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对56例矽肺患者支气管肺泡灌洗液(BALF)及BALF中肺巨噬细胞(AM)无血清培养上清液中TNF含量进行了检测,同时探讨了它们对人胚肺成纤维细胞(FB)增殖活性的影响。结果表明:BALF中可疑矽肺TNF含量高于其它各期矽肺,随着期别增加而减少。AM上清液中TNF含量Ⅱ期高于Ⅰ期。BALF和AM上清液促FB增殖活性与TNF含量高低有一定关系,随着TNF浓度增高而增高,但不成平行关系。这可能是矽肺病人AM释放调节成纤维细胞增殖因子的不仅有TNF,而还有其它一些促纤维化因子
The levels of TNF in the serum - free supernatants of bronchoalveolar lavage fluid (BALF) and pulmonary macrophages (AM) in 56 patients with silicosis were detected. The effects of them on the proliferation of human embryo lung fibroblasts (FBs) Effect of proliferative activity. The results showed that TNF in suspicious silicosis in BALF was higher than that in other stages of silicosis, and decreased with the increase of stage. The content of TNF in AM supernatant was higher than that in stage Ⅰ. The activity of FB proliferation induced by BALF and AM supernatant was related to the level of TNF, but increased with the increase of TNF concentration but not in parallel. This may be due to the release of fibroblast growth factor AM released by AM in patients with silicosis not only of TNF, but also of other pro-fibrotic factors