Elevated plasma or serum total homocysteine (tHcy) level has been established as a risk factor for cardiovascular disease[1], as well as dementia and cognitive decline[2]. Plasma or serum folate and vitamin B12 influe...Elevated plasma or serum total homocysteine (tHcy) level has been established as a risk factor for cardiovascular disease[1], as well as dementia and cognitive decline[2]. Plasma or serum folate and vitamin B12 influence homocysteine (Hcy) metabolism as a co-substrate and cofactor respectively, so that low concentrations of folate and vitamin B12 are also associated with high Hcy levels[1]. However, not much information is available describing serum tHcy, folate, and vitamin B12 status in Shanghai adults, especially in a healthy population. Therefore, we hypothesize that low serum folate and vitamin B12 is associated with high Hcy in healthy adults in Shanghai. The aim of this study was to determine the status of serum tHcy, folate, and vitamin B12, and the prevalence and factors contributing to HHcy, folate deficiency, and vitamin B12 deficiency among healthy adults in Shanghai, China.展开更多
Objective: To investigate the changes and significance of serum inflammatory factors, uric acid (UA), homocysteine (Hcy) and small dense low-density lipoprotein (sdLDL-C) levels in patients with coronary heart disease...Objective: To investigate the changes and significance of serum inflammatory factors, uric acid (UA), homocysteine (Hcy) and small dense low-density lipoprotein (sdLDL-C) levels in patients with coronary heart disease (CHD). Methods: A total of 152 patients with CHD were selected as the CHD group, including stable angina pectoris (SAP group, n=48), unstable angina pectoris (UAP group, n=55), and acute myocardial infarction (AMI group, n=49), according to the Gensinis score, it can be divided into mild group (n=88), moderate group (n=43) and severe group (n=21), at the same time 55 healthy people were selected as control group. The serum inflammatory factors [hypersensitivity C reactive protein (hs-CRP), tumor necrosis factor -α (TNF-α)], UA, Hcy and sdLDL-C levels were compared between patients with different CHD and different degree of coronary artery lesions. Results: The levels of hs-CRP, TNF-α, UA, Hcy and sdLDL-C in the CHD group were significantly higher than those in the control group;In the CHD group, the levels of hs-CRP, TNF-α, UA, Hcy and sdLDL-C in the UAP group and AMI group were significantly higher than those off the SAP group, and the level of AMI group [(7.96±1.49) mg/L, (92.87±14.50) ng/L, (417.75±43.88) mol/L, (23.25±7.33) and mol/L (1.31±0.53) mmol/L] was significantly higher than that of UAP group [(6.15±0.97) mg/L, (73.88±9.27) ng/L, (393.63±68.29) mol/L, (19.67±7.26) mol/L and (1.08±0.44) mmol/L];Compared with mild group hs-CRP, TNF-α, UA, Hcy and sdLDL-C levels, the levels of the moderate group and severe group were significantly increased, and the level of severe group was significantly higher than that of moderate group. Conclusion: The levels of serum inflammatory factors, UA, Hcy and sdLDL-C in patients with coronary heart disease are significantly increased, and the detection of the levels has a great significance for the diagnosis of coronary heart disease and the assessment of the severity of coronary heart disease.展开更多
目的探究精神分裂症患者脑部代谢激素同型半胱氨酸(homocysteine,HCY)、催乳素(prolactin,PRL)与认知功能的相关性,挖掘重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合奥氮平治疗该病的效果,以期解读脑部代谢...目的探究精神分裂症患者脑部代谢激素同型半胱氨酸(homocysteine,HCY)、催乳素(prolactin,PRL)与认知功能的相关性,挖掘重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合奥氮平治疗该病的效果,以期解读脑部代谢激素与认知功能的影响机制,同时,挖掘rTMS联合奥氮平这种内外结合治疗方式来丰富该领域研究,为相关研究提供借鉴。方法选取2021年6月至2023年8月笔者医院治疗的128例精神分裂症患者资料进行回顾性分析,根据治疗方式的不同划分为观察组72例(rTMS联合奥氮平治疗)和对照组56例(奥氮平单药治疗)。分析两组患者血清HCY、PRL、阳性和阴性综合征量表(positive and negative syndrome scale,PANSS)、白细胞介素(interleukin,IL)-12,肿瘤坏死因子(tumor necrosis factor,TNF)-α及其相关性。比较两组患者不良反应发生率情况。结果治疗后,观察组PRL、HCY、IL-12、TNF-α水平低于对照组,差异有统计学意义(P<0.05)。交互作用、时点作用、组间作用下,两组患者的PANSS评分会因为不同治疗方式的时间推移而发生变化,但观察组均低于对照组,差异有统计学意义(P<0.05)。治疗方法与HCY、PRL、IL-12、TNF-α、PANSS均呈负相关,且HCY、PRL、IL–12、TNF–α、PANSS两两间为正相关(P<0.05)。观察组头痛、记忆受损、嗜睡、不良反应事件等发生率低于对照组,差异有统计学意义(P<0.05)。结论经rTMS联合奥氮平治疗后,可以降低精神分裂症患者HCY、PRL激素水平,减轻炎症,减少不良反应,改善患者认知功能。展开更多
目的:分析血清淀粉酶(Amylase,AMY)、同型半胱氨酸(Homocysteine,Hcy)、D-二聚体(D-dimer,D-D)水平及联合检测对急性胰腺炎(Acutepancreatitis,AP)患者预后的预测价值。方法:选取2020年5月-2023年6月期间本院收治的AP患者为研究对象。...目的:分析血清淀粉酶(Amylase,AMY)、同型半胱氨酸(Homocysteine,Hcy)、D-二聚体(D-dimer,D-D)水平及联合检测对急性胰腺炎(Acutepancreatitis,AP)患者预后的预测价值。方法:选取2020年5月-2023年6月期间本院收治的AP患者为研究对象。根据患者治疗后的预后情况,将患者分为预后良好组(43例)及预后不良组(19例)。收集并对比两组的一般资料及血清AMY、Hcy、D-D水平。logistic回归模型分析影响AP患者预后的影响因素。分析血清各指标水平联合检测对AP预后的预测效能。结果:预后不良组入院时急性生理功能和慢性健康状况评分系统Ⅱ(Acute physiological function and Chronic health status score SystemⅡscore,APACHEⅡ)评分及血清Hcy、AMY、D-D水平均显著高于预后良好组(P<0.05)。Logistic回归分析显示,入院时血清Hcy、AMY、D-D及APACHEⅡ评分均为患者发生预后不良的危险因素(P<0.05)。入院时AMY、Hcy、D-D水平联合预测患者发生预后不良的曲线下面积(AUC)为0.879。结论:血清AMY、Hcy、D-D水平与AP患者预后密切相关,三者联合检测在患者预后评估中具有重要价值。展开更多
文摘Elevated plasma or serum total homocysteine (tHcy) level has been established as a risk factor for cardiovascular disease[1], as well as dementia and cognitive decline[2]. Plasma or serum folate and vitamin B12 influence homocysteine (Hcy) metabolism as a co-substrate and cofactor respectively, so that low concentrations of folate and vitamin B12 are also associated with high Hcy levels[1]. However, not much information is available describing serum tHcy, folate, and vitamin B12 status in Shanghai adults, especially in a healthy population. Therefore, we hypothesize that low serum folate and vitamin B12 is associated with high Hcy in healthy adults in Shanghai. The aim of this study was to determine the status of serum tHcy, folate, and vitamin B12, and the prevalence and factors contributing to HHcy, folate deficiency, and vitamin B12 deficiency among healthy adults in Shanghai, China.
文摘Objective: To investigate the changes and significance of serum inflammatory factors, uric acid (UA), homocysteine (Hcy) and small dense low-density lipoprotein (sdLDL-C) levels in patients with coronary heart disease (CHD). Methods: A total of 152 patients with CHD were selected as the CHD group, including stable angina pectoris (SAP group, n=48), unstable angina pectoris (UAP group, n=55), and acute myocardial infarction (AMI group, n=49), according to the Gensinis score, it can be divided into mild group (n=88), moderate group (n=43) and severe group (n=21), at the same time 55 healthy people were selected as control group. The serum inflammatory factors [hypersensitivity C reactive protein (hs-CRP), tumor necrosis factor -α (TNF-α)], UA, Hcy and sdLDL-C levels were compared between patients with different CHD and different degree of coronary artery lesions. Results: The levels of hs-CRP, TNF-α, UA, Hcy and sdLDL-C in the CHD group were significantly higher than those in the control group;In the CHD group, the levels of hs-CRP, TNF-α, UA, Hcy and sdLDL-C in the UAP group and AMI group were significantly higher than those off the SAP group, and the level of AMI group [(7.96±1.49) mg/L, (92.87±14.50) ng/L, (417.75±43.88) mol/L, (23.25±7.33) and mol/L (1.31±0.53) mmol/L] was significantly higher than that of UAP group [(6.15±0.97) mg/L, (73.88±9.27) ng/L, (393.63±68.29) mol/L, (19.67±7.26) mol/L and (1.08±0.44) mmol/L];Compared with mild group hs-CRP, TNF-α, UA, Hcy and sdLDL-C levels, the levels of the moderate group and severe group were significantly increased, and the level of severe group was significantly higher than that of moderate group. Conclusion: The levels of serum inflammatory factors, UA, Hcy and sdLDL-C in patients with coronary heart disease are significantly increased, and the detection of the levels has a great significance for the diagnosis of coronary heart disease and the assessment of the severity of coronary heart disease.
文摘目的探究精神分裂症患者脑部代谢激素同型半胱氨酸(homocysteine,HCY)、催乳素(prolactin,PRL)与认知功能的相关性,挖掘重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)联合奥氮平治疗该病的效果,以期解读脑部代谢激素与认知功能的影响机制,同时,挖掘rTMS联合奥氮平这种内外结合治疗方式来丰富该领域研究,为相关研究提供借鉴。方法选取2021年6月至2023年8月笔者医院治疗的128例精神分裂症患者资料进行回顾性分析,根据治疗方式的不同划分为观察组72例(rTMS联合奥氮平治疗)和对照组56例(奥氮平单药治疗)。分析两组患者血清HCY、PRL、阳性和阴性综合征量表(positive and negative syndrome scale,PANSS)、白细胞介素(interleukin,IL)-12,肿瘤坏死因子(tumor necrosis factor,TNF)-α及其相关性。比较两组患者不良反应发生率情况。结果治疗后,观察组PRL、HCY、IL-12、TNF-α水平低于对照组,差异有统计学意义(P<0.05)。交互作用、时点作用、组间作用下,两组患者的PANSS评分会因为不同治疗方式的时间推移而发生变化,但观察组均低于对照组,差异有统计学意义(P<0.05)。治疗方法与HCY、PRL、IL-12、TNF-α、PANSS均呈负相关,且HCY、PRL、IL–12、TNF–α、PANSS两两间为正相关(P<0.05)。观察组头痛、记忆受损、嗜睡、不良反应事件等发生率低于对照组,差异有统计学意义(P<0.05)。结论经rTMS联合奥氮平治疗后,可以降低精神分裂症患者HCY、PRL激素水平,减轻炎症,减少不良反应,改善患者认知功能。
文摘目的:分析血清淀粉酶(Amylase,AMY)、同型半胱氨酸(Homocysteine,Hcy)、D-二聚体(D-dimer,D-D)水平及联合检测对急性胰腺炎(Acutepancreatitis,AP)患者预后的预测价值。方法:选取2020年5月-2023年6月期间本院收治的AP患者为研究对象。根据患者治疗后的预后情况,将患者分为预后良好组(43例)及预后不良组(19例)。收集并对比两组的一般资料及血清AMY、Hcy、D-D水平。logistic回归模型分析影响AP患者预后的影响因素。分析血清各指标水平联合检测对AP预后的预测效能。结果:预后不良组入院时急性生理功能和慢性健康状况评分系统Ⅱ(Acute physiological function and Chronic health status score SystemⅡscore,APACHEⅡ)评分及血清Hcy、AMY、D-D水平均显著高于预后良好组(P<0.05)。Logistic回归分析显示,入院时血清Hcy、AMY、D-D及APACHEⅡ评分均为患者发生预后不良的危险因素(P<0.05)。入院时AMY、Hcy、D-D水平联合预测患者发生预后不良的曲线下面积(AUC)为0.879。结论:血清AMY、Hcy、D-D水平与AP患者预后密切相关,三者联合检测在患者预后评估中具有重要价值。