Correlation of tumor necrosis alpha and interleukin 10 with hypertensive renal damage
10.3760/cma.j.issn.1008-6315.2011.01.002
- VernacularTitle:白细胞介素-10和肿瘤坏死因子-α与高血压肾损害的相关性研究
- Author:
Lijuan LI
;
Caixia ZHU
;
Xin YU
;
Zhen YANG
- Publication Type:Journal Article
- Keywords:
Hypertensive renal damage;
Tumor necrosis factor-α;
Interleukin 10
- From:
Clinical Medicine of China
2011;27(1):5-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the changes of the serum levels of necrosis alpha (TNF-o)and interleukin 10( IL-10 )in patients with hypertensive renal damage,and to study the correlation of TNF-α and IL-10 with the hypertensive renal damage. Methods Seventy three patients with primary hypertension were divided into two groups according to their urinary albumin excretion rate(UAER): simple hypertensive group( n = 37 ),hypertensive renal damage group(n =36). TNF-α and IL-10 were measured using radioimmune assay. Thirty normotensive healthy persons were selected as normotensive control group. Results TNF-α were significantly higher and IL-10 significantly lower in patients with essential hypertension than those in normotensive control group(TNF-α: [2.91 ±0.94]μg/L vs [0.98 ±0.35]μg/L,P<0. 05;IL-10:[ 19.2 ±5.8]μg/L vs [28.6±5. 7] μg/L,P <0. 01 ) ,and in patients with hypertension,those with renal damage had higher TNF-α and lower IL-10 than those without( TNF-α: [ 3.75 ± 0. 88 ] μg/L vs [ 1.87 ± 0. 58 ] μg/L, P < 0. 01; IL-10: [ 15. 4 ± 4. 3 ]μg/L vs [ 22. 5 ± 5.9 ] μg/L, P < 0. 01 ), with statistically significant difference between groups ( P < 0. 01 ).TN F-α and IL- 10 were found to have correlations with UAER ( r = 0. 703, P < 0. 001; r = - 0. 613, P < 0. 001 ),but no correlation with the level of blood pressure. Conclusion TNF-α increased and IL-10 decreased significantly in patients with hypertensive renal damage, which indicates that the imbalanced cytokine network may play a role in the pathological mechanisms of hypertensive renal damage.