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The Cytoglobin Expression Under Hypoxic Conditions in Covid-19 Cases 低氧条件下新冠肺炎患者的细胞红蛋白表达
Q3 Medicine Pub Date : 2023-04-28 DOI: 10.2174/18753183-v13-230427-2023-2
Endah Wulandari, R. Ayu, Fitri Hapsari, Francisca A Tjakradidjaja, Auliyani Andam Suri
Cytoglobin (Cygb) is an oxygen transporter marker that appears in hypoxic conditions. The clinical condition of Corona Virus Disease 2019 (COVID-19) cases, in general is that patients experience hypoxemia with low oxygen saturation. The Cygb gene is stimulated by the Hypoxia-Inducible Factor-1alpha (HIF-1α) transcription factor, which is stable in hypoxia. This study investigates Cygb expression in hypoxic COVID-19 cases. The design of this research is analytically observational. Parameters measured were Cygb mRNA and protein levels, correlation of HIF-1α and Cygb proteins in COVID-19 patients with Alpha, Beta, Delta, Omicron variants and negative control patients. The results showed that each Cygb mRNA level decreased by 0.50, 0.92, 0.75 and 0.84 times that of the control. In contrast, Cygb protein levels (ng/mL) increased (16.95; 20.33; 21.20; 14.01 and 6.29 control). Strong negative correlation between mRNA and Cygb protein (R = -0.611). Strong positive correlation between HIF-1α and Cygb protein (R = 0.670). This study showed that Cygb mRNA expression decreased, further increasing Cygb protein; HIF-1α protein levels increased, further increasing Cygb protein. In COVID-19 patients (Alpha, Beta, Delta and Omicron variants), there is an increase in Cygb protein levels through stimulation of HIF-1α, which is stable under hypoxic conditions. The regulation of Cygb in this study has the potential to become the basis for handling cases of viral infections or other cases of hypoxia.
血红蛋白(Cygb)是一种在缺氧条件下出现的氧转运蛋白标志物。2019冠状病毒病(新冠肺炎)病例的临床情况通常是患者出现低氧血症和低氧饱和度低。Cygb基因受到缺氧诱导因子-1α(HIF-1α)转录因子的刺激,该转录因子在缺氧中是稳定的。本研究调查了缺氧新冠肺炎病例中Cygb的表达。这项研究的设计是分析观察性的。所测量的参数为新冠肺炎阿尔法、贝塔、德尔塔、奥密克戎变异株患者和阴性对照患者的Cygb mRNA和蛋白水平、HIF-1α和Cygb蛋白的相关性。结果表明,各Cygb mRNA水平分别是对照组的0.50、0.92、0.75和0.84倍。相反,Cygb蛋白水平(ng/mL)增加(16.95;20.33;21.20;14.01和6.29对照)。mRNA与Cygb蛋白呈强负相关(R=-0.611),HIF-1α与Cygb蛋白呈强正相关(R=0.670);HIF-1α蛋白水平升高,Cygb蛋白水平进一步升高。在新冠肺炎患者(阿尔法、贝塔、德尔塔和奥密克戎变异株)中,通过刺激HIF-1α,Cygb蛋白水平升高,HIF-1α在缺氧条件下稳定。本研究中Cygb的调节有可能成为处理病毒感染或其他缺氧病例的基础。
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引用次数: 0
microRNA-146a: A biomarker for Epileptogenesis, Epilepsy Prognosis, and Treatment Resistance microRNA-146a:癫痫发生、癫痫预后和治疗抵抗的生物标志物
Q3 Medicine Pub Date : 2022-12-26 DOI: 10.2174/18753183-v12-e221226-2022-11
Zachary O. Dent, Liam Chen
Recently more attention has been paid to identifying biomarkers for epilepsy to direct a more personalized treatment strategy, especially for patients who suffer from drug-resistant epilepsy which carries a much poorer prognosis. microRNA has emerged as an important and diverse type of biomarker that can participate in metabolic and cellular processes of the disease and, importantly, be detected in patient’s serum. In this short review, we compile state-of-the-art evidence regarding miRNA-146a, a novel biomarker that shows high potential for studying epileptogenesis, monitoring disease progression, evaluating treatment response, and may even functioning as a therapeutic target given its role in the process of neuroinflammation.
最近,人们越来越关注识别癫痫的生物标志物,以指导更个性化的治疗策略,尤其是对于预后差得多的耐药癫痫患者。微小RNA已成为一种重要而多样的生物标志物,可以参与疾病的代谢和细胞过程,重要的是,可以在患者血清中检测到。在这篇简短的综述中,我们汇编了关于miRNA-146a的最新证据,miRNA-146a是一种新的生物标志物,在研究癫痫发生、监测疾病进展、评估治疗反应方面显示出很高的潜力,鉴于其在神经炎症过程中的作用,甚至可能成为治疗靶点。
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引用次数: 0
Study of Gender-based Changes in P53 in Preeclampsia 子痫前期P53的性别变化研究
Q3 Medicine Pub Date : 2022-12-20 DOI: 10.2174/18753183-v12-e2209090
S. Kharb, S. Gaur, Aparna Khadelwal, Chetna Bhatotiya, S. Nanda
It aims to compare the levels of p53 in maternal and umbilical cord venous samples of healthy pregnant and preeclamptics. Preeclampsia is a leading cause of both maternal morbidity and neonatal mortality. The etiology and pathogenesis of preeclampsia are not yet fully understood. Apoptosis during pregnancy develops due to multiple different mechanisms. No studies are available in the literature documenting any association between fetal sex and p53 levels; also, the status of p53 in cord blood is unclear. Hence the study was designed to compare p53 levels in maternal and umbilical cord venous samples to study both maternal and fetal aspects of preeclampsia. The present study was conducted in 30 normotensive, primigravida women and 30 primigravida preeclamptics (age and gestation matched) with a singleton pregnancy. Serum p53 analysis was carried out in maternal serum and cord blood by solid phase sandwich enzyme-linked immunosorbent assay (Elisa kit). In the present study, maternal and cord p53 levels in preeclamptics were higher. The cord blood p53 levels were significantly higher in preeclamptic mothers with female babies than in preeclamptic mothers with male babies. These findings indicate a definitive role of apoptosis in the pathogenesis of preeclampsia and may be useful in diagnosing patients with preeclampsia and identifying future natal, perinatal and maternal risks. Demonstrating these gender-based changes in p53 levels suggests an active contribution of the placenta in metabolism during pregnancy.
其目的是比较健康孕妇和先兆子痫患者的母体和脐带静脉样本中p53的水平。先兆子痫是孕产妇发病率和新生儿死亡率的主要原因。子痫前期的病因和发病机制尚不完全清楚。妊娠期细胞凋亡是由多种不同的机制引起的。文献中没有任何研究记录胎儿性别与p53水平之间的任何关联;此外,脐带血中p53的状态尚不清楚。因此,本研究旨在比较母体和脐带静脉样本中的p53水平,以研究先兆子痫的母体和胎儿方面。本研究对30名血压正常的初产妇和30名单胎妊娠的初产妇(年龄和妊娠匹配)进行了研究。采用固相夹心酶联免疫吸附法(Elisa试剂盒)对孕妇血清和脐血中的血清p53进行分析。在本研究中,先兆子痫患者的母体和脐带p53水平较高。有女性婴儿的先兆子痫母亲的脐带血p53水平显著高于有男性婴儿的先兆流产母亲。这些发现表明了细胞凋亡在先兆子痫发病机制中的决定性作用,并可能有助于诊断先兆子痫患者和确定未来的出生、围产期和母体风险。证明这些基于性别的p53水平变化表明胎盘在妊娠期间对代谢有积极作用。
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引用次数: 1
A Mini-review on the Effects of (Carbon) Nanoparticles and Oxidative Stress in Animals 纳米碳对动物氧化应激的影响
Q3 Medicine Pub Date : 2022-10-31 DOI: 10.2174/18753183-v12-e2209260
Rosalin Priyadarshini Jena, Swayam Sriyanka, Rutuparna Dash, B. Paital
The carbon family nanoparticles are less reviewed for their impact on organisms associated with oxidative stress physiology. This review was carried out after collecting literature on the above topic from various sources, including PubMed and Google Scholar. The carbon family nanoparticles have tissue-specific impacts on various organisms, which are evident at the molecular level. The carbon nanoparticles and molecules of its family need to be very judiciously released as waste to the environment as they may impart toxic effects on organisms.
碳族纳米颗粒对氧化应激生理相关生物体的影响较少。本综述是在收集了包括PubMed和谷歌Scholar在内的各种来源的关于上述主题的文献后进行的。碳族纳米颗粒对各种生物体具有组织特异性影响,这在分子水平上是显而易见的。碳纳米颗粒及其家族分子需要非常审慎地作为废物释放到环境中,因为它们可能对生物体产生毒性作用。
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引用次数: 1
Diagnostic Accuracy of Red Cell Distribution Width to Platelet Ratio for Detection of Liver Fibrosis Compared with Fibroscan in Chronic Hepatitis B Egyptian patients 红细胞分布宽度与血小板比在埃及慢性乙型肝炎患者肝纤维化诊断中的准确性与纤维扫描的比较
Q3 Medicine Pub Date : 2022-10-12 DOI: 10.2174/18753183-v12-e2208150
Amira Kamal Gabr, N. Hawash, S. Abd-Elsalam, R. Badawi, Hanan H Soliman
The decision to treat chronic hepatitis B Virus infection (CHB) may necessitate an assessment of the degree of liver fibrosis. Guidelines recommend Fibroscan examination in such cases. However, it is costly and not widely available. Red cell distribution width (RDW) and platelet count are simple parameters obtained from the blood pictures; and their ratio RDW to platelet ratio (RPR) was claimed to correlate with liver fibrosis. We aimed to assess the ability of RPR to replace the costly fibroscan in the detection of significant fibrosis in chronic hepatitis B patients. This cross-sectional study was conducted in the Tropical medicine department, Tanta University, Egypt, between December 2018 and September 2019. One hundred and twenty-five patients with CHB were included and divided according to the fibroscan examination into: Group I: patients with no significant fibrosis (n=66), Group II: patients with significant (≥ F2) fibrosis (n=59). RPR was calculated for all patients and tested against Fibroscan results. Both groups were matched in regards to age, sex, viral load, and steatosis. There was a significant positive correlation between the degree of stiffness measured by FibroScan in patients with a significant degree of fibrosis and serum bilirubin, a quantitative polymerase chain reaction of hepatitis B virus DNA (HBV DNA PCR), and fibrosis-4 score (FIB-4 score) (P value= 0.020, 0.049, and 0.0402, respectively). However, RPR was not correlated to the degree of fibrosis in fibroscan examination. The accuracy of RDW to platelet ratio (RPR) for the detection of fibrosis in CHB patients is questionable. FIB-4 is correlated with liver stiffness measurement (LSM) in patients with significant fibrosis (F2 or more). Neither RPR, AST to Platelet Ratio Index (APRI) or FIB4 can replace fibroscan for grading of fibrosis in CHB patients for evaluation to start therapy.
决定治疗慢性乙型肝炎病毒感染(CHB)可能需要评估肝纤维化的程度。指南建议在这种情况下进行纤维扫描检查。然而,它成本高昂,而且没有广泛使用。红细胞分布宽度(RDW)和血小板计数是从血液图片中获得的简单参数;并且它们的RDW与血小板比率(RPR)被认为与肝纤维化相关。我们的目的是评估RPR取代昂贵的纤维扫描检测慢性乙型肝炎患者显著纤维化的能力。这项横断面研究于2018年12月至2019年9月在埃及坦塔大学热带医学系进行。125例慢性乙型肝炎患者被纳入,并根据纤维扫描检查分为:第一组:无明显纤维化的患者(n=66),第二组:有明显(≥F2)纤维化的病人(n=59)。计算所有患者的RPR,并对照Fibroscan结果进行测试。两组在年龄、性别、病毒载量和脂肪变性方面匹配。在具有显著纤维化程度的患者中,通过FibroScan测量的硬度与血清胆红素、乙型肝炎病毒DNA的定量聚合酶链式反应(HBV DNA PCR)和纤维化-4评分(FIB-4评分)之间存在显著的正相关(P值分别为0.020、0.049和0.0402)。然而,在纤维扫描检查中,RPR与纤维化程度无关。RDW与血小板比值(RPR)检测慢性乙型肝炎患者纤维化的准确性值得怀疑。FIB-4与具有显著纤维化(F2或以上)的患者的肝硬度测量(LSM)相关。RPR、AST与血小板比值指数(APRI)或FIB4都不能取代纤维扫描来对慢性乙型肝炎患者的纤维化进行分级,以评估开始治疗。
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引用次数: 0
Association between Survivin rs9904341 Polymorphisms and Susceptibility to Acne Vulgaris Survivin rs9904341多态性与寻常性痤疮易感性的关系
Q3 Medicine Pub Date : 2022-10-06 DOI: 10.2174/18753183-v12-e2208050
S. El-Beah, E. Elmansoury, M. Alghobary, Manal M. El-Desoky
Acne vulgaris (AV), common dermatopathology, has a complex etiopathogenesis with a genetic background. The Survivin gene, which encodes an inhibitor of apoptosis protein, has been linked to some dermatologic disorders. The relationship between Survivin gene polymorphisms and AV has not yet been explored. To study the effect of survivin gene polymorphism rs9904341 and survivin serum concentration on the development of AV in Egyptian patients. Serum survivin was estimated using an enzyme-linked immunosorbent assay. Real-time quantitative PCR using allelic discrimination probes was conducted to investigate the rs9904341 polymorphism in the survivin gene in 118 AV patients and 120 healthy controls. The serum survivin levels were significantly higher in AV patients than controls. Also, it was positively correlated with acne severity. The C allele was significantly more observed in acne patients compared to healthy controls. Patients with the C allele had 1.6 times higher odds of exhibiting acne than those with the G allele. The C/C genotype was significantly more observed in cases versus controls. Patients with the C/C genotype had 2.8 times higher odds of exhibiting acne as compared to those with the G/G genotype. However, no significant association was found between genotype distribution and grades of acne severity. Results showed significant associations between survivin gene rs9904341 genotypes and AV susceptibility, although it was not related to acne severity and could not be used as a marker of disease activity. AV: Acne vulgaris, GAGS: Global Acne Rating System, SNPs: Single nucleotide polymorphisms.
寻常痤疮(AV)是一种常见的皮肤病,具有复杂的发病机制和遗传背景。Survivin基因编码一种细胞凋亡蛋白抑制剂,与一些皮肤病有关。Survivin基因多态性与AV的关系尚不清楚。目的研究survivin基因多态性rs9904341及survivin血清浓度对埃及人AV发病的影响。使用酶联免疫吸附试验估计血清存活素。采用实时荧光定量PCR检测了118例AV患者和120例健康对照者的survivin基因rs9904341多态性。AV患者血清survivin水平明显高于对照组。此外,它与痤疮严重程度呈正相关。与健康对照组相比,痤疮患者的C等位基因明显更多。携带C等位基因的患者出现痤疮的几率是携带G等位基因的患者的1.6倍。C/C基因型在病例中明显多于对照组。C/C基因型患者出现痤疮的几率是G/G基因型患者的2.8倍。然而,没有发现基因型分布和痤疮严重程度之间的显著关联。结果显示,survivin基因rs9904341基因型与AV易感性之间存在显著相关性,但与痤疮严重程度无关,也不能作为疾病活动性的标志。AV:寻常痤疮,GAGS:全球痤疮评级系统,SNPs:单核苷酸多态性。
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引用次数: 0
Bibliometric and Semantic Analysis of the Global Research on Biomarkers in Personalized Medicine 全球个性化医学生物标志物研究的文献计量和语义分析
Q3 Medicine Pub Date : 2022-09-26 DOI: 10.2174/18753183-v12-e220926-2022-3
Aida Khakimova, F. Rahim, O. Zolotarev
The aims of the research were to study the citation history of popular articles in the field of biomarkers in personalized medicine, to study the use of terms in the sections of articles, and to consider the key terminology of the most-cited articles and its visualization. The article describes approaches to the analysis of publication activity in the field of biomarkers and personalized medicine based on the data from the Web of Science. The aim of this study is a bibliometric and semantic analysis of the investigation field related to the application of biomarkers for the purposes of personalized medicine. The evaluation of a number of publications and its’ citations was carried out. The key terms extracted from the most-cited articles were divided into thematic groups. The number of citations of the most popular articles since 2011 was estimated. The citation histories of the top ten articles were considered. Analysis of key terms from different parts of the most-cited articles included statistics and thematic ranking. The comparison of key terms from the most-cited article and the citing articles allowed us to show that the key terminology of the cited article extends to the citing articles. We presented the key terms of the most-cited articles as a terminological map. The study of citation of the articles in the field of personalized medicine and biomarkers was based on a survey on the Web of Science. Based on the analysis of a number of citations the trends and citation histories were constructed. The statistical and thematic analysis of the use of keywords in different sections of articles was done. We have shown that the citing articles spread the key terms of the cited article to identify trends in knowledge development which could be presented as a terminological map. We presented the results in the form of a terminological map of the latest developments in the field of biomarkers in personalized medicine based on proposed principles.
该研究的目的是研究个性化医学中生物标志物领域流行文章的引用历史,研究文章章节中术语的使用,并考虑被引用最多文章的关键术语及其可视化。本文描述了基于科学网络数据分析生物标志物和个性化医学领域出版活动的方法。本研究的目的是对生物标志物在个性化医学中的应用相关的研究领域进行文献计量和语义分析。对一些出版物及其引文进行了评估。从引用次数最多的文章中提取的关键术语被分为专题组。估计了自2011年以来最受欢迎的文章的引用次数。考虑了前十篇文章的引文历史。对被引用最多文章不同部分的关键术语的分析包括统计数据和主题排名。将引用次数最多的文章和引用文章中的关键术语进行比较,可以表明引用文章的关键术语延伸到引用文章。我们将被引用最多的文章中的关键术语作为术语图。个性化医学和生物标志物领域文章的引用研究是基于科学网络上的一项调查。在分析大量引文的基础上,构建了引文趋势和引文历史。对文章不同章节中关键词的使用进行了统计和专题分析。我们已经表明,引用的文章传播了引用文章的关键术语,以确定知识发展的趋势,这可以作为术语图来呈现。我们根据提出的原则,以个性化医学中生物标志物领域最新发展的术语图的形式展示了结果。
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引用次数: 0
AIMS65 and PALBI Scores as Predictors of Six Months’ Mortality in Cirrhotic Patients with Acute Variceal Bleeding AIMS65和PALBI评分作为肝硬化急性静脉曲张出血患者6个月死亡率的预测指标
Q3 Medicine Pub Date : 2022-09-21 DOI: 10.2174/18753183-v12-e2207040
M. Elhendawy, A. Eldesouky, S. Soliman, Loai Mansour, S. Abd-Elsalam, N. Hawash
Bleeding gastroesophageal varices are a cause of high mortality among cirrhotic patients. We aimed to investigate late mortality predictors and prognostic models using easily verified factors at admission in cirrhotic patients with acute variceal bleeding (AVB). Between January 2020 and June 2020, 142 patients with AVB from Tanta university hospital were included. Investigating multiple prognostic models was done using multiple logistic regression after identifying significant predictors of 6 months' mortality. Mortality prediction accuracy was assessed with area under the receiver operating characteristic (AUROC) curve. The 6 months’ overall mortality rate was 31% (44 patients had died). AIMS56, Child-Turcotte-Pugh (CTP) grade C and MELD scores were significantly higher among non survivors (p<0.001) while Platelet-albumin-bilirubin (PALBI) was significantly more negative among survivors (P=0.001). Hepatocellular carcinoma was not significantly related to the mortality (p =0.364). Univariate analysis showed that high CTP, MELD, AIMS65 and PALBI scores were predictors of mortality and associated with decreased survival with high sensitivity and low specificity; while multivariate analysis showed that only AIMS56 was independently associated with mortality (p 0.004). CTP, MELD, AIMS65 and PALBI scores are simple, bed side risk scores that can be used for the prediction of 6 months’ mortality after AVB in cirrhotic patients with high sensitivities and lower specificities.
胃食管静脉曲张出血是肝硬化患者高死亡率的原因之一。我们旨在研究肝硬化急性静脉曲张破裂出血(AVB)患者入院时使用易于验证的因素的晚期死亡率预测因素和预后模型。在2020年1月至2020年6月期间,坦塔大学医院的142名AVB患者被纳入其中。在确定了6个月死亡率的重要预测因素后,使用多元逻辑回归研究了多种预后模型。死亡率预测的准确性通过受试者操作特征下面积(AUROC)曲线进行评估。6个月的总死亡率为31%(44名患者死亡)。AIMS56、Child-Turcotte-Pugh(CTP)C级和MELD评分在非幸存者中显著较高(p<0.001),而血小板白蛋白-胆红素(PALBI)在幸存者中显著更负(p=0.001),AIMS65和PALBI评分是死亡率的预测指标,与生存率下降相关,具有高灵敏度和低特异性;而多变量分析显示,只有AIMS56与死亡率独立相关(p 0.004)。CTP、MELD、AIMS65和PALBI评分是简单的床侧风险评分,可用于预测肝硬化患者AVB后6个月的死亡率,具有较高的敏感性和较低的特异性。
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引用次数: 0
MCP1, CRP and Procalcitonin as Novel Diagnostic Markers in Cirrhotic Patients with Spontaneous Bacterial Peritonitis MCP1、CRP和降钙素原作为肝硬化自发性细菌性腹膜炎的新诊断指标
Q3 Medicine Pub Date : 2022-08-23 DOI: 10.2174/18753183-v12-e2206270
A. Mohamed, Wafaa Salah, Mohamed B Hassan, Hala H. Eldeeb, A. Adaroas, R. Khattab, Heba M. Abostate, M. Y. Soliman, E. Habba, S. Abd-Elsalam, Y. Abo-Amer
The aim of the study was to evaluate serum c-reactive protein (CRP), ascitic procalcitonin (PCT) and monocyte chemotactic protein-1 (MCP-1) in the diagnosis of spontaneous bacterial peritonitis (SBP) in cirrhotic patients. A cross-sectional analytic study that included 199 patients with decompensated cirrhosis (101 with SBP and 98 without SBP). Patients were classified according to Child-Pugh criteria. Ascitic PCT and MCP-1 were measured by enzyme-linked immunosorbent assay. Serum CRP, liver and renal functions were assessed. Three markers are significantly elevated in SBP patients than those without ascites. Using the ROC curve at AUC 0.883 and a cut-off value of >186 ng/ml, the diagnostic performance of ascitic MCP-1 level was higher than CRP (AUC 0.562) and ascitic fluid procalcitonin (AUC 0.751) in the diagnosis of SBP. The sensitivity and specificity were 86.15% and 79.59% at the cutoff of 186 ng/ml for MCP-1, 65.4 and 75.5 at ≥ 1 ng/ml for PCT, and 52.5 and 64.3, respectively for at 11.2 mg/dl CRP. Ascitic MCP-1 has a better diagnostic value with higher sensitivity and specificity in diagnosis SBP compared to CRP and procalcitonin which has higher diagnostic accuracy than CRP. Further studies with a large number will be necessary to evaluate the usefulness of these markers in diagnosis, follow-up and relation to morbidity and mortality of SBP patients.
本研究旨在评估血清c-反应蛋白(CRP)、腹水降钙素原(PCT)和单核细胞趋化蛋白-1(MCP-1)在肝硬化患者自发性细菌性腹膜炎(SBP)诊断中的作用。一项横断面分析研究,包括199名失代偿期肝硬化患者(101名患有SBP,98名无SBP)。根据Child-Pugh标准对患者进行分类。采用酶联免疫吸附法测定腹水PCT和MCP-1。评估血清CRP、肝肾功能。SBP患者的三种标志物显著高于无腹水患者。使用AUC为0.883且临界值>186 ng/ml的ROC曲线,腹水MCP-1水平在SBP诊断中的诊断性能高于CRP(AUC 0.562)和腹水降钙素原(AUC 0.751)。MCP-1的敏感性和特异性在186 ng/ml时分别为86.15%和79.59%,PCT≥1 ng/ml时为65.4和75.5,CRP为11.2 mg/dl时分别为52.5和64.3。与CRP和降钙素原相比,腹水MCP-1具有更好的诊断价值,在诊断SBP方面具有更高的敏感性和特异性,后者的诊断准确性高于CRP。有必要进行大量的进一步研究,以评估这些标志物在SBP患者的诊断、随访以及与发病率和死亡率的关系中的有用性。
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引用次数: 0
Insulin Sensitivity / Insulin Resistance as Predictors of Esophageal Varices in Post Chronic Hepatitis C Virus Patients 胰岛素敏感性/胰岛素抵抗作为慢性丙型肝炎后食管静脉曲张的预测指标
Q3 Medicine Pub Date : 2022-05-31 DOI: 10.2174/18753183-v12-e2204040
R. Badawi, M. Watany, Hala Moustafa Elsabagh, W. ElKhalawany
Screening of Esophageal Varices (EV) in liver cirrhosis is highly recommended in all consensus reports. The standard screening procedure is endoscopy. Insulin resistance (IR) and the quantitative insulin sensitivity check index (QUICKI) are reliable predictors of portal hypertension. The study aimed to assess and compare the validity of insulin sensitivity/insulin resistance markers and other non-invasive markers for the detection of EVs in post chronic hepatitis C virus cirrhotic patients. In this cross-sectional study, 76 patients were screened by esophagogastroduodenoscopy and abdominal ultrasonography. Estimation of fasting serum insulin by ELISA technique was carried out. Homeostasis model assessment of insulin resistance (HOMA-IR) and QUICKI was performed. The patients with an advanced grade of EV had higher insulin resistance and lower QUICKI. A cut-off value of HOMA-IR ≥ 3.4 could significantly predict EVs with 72% sensitivity and 80.0% specificity. Spleen diameter and platelet count/spleen diameter ratio (PC/SD) showed a significant difference among groups. Lower insulin sensitivity (assessed by QUICKI) and higher insulin resistance (assessed by HOMA IR) were good non-invasive predictors of EVs. In addition, portal vein (PV) diameter, spleen diameter, and PC/SD were also found as predictors of EVs.
所有共识报告都强烈建议筛查肝硬化患者的食管静脉曲张(EV)。标准的筛查程序是内窥镜检查。胰岛素抵抗(IR)和定量胰岛素敏感性检查指数(QUICKI)是门静脉高压的可靠预测指标。该研究旨在评估和比较胰岛素敏感性/胰岛素抵抗标志物和其他非侵入性标志物在慢性丙型肝炎病毒后肝硬化患者中检测EVs的有效性。在这项横断面研究中,76名患者接受了食管胃十二指肠镜和腹部超声检查。采用ELISA法测定空腹血清胰岛素。进行胰岛素抵抗稳态模型评估(HOMA-IR)和QUICKI。EV晚期患者胰岛素抵抗较高,QUICKI较低。HOMA-IR的临界值≥3.4可显著预测EVs,敏感性为72%,特异性为80.0%。脾脏直径和血小板计数/脾脏直径比(PC/SD)在各组之间有显著差异。较低的胰岛素敏感性(通过QUICKI评估)和较高的胰岛素抵抗(通过HOMA IR评估)是EVs的良好非侵入性预测因素。此外,门静脉(PV)直径、脾脏直径和PC/SD也被发现是EVs的预测因素。
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引用次数: 1
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Open Biomarkers Journal
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