感染宿主预后与肾脏脾脏免疫反应类型的关系[J].中国麻风皮肤病杂志.2005,21(1):854-857.
    [65]Garner R,Kurugnati U,Czamiceki C,etal.In vivo immune responses to Cnadida albicans modified by treatment with recombinant murine gamma interferon[J].Infect Immun.1989,57(6):1800-1808.
    [66]Fidan I,Yuksel S,Imir T,et al.The effects of fluconazole and cytokines on human mononuclear cells[J].Mem Inst Oswaldo Cruz.2007,102(2):127-131.
    [67]Kaoszta R,Tree P,Marodi L,et al.Characteristics of invasive candidiasisin gamma interferon-and interleukin-4-deficient mice:role of macrophages in host defense against Candida albicans[J].Infect Immun.1998,66(4):1708-1717.
    [68]Stevenhagen A,van Furth R.Interferon-gamma activates the oxidative killing of Candida albicans by human granulocytes[J].Clin Exp Immunol.1993,91(1):170-175.
    [69]Ibrahim AS,Filler SG,Ghannoum MA,et al.Interferon-gamma protects endothelial cells from damage by Candida albicans[J].J Infect Dis.1993,167(6):1467-1470.
    [70]Fratti RA,Ghannoum MA,Edwards JE Jr,et al.Gamma interferon protects endothelial cells from damage by Candida albicans by inhibiting endothelial cell phagocytosis[J].Infect Immun.1996,64(11):4714-4718.
    [71]吴玉厚,吴冰洁,周国利,等.干扰素研究进展[J].生物学教学.2007,32(7):2-4.
    [72]VanheeD,Gosset P,Boitelle A,et al.Cytokines and cytokine network in silicosis and coal workers' pneumoconiosis[J].Eur Respir J.1995,8:834-842.
    [73]水泉祥,王有成,倪宏.白细胞介素10与感染性和自身免疫性疾病研究进展[J].国外医学儿科学分册.2002,29(4):211-214.
    [74]Tavares D,Ferreira P,Arala-Chaves M.Increased resistance to systemic candidiasis in athymic or interleukin-10-depleted mice[J].J Infect Dis.2000,182:266-273
    [75]Tonnetti L,Spaccapelo R,Cenci E,et al.Interleukin-4 and-10 exacerbate candidiasis in mice[J].Eur J Immunol.1995,25(6):1559-1565.
    [76]Del Sero G,Mencacci A,Cenci E,et al.Antifungal type 1 responses are upregulated in IL-10-deficient mice[J].Microbes Infect.1999,1(14):1169 - 1180.
    [77]葛红芬,陈兴平.抗白介素10单克隆抗体抗小鼠系统性白念珠菌感染的研究[J].中华皮肤科杂志.2004,37(11):642-644
    [78]Romani L,Puccetti P,Bistoni F.Biological role of Th cell subsetsi candidiasis[J].Chem Immunol.1996,63:1115-137.
    [79]Wang B,Zhuang I,Fujisawa H,et al.Enhanced epidermal langerhans cell migration in IL-10 knockout mice[J].J Immunol.1999,162:277-283.
    [80]Nakac S,Komiyama Y,Nambu A,et al.Antigen-specific T cell sensitization is impaired in IL-17 deficient mice,causing suppression of allergic cellular and humoral responses[J].Immunity.2002,17:375-387.
    [81]Steinbrink K,Graulich E,KubschS,et al.CD4(+) and CD8(+) anergic T cell induced by interleukin-10-treated human dendritic cells display antigen-specifics up pressor activity[J].Blood.2002,99(7):2468-2476.
    [82]Vazquez Torres A,Jones Carson J,Wagner RD,et al.Early resistance of interleukin -10 knockout mice to acute systemic candidiasis[J].Infect Immun.1999,67(2):670-674.
    [83]Fidel PL Jr.Immunity to Candida[J].Oral Dis.2002,8(2):69-75.
    [84]Steele C,Fidel PL Jr.Cytokine and chemokine production by human oral and vaginal epithelial cellsin response to Candida albicans[J].Infect Immun.2002,70(2):577-583.
    [85]Lacraz S,Nicod LP,Chicheportiche R,et al.IL - 10 inhibits metalloproteinase and stimulates TIMP-1 production in human mononuclear phagocytes[J].J Clin Invest.1995,96(5):2304-2310.
    [86]唐艳琼,陈兴平.白细胞介素10对小鼠腹腔巨噬细胞体外抗白念珠菌活性的影响[J].华中科技大学学报(医学版).2004,33(6):742-748.
    [87]Romani I,Howard DH.Mechanism of resistance to fungal infection[J].Curr Opin Immunol.1995,7:517-523
    [88]Marzo AL,Veays V,Villians,et al.Tissue-level regulation of Th1 and Th2primary and memory CD4 T cells in response to Listeria infection[J].J Immunol.2002,168:4504-4510.

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