目的探讨骨外膜素(Periostin)、Notch跨膜受体-1(Notch1)m RNA、维生素D(VitD)与自身免疫性甲状腺炎(AIT)淋巴细胞浸润程度、调节性T细胞/辅助性T细胞17(Treg/Th17)的相关性。方法选取2021年7月至2023年12月郑州大学第一附属医院收治的9...目的探讨骨外膜素(Periostin)、Notch跨膜受体-1(Notch1)m RNA、维生素D(VitD)与自身免疫性甲状腺炎(AIT)淋巴细胞浸润程度、调节性T细胞/辅助性T细胞17(Treg/Th17)的相关性。方法选取2021年7月至2023年12月郑州大学第一附属医院收治的92例AIT患者纳入AIT组,另选取同期50例无甲状腺疾病的健康人群纳入对照组。比较两组受检者的淋巴细胞浸润程度及抗体水平,采用Spearman、Pearson相关系数分析淋巴细胞浸润程度、Treg/Th17与甲状腺功能、抗体水平的相关性,比较两组受检者的Periostin、Notch1 m RNA、VitD及Treg/Th17,采用Pearson相关系数分析Periostin、Notch1 mRNA、VitD与淋巴细胞浸润程度及Treg/Th17的相关性。结果AIT组患者的CD3^(+)、CD3^(+)CD4^(+)、CD4^(+)CD25^(+)CD127^(-)、TgAb、TPOAb、TRAb水平及甲亢/亚临床甲亢、甲减/亚临床甲减患者占比明显高于对照组,差异均有统计学意义(P<0.05);Pearson相关系数分析结果显示,CD3^(+)(r=0.579、0.602、0.563)、CD3^(+)CD4^(+)(r=0.612、0.637、0.606)、CD~4+CD25^(+)CD127^(-)(r=0.655、0.643、0.687)与TgAb、TPOAb、TRAb呈正相关(P<0.05);AIT组患者的Periostin、Notch1 m RNA分别为(4.27±1.40)μg/L、1.73±0.56,明显高于对照组的(2.86±0.49)μg/L、1.02±0.14,VitD、Treg/Th17分别为(17.82±5.09)ng/mL、2.82±0.97,明显低于对照组的(22.30±3.76)ng/mL、12.36±2.03,差异均有统计学意义(P<0.05);Pearson相关系数分析结果显示,Periostin(r=0.792、0.811、0.737)、Notch1 mRNA(r=0.812、0.775、0.792)与CD3^(+)、CD3^(+)CD4^(+)、CD4^(+)CD25+CD127-呈正相关(P<0.05),VitD(r=-0.687、-0.753、-0.799)与之呈负相关(P<0.05),且Periostin(r=-0.823)、Notch1 m RNA(r=-0.772)与Treg/Th17呈负相关(P<0.05),VitD(r=0.745)与之呈正相关(P<0.05)。结论Periostin、Notch1 mRNA在AIT患者血清中表达上调,VitD表达下调,各指标与AIT淋巴细胞浸润程度及Treg/Th17均具有一定相关性,可为临床判断病情提供参考,并对后续临床治疗具有一定指导价值。展开更多
目的研究血清骨膜蛋白(Periostin)、白细胞介素(IL)-18在支气管肺发育不良(BPD)早产儿中的水平,分析二者与病情严重程度的关系及对BPD的预测价值。方法回顾性选取2019年1月至2022年1月于该院诊治的62例BPD早产儿为BPD组,以同期80例非BP...目的研究血清骨膜蛋白(Periostin)、白细胞介素(IL)-18在支气管肺发育不良(BPD)早产儿中的水平,分析二者与病情严重程度的关系及对BPD的预测价值。方法回顾性选取2019年1月至2022年1月于该院诊治的62例BPD早产儿为BPD组,以同期80例非BPD早产儿为非BPD组。根据病情严重程度,将BPD组患儿分为轻度亚组22例,中度亚组24例和重度亚组16例。采用酶联免疫吸附试验检测血清Periostin、IL-18水平。各临床参数间的相关性采用Pearson相关分析。采用多因素Logistic回归分析BPD发生的影响因素,受试者工作特征(ROC)曲线分析各指标对BPD的预测价值。结果BPD组使用肺泡表面活性物质(PS)、新生儿呼吸窘迫综合征、呼吸暂停、动脉导管未闭占比及血清Periostin、IL-18水平高于非BPD组,机械通气时间、无创呼吸支持时间、住院时间长于非BPD组,而肺功能指标[千克体重潮气量(VT/kg)、达峰时间比(TPTEF/TE)、达峰容积比(VPEF/VE)、50%潮气量时呼气流速(50%TEF)、75%潮气量时呼气流速(75%TEF)]及1、5 min Apgar评分低于非BPD组,差异均有统计学意义(P<0.05)。轻度亚组、中度亚组及重度亚组患儿血清Periostin、IL-18水平依次升高(P<0.05)。血清Periostin、IL-18水平与肺功能指标(VT/kg、50%TEF、75%TEF、TPTEF/TE、VPEF/VE)均呈负相关(P<0.05)。早产儿血清Periostin、IL-18、新生儿呼吸窘迫综合征是影响BPD发生的独立危险因素(P<0.05),使用PS是保护因素(P<0.05)。早产儿血清Periostin、IL-18、新生儿呼吸窘迫综合征是影响BPD病情严重程度的独立危险因素(P<0.05)。血清Periostin、IL-18单独及联合对BPD预测的曲线下面积(95%CI)分别为0.841(0.814~0.899)、0.863(0.820~0.897)、0.922(0.878~0.949),联合预测的灵敏度和特异度分别为0.902、0.825;二者联合对BPD预测的曲线下面积大于各指标单独预测,差异有统计学意义(Z=5.357、4.894,均P<0.001)。结论BPD患儿血清Periostin、IL-18水平升高,二者与BPD病情严重程度及肺功能有关,血清Periostin、IL-18联合对BPD具有较高的预测价值。展开更多
BACKGROUND Globally,diabetic nephropathy(DN)is the primary cause of chronic kidney disease.Currently,renal function is monitored indirectly using measures of serum creatinine,estimated glomerular filtration rate(eGFR)...BACKGROUND Globally,diabetic nephropathy(DN)is the primary cause of chronic kidney disease.Currently,renal function is monitored indirectly using measures of serum creatinine,estimated glomerular filtration rate(eGFR),and proteinuria.Novel urinary biomarkers utilized in the early stages of DN have been described;these indicators can be used in the early identification of the disease,which is important for initiating treatment to halt or impediment the advance of diabetic nephropathy.AIM To estimate neutrophil gelatinase-associated lipocalin(NGAL),kidney injury molecule-1(KIM-1),and periostin(POSTN)levels as novel urinary biomarkers in DN.METHODS In this hospital based cross-sectional study,a total of 160 patients of both genders aged 18 years or more;40 healthy participants and 120 patients with diabetes mellitus(DM)were included.Patients with DM were divided into normoalbuminuria(n=40),microalbuminuria(n=40),and macroalbuminuria(n=40)groups as per urine albumin creatinine ratio(uACR).Blood urea,serum creatinine,uACR were measured.Urine NGAL,KIM-1,and POSTN were measured by enzyme linked immunosorbent assay.The eGFR was calculated and compared with urinary markers.RESULTS NGAL,KIM-1,and POSTN levels increased significantly in normo,micro,and macroalbuminuria with the highest in the macroalbuminuria group.Albumin creatinine ratio(ACR)showed a positive correlation with NGAL,KIM-1,and POSTN levels.The eGFR showed a weak negative correlation with ACR,NGAL,KIM-1,and POSTN.NGAL was significantly lower in stage 1 compared to stage 2,3,and 4 kidney disease.KIM-1 was significantly decreased in stage 1 compared to stage 4 kidney disease.POSTN was significantly decreased in stage 1 compared to stage 3 and 4 kidney disease.The receiver operator curve analysis of ACR,NGAL,KIM-1,and POSTN showed good sensitivity of 80%,75.8%,63.3%,and 80%respectively with a cut-off of 12.5 mg/g,4.5μg/L,1.5 ng/mL,and 37.5 ng/mL.CONCLUSION Urinary NGAL and POSTN are independent markers of DN.展开更多
文摘目的探讨骨外膜素(Periostin)、Notch跨膜受体-1(Notch1)m RNA、维生素D(VitD)与自身免疫性甲状腺炎(AIT)淋巴细胞浸润程度、调节性T细胞/辅助性T细胞17(Treg/Th17)的相关性。方法选取2021年7月至2023年12月郑州大学第一附属医院收治的92例AIT患者纳入AIT组,另选取同期50例无甲状腺疾病的健康人群纳入对照组。比较两组受检者的淋巴细胞浸润程度及抗体水平,采用Spearman、Pearson相关系数分析淋巴细胞浸润程度、Treg/Th17与甲状腺功能、抗体水平的相关性,比较两组受检者的Periostin、Notch1 m RNA、VitD及Treg/Th17,采用Pearson相关系数分析Periostin、Notch1 mRNA、VitD与淋巴细胞浸润程度及Treg/Th17的相关性。结果AIT组患者的CD3^(+)、CD3^(+)CD4^(+)、CD4^(+)CD25^(+)CD127^(-)、TgAb、TPOAb、TRAb水平及甲亢/亚临床甲亢、甲减/亚临床甲减患者占比明显高于对照组,差异均有统计学意义(P<0.05);Pearson相关系数分析结果显示,CD3^(+)(r=0.579、0.602、0.563)、CD3^(+)CD4^(+)(r=0.612、0.637、0.606)、CD~4+CD25^(+)CD127^(-)(r=0.655、0.643、0.687)与TgAb、TPOAb、TRAb呈正相关(P<0.05);AIT组患者的Periostin、Notch1 m RNA分别为(4.27±1.40)μg/L、1.73±0.56,明显高于对照组的(2.86±0.49)μg/L、1.02±0.14,VitD、Treg/Th17分别为(17.82±5.09)ng/mL、2.82±0.97,明显低于对照组的(22.30±3.76)ng/mL、12.36±2.03,差异均有统计学意义(P<0.05);Pearson相关系数分析结果显示,Periostin(r=0.792、0.811、0.737)、Notch1 mRNA(r=0.812、0.775、0.792)与CD3^(+)、CD3^(+)CD4^(+)、CD4^(+)CD25+CD127-呈正相关(P<0.05),VitD(r=-0.687、-0.753、-0.799)与之呈负相关(P<0.05),且Periostin(r=-0.823)、Notch1 m RNA(r=-0.772)与Treg/Th17呈负相关(P<0.05),VitD(r=0.745)与之呈正相关(P<0.05)。结论Periostin、Notch1 mRNA在AIT患者血清中表达上调,VitD表达下调,各指标与AIT淋巴细胞浸润程度及Treg/Th17均具有一定相关性,可为临床判断病情提供参考,并对后续临床治疗具有一定指导价值。
文摘目的研究血清骨膜蛋白(Periostin)、白细胞介素(IL)-18在支气管肺发育不良(BPD)早产儿中的水平,分析二者与病情严重程度的关系及对BPD的预测价值。方法回顾性选取2019年1月至2022年1月于该院诊治的62例BPD早产儿为BPD组,以同期80例非BPD早产儿为非BPD组。根据病情严重程度,将BPD组患儿分为轻度亚组22例,中度亚组24例和重度亚组16例。采用酶联免疫吸附试验检测血清Periostin、IL-18水平。各临床参数间的相关性采用Pearson相关分析。采用多因素Logistic回归分析BPD发生的影响因素,受试者工作特征(ROC)曲线分析各指标对BPD的预测价值。结果BPD组使用肺泡表面活性物质(PS)、新生儿呼吸窘迫综合征、呼吸暂停、动脉导管未闭占比及血清Periostin、IL-18水平高于非BPD组,机械通气时间、无创呼吸支持时间、住院时间长于非BPD组,而肺功能指标[千克体重潮气量(VT/kg)、达峰时间比(TPTEF/TE)、达峰容积比(VPEF/VE)、50%潮气量时呼气流速(50%TEF)、75%潮气量时呼气流速(75%TEF)]及1、5 min Apgar评分低于非BPD组,差异均有统计学意义(P<0.05)。轻度亚组、中度亚组及重度亚组患儿血清Periostin、IL-18水平依次升高(P<0.05)。血清Periostin、IL-18水平与肺功能指标(VT/kg、50%TEF、75%TEF、TPTEF/TE、VPEF/VE)均呈负相关(P<0.05)。早产儿血清Periostin、IL-18、新生儿呼吸窘迫综合征是影响BPD发生的独立危险因素(P<0.05),使用PS是保护因素(P<0.05)。早产儿血清Periostin、IL-18、新生儿呼吸窘迫综合征是影响BPD病情严重程度的独立危险因素(P<0.05)。血清Periostin、IL-18单独及联合对BPD预测的曲线下面积(95%CI)分别为0.841(0.814~0.899)、0.863(0.820~0.897)、0.922(0.878~0.949),联合预测的灵敏度和特异度分别为0.902、0.825;二者联合对BPD预测的曲线下面积大于各指标单独预测,差异有统计学意义(Z=5.357、4.894,均P<0.001)。结论BPD患儿血清Periostin、IL-18水平升高,二者与BPD病情严重程度及肺功能有关,血清Periostin、IL-18联合对BPD具有较高的预测价值。
基金Supported by All India Institute of Medical Sciences-Bibinagar,No:AIIMS/BBN/Research/IM-F/2022/20.
文摘BACKGROUND Globally,diabetic nephropathy(DN)is the primary cause of chronic kidney disease.Currently,renal function is monitored indirectly using measures of serum creatinine,estimated glomerular filtration rate(eGFR),and proteinuria.Novel urinary biomarkers utilized in the early stages of DN have been described;these indicators can be used in the early identification of the disease,which is important for initiating treatment to halt or impediment the advance of diabetic nephropathy.AIM To estimate neutrophil gelatinase-associated lipocalin(NGAL),kidney injury molecule-1(KIM-1),and periostin(POSTN)levels as novel urinary biomarkers in DN.METHODS In this hospital based cross-sectional study,a total of 160 patients of both genders aged 18 years or more;40 healthy participants and 120 patients with diabetes mellitus(DM)were included.Patients with DM were divided into normoalbuminuria(n=40),microalbuminuria(n=40),and macroalbuminuria(n=40)groups as per urine albumin creatinine ratio(uACR).Blood urea,serum creatinine,uACR were measured.Urine NGAL,KIM-1,and POSTN were measured by enzyme linked immunosorbent assay.The eGFR was calculated and compared with urinary markers.RESULTS NGAL,KIM-1,and POSTN levels increased significantly in normo,micro,and macroalbuminuria with the highest in the macroalbuminuria group.Albumin creatinine ratio(ACR)showed a positive correlation with NGAL,KIM-1,and POSTN levels.The eGFR showed a weak negative correlation with ACR,NGAL,KIM-1,and POSTN.NGAL was significantly lower in stage 1 compared to stage 2,3,and 4 kidney disease.KIM-1 was significantly decreased in stage 1 compared to stage 4 kidney disease.POSTN was significantly decreased in stage 1 compared to stage 3 and 4 kidney disease.The receiver operator curve analysis of ACR,NGAL,KIM-1,and POSTN showed good sensitivity of 80%,75.8%,63.3%,and 80%respectively with a cut-off of 12.5 mg/g,4.5μg/L,1.5 ng/mL,and 37.5 ng/mL.CONCLUSION Urinary NGAL and POSTN are independent markers of DN.
