Abstract

Objective The aim of this study was to observe the effect of pulmonary surfactant (PS)on the cell cycle distribution and expression of cell cycle regulatory proteins in T lymphocyte subsets in patients with asthma attack and evaluate the molecular regulatory mechanism of PS on T lymphocyte subsets cell proliferation cycle during asthma attack and its therapy significance. Methods The CD4+、CD8+ T lymphocytes obtained from peripheral blood of 30 patients with asthma attack were incubated with PS,the cell cycle and the expression of p27kipl , CyclinE, CyclinA, CyclinB in CD4+ , CD8+ T lymphocytes with PS and without PS were anasyzed by flow cytometry. Results CD4 + T lymphocytes with PS progressed into S phase and G2/M phase were significantly lower than those without PS( P <0.01). But remained in G0/G1 phase were significantly higher than those without PS (P < 0.01). CD8+ T lymphocytes with PS progressed into S phase were significantly lower than those without PS( P <0.01),G2/M phase were little lower than those without PS( P > 0.05), Go/G1 phase were higher than those without PS( P <0.05). The expression of p27kipl in CD4+T lymphocytes with PS was higher than that without PS( P <0.05). The expression of cyclinE in CD4+ T lymphocytes with PS was significantly lower than that without PS( P <0.01 ). The expression of cyclinA,cyclinB in CD4+ T lymphocytes with PS were lower than those without PS( P <0.05). The expression of p27kipl in CD8+ T lymphocytes with PS was higher than that without PS( P <0.05). The expression of cyclinE and cyclinA in CD8+ T lymphocytes with PS were significantly lower than that without PS( P <0. 01). The expression of cyclinB in CD8+ T lymphocytes with PS was little lower than that without PS( P >0.05). Conclusions During asthma attack,PS can inhibit the DNA synthesis, cell division and proliferation of CD4+T lymphocytes by inhibiting positive cell cycle regulatory proteins cyclinE, cyclinA, cyclinB expression and increasing negative cell cycle regulatory protein p27kipl expression in CD4+ T lymphocytes. PS can inhibit the DNA synthesis of CD8+ T lymphocytes by inhibiting positive cell cycle regulatory proteins cyclinE, cyclinA,expression and increasing negative cell cycle regulatory protein p27kipl expression in CD8+ T lymphocytes. Key words: Asthma; Pulmonary surfaetant; T lymphocyte subsets; Cell cycle; Cell cycle regulatory proteins

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