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. Significance of Plasma TGF-β1 Level Detection in Patients with T2DM with Heart Failure .检测 T2DM 合并心衰患者血浆 TGF-β1 水平的意义
Pub Date : 2024-06-13 DOI: 10.5937/jomb0-47321
Yunjing Sun
Abstracts: Objective: To examine the significance of plasma Transforming Growth Factor-1/TGF-1 (TGF-1) level testing in patients with Type 2 Diabetes Mellitus (T2DM) and heart failure. Methods: A sample of T2DM patients who were hospitalised for dyspnea between June 2021 and June 2023 were chosen. Based on the convenience sample approach, 150 cases were screened for the study, and 50 healthy non-diabetic people without cardiac problems who completed physical examinations over the same period were included as a control group. All study participants had their serum NT-proBNP and plasma TGF-I levels checked, and the values between the two groups were compared. Then, the patients with T2DM with heart failure were grouped according to whether they were accompanied by heart failure or not and the grading of cardiac function, and then the serum NT-proBNP and plasma TGF-β1 levels were compared between the different groups of patients. The diagnostic value of plasma TGF-β1 in the occurrence of heart failure in patients with T2DM was analysed. Results: There were 54 patients without heart failure and 96 people with heart failure among the 150 T2DM patients. The cut-off point was 44.50 g/L. At this time, the sensitivity and specificity for the diagnosis of concomitant heart failure in T2DM were 79.63% and 52.51%, respectively. 96 individuals with T2DM and heart failure showed greater serum and plasma levels of NT-proBNP and TGF-1 compared to the other two groups (P 0.05). ProBNP levels and plasma TGF-1 levels had a positive and significant relationship (P 0.05). Conclusion: Plasma TGF-1 levels were much higher in T2DM patients than in the general population, and the increase in this index was more pronounced in patients who also had heart failure, which is a diagnostic indicator for T2DM and heart failure.
摘要目的研究血浆转化生长因子-1/TGF-1(TGF-1)水平检测在 2 型糖尿病(T2DM)合并心力衰竭患者中的意义。检测方法选取 2021 年 6 月至 2023 年 6 月期间因呼吸困难住院的 T2DM 患者为样本。根据方便抽样法,筛选出 150 个病例作为研究对象,并将同期完成体检的 50 名无心脏问题的健康非糖尿病患者作为对照组。所有研究人员均检测了血清 NT-proBNP 和血浆 TGF-I 水平,并比较了两组之间的数值。然后,根据 T2DM 并发心力衰竭患者是否伴有心力衰竭以及心功能分级进行分组,然后比较不同组患者的血清 NT-proBNP 和血浆 TGF-β1 水平。分析血浆 TGF-β1 对 T2DM 患者发生心衰的诊断价值。结果显示在 150 名 T2DM 患者中,54 人无心力衰竭,96 人有心力衰竭。分界点为 44.50 g/L。此时,诊断 T2DM 并发心衰的敏感性和特异性分别为 79.63% 和 52.51%。与其他两组相比,96 名 T2DM 合并心衰患者的血清和血浆中 NT-proBNP 和 TGF-1 水平更高(P 0.05)。ProBNP 水平与血浆 TGF-1 水平呈显著正相关(P 0.05)。结论T2DM患者的血浆TGF-1水平远高于普通人群,且该指标在同时患有心力衰竭的患者中增加更为明显,而心力衰竭是T2DM和心力衰竭的诊断指标。
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引用次数: 0
- Effects of Individualized Comprehensive Nutritional Support on Inflammatory Markers, serum amylase (AMS), prealbumin (PA), albumin (ALB), calcium ion (Ca2+) in Patients with Severe Pancreatitis - 个性化综合营养支持对重症胰腺炎患者炎症指标、血清淀粉酶 (AMS)、前白蛋白 (PA)、白蛋白 (ALB) 和钙离子 (Ca2+) 的影响
Pub Date : 2024-06-09 DOI: 10.5937/jomb0-48944
Wei Meng
Objective: To study the effectiveness of individualized comprehensive nutritional support on inflammatory markers, serum amylase (AMS), prealbumin (PA), albumin (ALB), calcium ion (Ca2+) in patients with severe acute pancreatitis (SAP). Methods: 102 participants with SAP treated in our hospital were chosen as the study objects. The participants were randomly split into control group and observation group, and both groups were given routine treatment. Observation group received individualized comprehensive nutrition support additionally. The inflammatory indexes, biochemical indexes and symptom improvement time were observed and analyzed on the day of admission, intervention 1d, intervention 3d, intervention 7d and intervention 14d. Results: Among the 102 patients included in this study, 3 cases had sudden exacerbation during the intervention, 1 case had clinical data missing >10%, and 1 case voluntarily withdrew due to personal factors, all of which were eliminated. Finally, the effective data of 97 patients were recovered. There were significant differences in the hypersensitive C-reactive protein (hs-CRP), white blood cell count (WBC), procalcitonin (PCT) and interleukin1β (IL-1β) between the two groups. The inter-group, time and interaction differences of AMS, PA, ALB and Ca2+ levels were significant different. The recovery time of abdominal pain, bowel sound, blood amylase level and urine amylase level in observation group was inferior to control group, and the differences were statistically significant (P<0.05). Conclusion: Individualized comprehensive nutritional support is more conducive to the improvement of inflammatory indexes in SAP patients, and can accelerate the symptom relief and promote the recovery of nutritional status.
目的研究个体化综合营养支持对重症急性胰腺炎(SAP)患者炎症指标、血清淀粉酶(AMS)、前白蛋白(PA)、白蛋白(ALB)、钙离子(Ca2+)的影响。方法:选取在我院接受治疗的 102 名重症急性胰腺炎患者作为研究对象。随机分为对照组和观察组,两组均给予常规治疗。观察组额外接受个体化综合营养支持。观察并分析入院当天、干预 1d、干预 3d、干预 7d 和干预 14d 的炎症指标、生化指标和症状改善时间。研究结果在纳入本次研究的 102 例患者中,有 3 例患者在干预过程中病情突然加重,1 例患者临床数据缺失>10%,1 例患者因个人因素主动退出,所有这些患者均被剔除。最终,97 例患者的有效数据得以恢复。两组患者的超敏 C 反应蛋白(hs-CRP)、白细胞计数(WBC)、降钙素原(PCT)和白细胞介素 1β(IL-1β)均有明显差异。AMS、PA、ALB和Ca2+水平的组间差异、时间差异和交互作用差异均有显著性。观察组腹痛、肠鸣音、血淀粉酶水平和尿淀粉酶水平的恢复时间均劣于对照组,差异有统计学意义(P<0.05)。结论个体化综合营养支持更有利于SAP患者炎症指标的改善,可加快症状缓解,促进营养状况恢复。
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引用次数: 0
Association between Cerebral Small Vessel Disease and Plasma Levels of LDL Cholesterol and Homocysteine: Implications for Cognitive Function 脑小血管疾病与血浆中低密度脂蛋白胆固醇和同型半胱氨酸水平的关系:对认知功能的影响
Pub Date : 2024-06-08 DOI: 10.5937/jomb0-50100
Yan Cheng, Lichao Li, Yafei Lv, Long Zhang, Wenhua Chen, Gongda Xu
Background: Investigate the correlation between low-density lipoprotein (LDL) cholesterol, homocysteine and cognitive function in patients with cerebral small vessel disease (CSVD). Methods: 240 patients with CSVD confirmed by head MRI in the Department of Neurology from January 2020 to December 2023 were retrospectively included in the study. All the patients had complete blood biochemical examination, and their cognitive function was evaluated by Montreal Cognitive Assessment Scale (MoCA), and after correcting for the factor of years of education, the patients were divided into a group of normal cognition (MoCA ≥26, 70 patients) and a group of cognitive function (MoCA ≥26, 70 patients) according to the scores. After correcting for the factor of years of education, the patients were divided into the normal cognitive function group (70 cases with MoCA ≥26) and the cognitive dysfunction group (170 cases with MoCA <26) according to their scores. The general information of the two groups and the patients' cognitive function characteristics, including visuospatial and executive ability, naming, attention and calculation, language, abstraction, delayed memory, and orientation, were compared, and the independent influences on the occurrence of cognitive dysfunction in patients with CSVD were analyzed by two-category multifactorial logistic regression. Results: Compared with the group with normal cognitive function, the cognitive dysfunction group had lower years of education and higher homocysteine, and the differences were statistically significant (P < 0.05). Compared with the group with normal cognitive functioning, the cognitive dysfunction group had lower MoCA total scores, lower visuospatial and executive ability, naming, attention and calculation, language, abstraction, delayed memory, and orientation scores, and the differences were statistically significant (P < 0.05). Two-category multifactorial logistic regression analysis showed that low-density lipoprotein cholesterol (OR=2.756, 95% CI:0.673-0.938, P=0.012) and homocysteine (OR=1.859, 95% CI: 1.024-1.324, P=0.016) were the independent factors influencing cognitive dysfunction in CSVD patients. The lower the risk of cognitive impairment in CSVD patients, the higher the plasma LDL cholesterol and homocysteine levels, the higher the risk of cognitive impairment in CSVD patients. Conclusion: Plasma LDL cholesterol and homocysteine levels are associated with and may be predictors of cognitive dysfunction in patients with CSVD.
背景:研究脑小血管病(CSVD)患者低密度脂蛋白(LDL)胆固醇、同型半胱氨酸和认知功能之间的相关性。方法:回顾性纳入2020年1月至2023年12月期间神经内科经头部磁共振成像确诊的240例CSVD患者。所有患者均进行完整的血液生化检查,并采用蒙特利尔认知评估量表(MoCA)对患者的认知功能进行评估,在校正受教育年限因素后,根据评分将患者分为认知正常组(MoCA≥26分,70例)和认知功能障碍组(MoCA≥26分,70例)。校正受教育年限因素后,根据得分将患者分为认知功能正常组(70 例,MoCA ≥26)和认知功能障碍组(170 例,MoCA <26)。比较两组患者的一般资料和认知功能特点,包括视觉空间和执行能力、命名、注意和计算、语言、抽象、延迟记忆和定向力,并采用两类多因素逻辑回归分析 CSVD 患者认知功能障碍发生的独立影响因素。结果显示与认知功能正常组相比,认知功能障碍组受教育年限较低,同型半胱氨酸较高,差异有统计学意义(P < 0.05)。与认知功能正常组相比,认知功能障碍组的MoCA总分较低,视觉空间和执行能力、命名、注意和计算、语言、抽象、延迟记忆和定向力得分较低,差异有统计学意义(P < 0.05)。两类多因素逻辑回归分析显示,低密度脂蛋白胆固醇(OR=2.756,95% CI:0.673-0.938,P=0.012)和同型半胱氨酸(OR=1.859,95% CI:1.024-1.324,P=0.016)是影响 CSVD 患者认知功能障碍的独立因素。CSVD 患者认知功能障碍的风险越低,血浆低密度脂蛋白胆固醇和同型半胱氨酸水平越高,CSVD 患者认知功能障碍的风险越高。结论血浆低密度脂蛋白胆固醇和同型半胱氨酸水平与 CSVD 患者认知功能障碍有关,并且可能是其预测因素。
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引用次数: 0
Association between Matrix Metalloproteinase-3 Gene Polymorphism and Susceptibility to Chronic Periodontitis: A systematic review and meta-analysis 基质金属蛋白酶-3 基因多态性与慢性牙周炎易感性之间的关系:系统回顾和荟萃分析
Pub Date : 2024-06-08 DOI: 10.5937/jomb0-49044
Ankang Hu, Xin Wang, Lisi Ai, Kun Liu, Lingxue Kong
Background: This study aimed to explore the correlation between the MMP-3 1171 5A/6A gene polymorphism and susceptibility to Chronic Periodontitis (CP). Methods: Following the PRISMA guidelines, a systematic search was conducted across four electronic databases (PubMed, Embase, Web of Science, and Cochrane Library) without any time or language limitations. The selection criteria included case-control studies examining the association between the MMP-3 gene polymorphism and CP. The data were independently extracted and cross-checked by two reviewers. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of the studies. Statistical heterogeneity and publication bias were assessed. Results: Five studies, published between 2004 and 2019, met the inclusion criteria for the meta-analysis. No significant association was observed between MMP-3 gene polymorphism and CP susceptibility across all subjects in the four gene models. However, subgroup analysis revealed significant differences based on genotyping methods and smoking habits. Using PCR-RFLP genotyping method, the allele and additive models showed a positive correlation with the risk of CP (5A vs 6A, OR=1.12, 95%CI (1.02~1.23); 5A5A vs 6A6A, OR=2.85, 95%CI (1.61~4.86)). In contrast, using Sanger sequencing method, the 5A mutation appeared to reduce CP susceptibility (5A vs 6A, OR=0.77, 95%CI (0.67~0.87); 5A5A vs 6A6A, OR=0.20, 95%CI (0.09~0.42)). Moreover, smoking habits appeared to modulate the risk. Among smokers, the 5A mutation increased susceptibility to CP, while among non-smokers it decreased. Conclusions: While no significant correlation was found in the overall population, the stratified analysis revealed nuanced relationships contingent on genotyping methods and smoking habits.
研究背景本研究旨在探讨 MMP-3 1171 5A/6A 基因多态性与慢性牙周炎(CP)易感性之间的相关性。研究方法按照 PRISMA 指南,在四个电子数据库(PubMed、Embase、Web of Science 和 Cochrane Library)中进行了系统检索,没有任何时间或语言限制。选择标准包括研究 MMP-3 基因多态性与 CP 之间关系的病例对照研究。数据由两名审稿人独立提取和交叉核对。采用纽卡斯尔-渥太华量表(NOS)评估研究质量。评估了统计异质性和发表偏倚。研究结果2004年至2019年期间发表的五项研究符合荟萃分析的纳入标准。在四个基因模型中,所有受试者的 MMP-3 基因多态性与 CP 易感性之间均未发现明显关联。不过,亚组分析显示,不同基因分型方法和吸烟习惯的受试者之间存在显著差异。采用 PCR-RFLP 基因分型方法,等位基因和加性模型与 CP 风险呈正相关(5A vs 6A,OR=1.12,95%CI (1.02~1.23);5A5A vs 6A6A,OR=2.85,95%CI (1.61~4.86))。相比之下,使用 Sanger 测序方法,5A 突变似乎降低了 CP 易感性(5A vs 6A,OR=0.77,95%CI (0.67~0.87);5A5A vs 6A6A,OR=0.20,95%CI (0.09~0.42))。此外,吸烟习惯似乎也能调节风险。在吸烟者中,5A 突变增加了对 CP 的易感性,而在非吸烟者中则降低了易感性。结论:虽然在总体人群中没有发现明显的相关性,但分层分析显示了与基因分型方法和吸烟习惯有关的细微关系。
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引用次数: 0
Impact of an air bubble within the syringe on test results obtained with a modern blood gas analyzer 注射器内的气泡对现代血气分析仪测试结果的影响
Pub Date : 2024-05-21 DOI: 10.5937/jomb0-49870
G. Lippi, L. Pighi, G. Salvagno, Roberta Ferraro, Giovanni Celegon, B. Henry
Background. Minimizing air aspiration by carefully filling blood gas syringes is crucial to prevent air contamination from causing undesirable variations in gasses and other molecules. While some previous studies investigated this aspect, these are now outdated and only analyzed a limited number of blood gas parameters. Thus, we investigated the effects air contamination in the syringe using a modern blood gas analyzer. Methods. We sampled venous blood from 17 laboratory workers (mean age: 46±11 years; 10 women), filling two consecutive blood gas syringes. The first was filled exactly to its nominal volume (i.e., 1.0 mL), while the second was filled with 0.8 mL of blood and 0.2 mL of ambient air. Blood gas analysis was performed in each syringe using an identical analyzer. Results. In the syringe with the air bubble, we found statistically significant increase in pH (0.1%), pO2 (10.8%), SO2 (11.2%), total hemoglobin (3.0%), and hematocrit (2.7%), while values of pCO2 (-4.8%), sodium (-0.5%), and ionized calcium (-1.3%) were significantly reduced. With exception of pH, all these changes exceeded the performance specifications. Potassium, chloride, glucose, lactate, COHb and MetHb values remained unchanged. Conclusion. These findings confirm that air bubbles must be removed as soon as possible after sampling from blood gas syringes to prevent artifactual test results and misleading clinical judgment and inappropriate treatment. When blood gas syringes are received in the laboratory with air bubbles inside, the most vulnerable parameters (i.e., pO2, SO2, pCO2, sodium, ionized calcium, hematocrit and hemoglobin) should be suppressed.
背景。通过仔细填充血气注射器来尽量减少空气吸入量,对于防止空气污染造成气体和其他分子的不良变化至关重要。虽然以前的一些研究对这方面进行了调查,但这些研究现在已经过时,而且只分析了有限的几个血气参数。因此,我们使用现代血气分析仪研究了注射器中空气污染的影响。研究方法我们采集了 17 名实验室工作人员(平均年龄:46±11 岁;10 名女性)的静脉血样本,连续注入两个血气分析仪。第一个注射器完全按照标称容量(即 1.0 毫升)注入,第二个注射器注入 0.8 毫升血液和 0.2 毫升环境空气。使用相同的分析仪对每个注射器进行血气分析。结果在有气泡的注射器中,我们发现 pH 值(0.1%)、pO2 值(10.8%)、SO2 值(11.2%)、总血红蛋白值(3.0%)和血细胞比容值(2.7%)均有明显增加,而 pCO2 值(-4.8%)、钠值(-0.5%)和离子钙值(-1.3%)则明显减少。除 pH 值外,所有这些变化都超过了性能指标。钾、氯、葡萄糖、乳酸、COHb 和 MetHb 值保持不变。结论这些研究结果证实,从血气注射器中取样后必须尽快清除气泡,以防止出现伪测试结果,误导临床判断和不当治疗。当实验室收到内含气泡的血气注射器时,应抑制最易受影响的参数(即 pO2、SO2、pCO2、钠、离子钙、血细胞比容和血红蛋白)。
{"title":"Impact of an air bubble within the syringe on test results obtained with a modern blood gas analyzer","authors":"G. Lippi, L. Pighi, G. Salvagno, Roberta Ferraro, Giovanni Celegon, B. Henry","doi":"10.5937/jomb0-49870","DOIUrl":"https://doi.org/10.5937/jomb0-49870","url":null,"abstract":"\u0000Background. Minimizing air aspiration by carefully filling blood gas syringes is crucial to prevent air contamination from causing undesirable variations in gasses and other molecules. While some previous studies investigated this aspect, these are now outdated and only analyzed a limited number of blood gas parameters. Thus, we investigated the effects air contamination in the syringe using a modern blood gas analyzer. \u0000Methods. We sampled venous blood from 17 laboratory workers (mean age: 46±11 years; 10 women), filling two consecutive blood gas syringes. The first was filled exactly to its nominal volume (i.e., 1.0 mL), while the second was filled with 0.8 mL of blood and 0.2 mL of ambient air. Blood gas analysis was performed in each syringe using an identical analyzer. \u0000Results. In the syringe with the air bubble, we found statistically significant increase in pH (0.1%), pO2 (10.8%), SO2 (11.2%), total hemoglobin (3.0%), and hematocrit (2.7%), while values of pCO2 (-4.8%), sodium (-0.5%), and ionized calcium (-1.3%) were significantly reduced. With exception of pH, all these changes exceeded the performance specifications. Potassium, chloride, glucose, lactate, COHb and MetHb values remained unchanged. \u0000Conclusion. These findings confirm that air bubbles must be removed as soon as possible after sampling from blood gas syringes to prevent artifactual test results and misleading clinical judgment and inappropriate treatment. When blood gas syringes are received in the laboratory with air bubbles inside, the most vulnerable parameters (i.e., pO2, SO2, pCO2, sodium, ionized calcium, hematocrit and hemoglobin) should be suppressed.","PeriodicalId":504309,"journal":{"name":"Journal of Medical Biochemistry","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141118730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
. Clinical Significance of NLRP3 Inflammasome and Related Cell Moleculesin early Elderly Diabetic Kidney Disease .NLRP3 炎症体及相关细胞分子在早期老年糖尿病肾病中的临床意义
Pub Date : 2024-05-18 DOI: 10.5937/jomb0-45950
Yan Shang
Backgrounds:It aims to investigate the expression level of NLRP3 inflammasome and its related cell molecules in early diabetes kidney disease (EDKD) in the elderly and its clinical application value. Methods: From October 2021 to April 2023, 50 elderly patients with T2DM (T2DM group), 50 elderly patients with EDKD (EDKD group) and 50 elderly people who passed the health check-up (healthy group) are chosenas the study subjects. Plasma NLRP3 inflammasome and related cells (blood leukocyte count, monocyte count, lymphocyte count) molecular (NT-proBNP and others) levels are tested, and Pearson correlation analysis is utilized to explore the correlation among plasma NLRP3 inflammasome and related cells, molecules and renal function indicators (UACR, BUN, Ucr) in elderly patients with EDKD. Results: (1) The three groups’ comparison in HbA1c, FIns, HOMA-IR, UACR, BUN, Ucr, SOD, MCP-1 and TNF-α level were with P<0.05.The levels of TG and LDL-C in the EDKD group were bigger than those in the T2DM and the healthy groups;The levels of FPG, HbA1c, FINs, HOMA-IR, UACR, SOD, MCP-1, TNF-α in the EDKD and T2DM groups werebigger than those in the healthy group, while SOD wassmaller than that in the healthy group; The levels of BUN, Ucr, hs-CRP, FPG, HbA1c, FINs, HOMA-IR, UACR, SOD, MCP-1, TNF-α in the EDKD group werebigger than those in the T2DM group, while SOD was smallerthan that in the T2DM group;The aboveresults were with P<0.05. (2)It has P<0.05 in Monocyte count, NLRP3, NT-proBNP, caspase-1, ASC and othersin the three groups.The levels of thosein the EDKD and T2DM groups were bigger than the healthy group. The levels of these indicators in the EDKD group were bigger than those in the T2DM group, and with P<0.05.These indicators in EDKD group were positively correlated with UACR, BUN, and Ucr, respectively, and with P<0.05. Conclusion: NLRP3 inflammasome and its related molecules caspase-1, ASC, IL-1β, IL-18 level and Monocyte count raised in early senile EDKD, and were significantly correlated with the severity of EDKD.
研究背景:探讨NLRP3炎性体及其相关细胞分子在老年早期糖尿病肾病(EDKD)中的表达水平及其临床应用价值。研究方法自 2021 年 10 月至 2023 年 4 月,选择 50 名老年 T2DM 患者(T2DM 组)、50 名老年 EDKD 患者(EDKD 组)和 50 名健康体检合格的老年人(健康组)作为研究对象。检测血浆NLRP3炎症小体及相关细胞(血白细胞计数、单核细胞计数、淋巴细胞计数)分子(NT-proBNP等)水平,并利用Pearson相关分析探讨EDKD老年患者血浆NLRP3炎症小体及相关细胞、分子与肾功能指标(UACR、BUN、Ucr)的相关性。结果:(1)三组患者的 HbA1c、FIns、HOMA-IR、UACR、BUN、Ucr、SOD、MCP-1 和 TNF-α 水平比较,P<0.05。EDKD组的TG和LDL-C水平高于T2DM组和健康组;EDKD组和T2DM组的FPG、HbA1c、FINs、HOMA-IR、UACR、SOD、MCP-1、TNF-α水平高于健康组,而SOD水平低于健康组;EDKD组的BUN、Ucr、hs-CRP、FPG、HbA1c、FINs、HOMA-IR、UACR、SOD、MCP-1、TNF-α水平均大于T2DM组,而SOD小于T2DM组;以上结果P<0.05.(2)三组单核细胞计数、NLRP3、NT-proBNP、caspase-1、ASC等指标的P<0.05,EDKD组和T2DM组均大于健康组。EDKD组的这些指标分别与UACR、BUN、Ucr呈正相关,P<0.05。结论NLRP3炎性体及其相关分子caspase-1、ASC、IL-1β、IL-18水平和单核细胞计数在早期老年性EDKD中升高,且与EDKD的严重程度显著相关。
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引用次数: 0
- Mechanism of LDH and IL-8 Involved in pancreatic cancer Pain and the Correlation of Pain Degree - LDH和IL-8参与胰腺癌疼痛的机制及疼痛程度的相关性
Pub Date : 2024-04-25 DOI: 10.5937/jomb0-48160
Xiaoqing Xu
Objective: To observe the mechanism of lactate dehydrogenase (LDH) and interleukin 8 (IL-8) in pancreatic cancer pain and their correlation with pain degree. Methods: 126 patients with pancreatic cancer who visited our hospital from January 2021 to February 2023 were selected. The patients were divided into 58 patients with low pain (1~3 points) and 68 patients with high pain (4~10 points) by visual analog scale (VAS). And 50 health examinees in the same period were selected as the healthy control group. The serum LDH and IL-8 concentrations are analyzed by enzyme-linked immunosorbent assay, as well as the subjective pain grading method scoreis analyzed. The differences in LDH and IL-8 concentrations among the three groups of patients were compared. Pearson correlation analysis was used to investigate the correlation between LDH, IL-8 concentrations and patient pain. Binary logistic regression was used to determine independent risk factors for high pain, and ROC curves were used to analyze the diagnostic efficacy of each indicator. Result: The serum LDH and IL-8 concentrations in the high pain group were exceed the low pain group’s (P<0.05). The serum LDH and IL-8 concentrations in the low pain groupexceed the healthy control group’s(P<0.05). Pearson correlation analysis revealed a positive correlation between serum LDH concentration and pain grading (r=0.736, P=0.000). The serum IL-8 has positive correlation with pain grading (r=0.680, P=0.000). Serum LDH and IL-8 concentrations have positive correlation(r=0.589, P=0.000). LDH and IL-8 concentrations are independent risk factors for high pain levels (OR=1.033, 1.142, P<0.05). The logistic regression prediction model formula was used: Y=constant+B1X1+B2X2+...+BnXn to set the joint diagnostic prediction model as -12.063+0.033×LDH+0.133×IL-8. The areas under the ROC curves of LDH, IL-8, and predictive model (LDH+IL-8) in patients with high pain were 0.925, 0.945, and 0.974, respectively. The relevant standards for LDH are>190U/L, IL-8 is>36pg/mL, and the relevant standards for prediction models are>5.75. Conclusion: LDH and IL-8 participate in the pain aggravation process of pancreatic cancer, and are closely related to the pain grading. The combination of LDH and IL-8 can be used as a biological indicator to evaluate the pain severity of pancreatic cancer, and provide reference for clinical diagnosis and treatment.
目的观察乳酸脱氢酶(LDH)和白细胞介素8(IL-8)在胰腺癌疼痛中的作用机制及其与疼痛程度的相关性。方法:选取 2021 年 1 月至 2023 年 2 月在我院就诊的 126 例胰腺癌患者。通过视觉模拟量表(VAS)将患者分为低痛(1~3 分)58 例和高痛(4~10 分)68 例。同时选取 50 名同期体检者作为健康对照组。用酶联免疫吸附法分析血清中 LDH 和 IL-8 的浓度,并分析主观疼痛分级法的评分。比较三组患者 LDH 和 IL-8 浓度的差异。采用皮尔逊相关分析研究 LDH、IL-8 浓度与患者疼痛之间的相关性。使用二元逻辑回归确定高疼痛的独立危险因素,并使用 ROC 曲线分析各指标的诊断效果。结果高疼痛组血清LDH和IL-8浓度均超过低疼痛组(P190U/L,IL-8>36pg/mL,预测模型相关标准>5.75)。结论LDH和IL-8参与了胰腺癌的疼痛加重过程,并与疼痛分级密切相关。LDH和IL-8的结合可作为评价胰腺癌疼痛严重程度的生物学指标,为临床诊断和治疗提供参考。
{"title":"- Mechanism of LDH and IL-8 Involved in pancreatic cancer Pain and the Correlation of Pain Degree","authors":"Xiaoqing Xu","doi":"10.5937/jomb0-48160","DOIUrl":"https://doi.org/10.5937/jomb0-48160","url":null,"abstract":"Objective: To observe the mechanism of lactate dehydrogenase (LDH) and interleukin 8 (IL-8) in pancreatic cancer pain and their correlation with pain degree. Methods: 126 patients with pancreatic cancer who visited our hospital from January 2021 to February 2023 were selected. The patients were divided into 58 patients with low pain (1~3 points) and 68 patients with high pain (4~10 points) by visual analog scale (VAS). And 50 health examinees in the same period were selected as the healthy control group. The serum LDH and IL-8 concentrations are analyzed by enzyme-linked immunosorbent assay, as well as the subjective pain grading method scoreis analyzed. The differences in LDH and IL-8 concentrations among the three groups of patients were compared. Pearson correlation analysis was used to investigate the correlation between LDH, IL-8 concentrations and patient pain. Binary logistic regression was used to determine independent risk factors for high pain, and ROC curves were used to analyze the diagnostic efficacy of each indicator. Result: The serum LDH and IL-8 concentrations in the high pain group were exceed the low pain group’s (P<0.05). The serum LDH and IL-8 concentrations in the low pain groupexceed the healthy control group’s(P<0.05). Pearson correlation analysis revealed a positive correlation between serum LDH concentration and pain grading (r=0.736, P=0.000). The serum IL-8 has positive correlation with pain grading (r=0.680, P=0.000). Serum LDH and IL-8 concentrations have positive correlation(r=0.589, P=0.000). LDH and IL-8 concentrations are independent risk factors for high pain levels (OR=1.033, 1.142, P<0.05). The logistic regression prediction model formula was used: Y=constant+B1X1+B2X2+...+BnXn to set the joint diagnostic prediction model as -12.063+0.033×LDH+0.133×IL-8. The areas under the ROC curves of LDH, IL-8, and predictive model (LDH+IL-8) in patients with high pain were 0.925, 0.945, and 0.974, respectively. The relevant standards for LDH are>190U/L, IL-8 is>36pg/mL, and the relevant standards for prediction models are>5.75. Conclusion: LDH and IL-8 participate in the pain aggravation process of pancreatic cancer, and are closely related to the pain grading. The combination of LDH and IL-8 can be used as a biological indicator to evaluate the pain severity of pancreatic cancer, and provide reference for clinical diagnosis and treatment.","PeriodicalId":504309,"journal":{"name":"Journal of Medical Biochemistry","volume":"2 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140654869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
the Internal mechanism of correlation between angiotensin II gene and serum adiponectin level in patients with cerebrovascular complications of H-type hypertension H型高血压脑血管并发症患者血管紧张素Ⅱ基因与血清脂肪连接蛋白水平相关性的内在机制研究
Pub Date : 2024-03-20 DOI: 10.5937/jomb0-45532
Shangyu Wen
Abstract: It was to explore the correlation between angiotensin II (Ang II) gene and serum adiponectin expression in patients with cerebrovascular complications of H-type hypertension (HH) and its mechanism. A total of 50 cases of outpatient patients in Tianjin Fourth Central Hospital were recruited from January 2022 to June 2023 and rolled into three groups according to their blood pressure and basic information, namely HH cerebrovascular complications group, the non-H-type hypertension (NHH) group, and the healthy control (HC)group. Peripheral blood samples were taken, one sample was utilized to test for the Ang II gene and the methylation of Ang II, and the other sample was utilized to measure serum adiponectin levels, so as to analyze the relationship between serum adiponectin level and Ang II in patients with cerebrovascular complications of HH. The ratio of male to female was 8:7 in the group of cerebrovascular complications of HH, and mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 167.34mmHg and 112.56mmHg, respectively. In NHH group, the mean SBP was 165.89mmHg and the mean DBP was 113.47mmHg. The blood pressure of HC group was in the normal range. The Ang II content was the highest in the group with cerebrovascular complications of HH, followed by the group with NHH, and the lowest in HC group. Pyrosequencing chart of patients with cerebrovascular complications of HH showed that the content of deoxyphosphate ribose G was the highest, while the content of A was the highest in NHH patients. Moreover, the serum adiponectin level of patients with HH and NHH was superior to that of HC group, and adiponectin level between the former two groups and HC groupdiffered considerably. Ang II levels were high in patients with cerebrovascular complications of HH and were positively correlated with adiponectin levels. The incidence of cerebrovascular complications of HH may be related to Ang II level in patients.
摘要:探讨H型高血压(HH)脑血管并发症患者血管紧张素Ⅱ(AngⅡ)基因与血清脂肪连蛋白表达的相关性及其机制。研究对象为2022年1月至2023年6月在天津市第四中心医院门诊就诊的50例H型高血压脑血管并发症患者,根据血压和基本信息分为三组,即H型高血压脑血管并发症组、非H型高血压(NHH)组和健康对照(HC)组。取外周血样本,一份用于检测 Ang II 基因和 Ang II 的甲基化,另一份用于检测血清脂肪连接蛋白水平,从而分析 HH 脑血管并发症患者血清脂肪连接蛋白水平与 Ang II 的关系。HH 脑血管并发症组男女比例为 8:7,平均收缩压(SBP)和舒张压(DBP)分别为 167.34mmHg 和 112.56mmHg。NHH 组的平均收缩压(SBP)为 165.89mmHg,平均舒张压(DBP)为 113.47mmHg。HC 组的血压处于正常范围。HH 脑血管并发症组的 Ang II 含量最高,NHH 组次之,HC 组最低。HH 脑血管并发症患者的热测序图显示,脱氧磷酸核糖 G 的含量最高,而 A 的含量在 NHH 患者中最高。此外,HH 和 NHH 患者的血清脂肪连接蛋白水平均高于 HC 组,且前两组与 HC 组的脂肪连接蛋白水平差异较大。HH 脑血管并发症患者的 Ang II 水平较高,且与脂肪连接蛋白水平呈正相关。HH 脑血管并发症的发生率可能与患者体内的 Ang II 水平有关。
{"title":"the Internal mechanism of correlation between angiotensin II gene and serum adiponectin level in patients with cerebrovascular complications of H-type hypertension","authors":"Shangyu Wen","doi":"10.5937/jomb0-45532","DOIUrl":"https://doi.org/10.5937/jomb0-45532","url":null,"abstract":"Abstract: It was to explore the correlation between angiotensin II (Ang II) gene and serum adiponectin expression in patients with cerebrovascular complications of H-type hypertension (HH) and its mechanism. A total of 50 cases of outpatient patients in Tianjin Fourth Central Hospital were recruited from January 2022 to June 2023 and rolled into three groups according to their blood pressure and basic information, namely HH cerebrovascular complications group, the non-H-type hypertension (NHH) group, and the healthy control (HC)group. Peripheral blood samples were taken, one sample was utilized to test for the Ang II gene and the methylation of Ang II, and the other sample was utilized to measure serum adiponectin levels, so as to analyze the relationship between serum adiponectin level and Ang II in patients with cerebrovascular complications of HH. The ratio of male to female was 8:7 in the group of cerebrovascular complications of HH, and mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 167.34mmHg and 112.56mmHg, respectively. In NHH group, the mean SBP was 165.89mmHg and the mean DBP was 113.47mmHg. The blood pressure of HC group was in the normal range. The Ang II content was the highest in the group with cerebrovascular complications of HH, followed by the group with NHH, and the lowest in HC group. Pyrosequencing chart of patients with cerebrovascular complications of HH showed that the content of deoxyphosphate ribose G was the highest, while the content of A was the highest in NHH patients. Moreover, the serum adiponectin level of patients with HH and NHH was superior to that of HC group, and adiponectin level between the former two groups and HC groupdiffered considerably. Ang II levels were high in patients with cerebrovascular complications of HH and were positively correlated with adiponectin levels. The incidence of cerebrovascular complications of HH may be related to Ang II level in patients.","PeriodicalId":504309,"journal":{"name":"Journal of Medical Biochemistry","volume":"10 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140225376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictive Value of Lactate/Albumin Ratio for Death and Multiple Organ Dysfunction Syndrome in Patients with Sepsis 乳酸/白蛋白比值对败血症患者死亡和多器官功能障碍综合征的预测价值
Pub Date : 2024-03-14 DOI: 10.5937/jomb0-46947
Shuwei Huang
Introduction: Multiple organ dysfunction syndrome (MODS) is common after sepsis and increases mortality. Lactate (Lac) can assess the prognosis of patients. Albumin (Alb) is closely associated with inflammatory response in sepsis patients. This work evaluated the predictive value of Lac/Alb for prognosis of sepsis patients. Materials and Methods: data of 160 sepsis patients were retrospectively collected. Lac and Alb levels were measured upon admission, at 24 hours and 48 hours later. Using 0.45 as the cutoff value for Lac/Alb, patients were rolled into high-level (HL) and low-level (LL) groups. MODS rates and mortality rates were analyzed. Receiver operating characteristic (ROC) curves were utilized to evaluate the predictive value of 48-hour Lac/Alb for patient prognosis. Correlation between Lac/Alb and APACHE II and SOFA scores was assessed. Results: the 12-month follow-up revealed 52 deaths (32.5%), and MODS occurred in 49 cases (30.6%) on the 7th day. The MODS group possessed elevated Lac and Lac/Alb and decreased Alb to the N-MODS group (P<0.05), and similar results were observed by comparison the survival and death group (P<0.05). The sensitivity, specificity, and area under the ROC curve (AUC) of Lac/Alb in predicting MODS were 81.63%, 85.59%, and 0.89, respectively, while those in predicting death were 94.23%, 88.89%, and 0.91, respectively. Lac/Alb was positively correlated with APACHE II and SOFA scores (r=0.718 and 0.808, respectively). Conclusion: Lac/Alb was linked to MODS and mortality in sepsis patients and can be based to predict adverse outcomes.
简介多器官功能障碍综合征(MODS)是败血症后的常见病,会增加死亡率。乳酸(Lac)可评估患者的预后。白蛋白(Alb)与败血症患者的炎症反应密切相关。本研究评估了 Lac/Alb 对败血症患者预后的预测价值。材料和方法:回顾性收集了 160 名败血症患者的数据。分别在入院时、24 小时和 48 小时后测量 Lac 和 Alb 水平。以 0.45 作为 Lac/Alb 的临界值,将患者分为高水平组(HL)和低水平组(LL)。对 MODS 率和死亡率进行了分析。利用接收者操作特征曲线(ROC)评估 48 小时 Lac/Alb 对患者预后的预测价值。评估了 Lac/Alb 与 APACHE II 和 SOFA 评分之间的相关性。结果:12 个月的随访显示,52 例死亡(32.5%),49 例(30.6%)在第 7 天出现 MODS。MODS 组的 Lac 和 Lac/Alb 升高,Alb 下降(P<0.05),与 N-MODS 组相比,生存组和死亡组的结果相似(P<0.05)。Lac/Alb 预测 MODS 的灵敏度、特异性和 ROC 曲线下面积(AUC)分别为 81.63%、85.59% 和 0.89,而预测死亡的灵敏度、特异性和 ROC 曲线下面积(AUC)分别为 94.23%、88.89% 和 0.91。Lac/Alb 与 APACHE II 和 SOFA 评分呈正相关(r=0.718 和 0.808)。结论Lac/Alb 与脓毒症患者的 MODS 和死亡率有关,可用于预测不良预后。
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引用次数: 0
Vitamin D and Vitamin D Binding Protein Levels in COVID-19 negative and positive intensive care unit patients: A prospective multicenter study 重症监护病房 COVID-19 阴性和阳性患者的维生素 D 和维生素 D 结合蛋白水平:一项前瞻性多中心研究
Pub Date : 2024-03-02 DOI: 10.5937/jomb0-47822
Vesile Örnek Diker, Gülseren Yılmaz, M. E. Düz, Mürvet Algemi, Mehmet Köseoğlu, Hümeyra Öztürk Emre, Osman Oğuz
Background: Vitamin D binding protein plays a crucial role in regulating vitamin D levels by carrying vitamin D and its metabolites and immunological response by binding to endotoxins and fatty acids. We aimed to compare vitamin D, DBP, and specific inflammatory markers among intensive care unit (ICU) patients with and without the COVID-19 virus.  Methods: This multicenter study conducted in two training and research hospitals included 37 (13 female) COVID-19-positive and 51 (34 female) COVID-19-negative ICU patients. 25(OH) vitamin D, DBP, c-reactive protein (CRP), procalcitonin (PCT), D-dimer, troponin T (TnT), interleukin 6 (IL-6) and ferritin levels, survival, mortality rates, duration of stay (ICU) were examined.  Results: We observed higher ferritin and CRP levels, along with lower DBP, TnT and D-dimer levels, in patients with COVID-19. ICU patients with COVID-19 exhibited elevated mortality rates (Odds Ratio: 3.012, 95% Confidence Interval [1.252-7.248], p=0.013). However, there was no statistically significant correlation observed between mortality rates and Vitamin D or DBP levels across the entire ICU patient cohort.  Conclusions: Vitamin d values ​​were found to be low in all intensive care patients, regardless of their covid 19 status. Contrary to the literature, COVID-19 patients had lower D-dimer and TNT levels than negative controls. However, COVID-19-positive ICU patients have decreased DBP. Further DBP gene polymorphisms studies are needed to explain this situation
背景:维生素 D 结合蛋白通过与内毒素和脂肪酸结合,携带维生素 D 及其代谢产物,在调节维生素 D 水平和免疫反应方面发挥着重要作用。我们的目的是比较重症监护病房(ICU)中感染和未感染 COVID-19 病毒的患者的维生素 D、DBP 和特定炎症指标。 研究方法这项在两家培训和研究医院进行的多中心研究纳入了 37 名(13 名女性)COVID-19 阳性和 51 名(34 名女性)COVID-19 阴性的 ICU 患者。对 25(OH) 维生素 D、DBP、c 反应蛋白 (CRP)、降钙素原 (PCT)、D-二聚体、肌钙蛋白 T (TnT)、白细胞介素 6 (IL-6) 和铁蛋白水平、存活率、死亡率、住院时间(ICU)进行了研究。 结果:我们观察到 COVID-19 患者的铁蛋白和 CRP 水平较高,DBP、TnT 和 D-二聚体水平较低。患有 COVID-19 的重症监护室患者死亡率较高(比值比:3.012,95% 置信区间[1.252-7.248],P=0.013)。然而,在整个重症监护室患者队列中,没有观察到死亡率与维生素 D 或 DBP 水平之间存在统计学意义上的显著相关性。 结论:所有重症监护患者的维生素 D 值均偏低,与他们的 COV 19 状态无关。与文献报道相反,COVID-19 患者的 D-二聚体和 TNT 水平低于阴性对照组。然而,COVID-19 阳性的 ICU 患者的 DBP 有所下降。需要进一步研究 DBP 基因多态性来解释这种情况。
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引用次数: 0
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Journal of Medical Biochemistry
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