乳铁蛋白和白细胞介素-6 是早产的参与者吗?

Veronica Cotelea, N. Corolcova, Luminita Mihalcean, M. Burac, Liliana Profire, Iurie Dondiuc
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摘要

背景:早产仍然是产科的主要并发症之一,因为人们对其多方面的病因还没有完全了解。众所周知,早产妇女体内的免疫系统发生了改变,出现了促炎症的特征,但由于缺乏整合母体和胎盘相互关联部分的证据,因此仍然缺乏治疗干预措施。研究目的研究乳铁蛋白(LF)和白细胞介素-6(IL-6)在早产中的价值。材料与方法研究对象包括 65 名自然早产产妇和 65 名足月分娩产妇。母体血浆中乳铁蛋白和白细胞介素-6的浓度由标准检测系统Aeskulisa乳铁蛋白和Best-Vector A-8768(白细胞介素-6 Ref 3307,德国)检测,乳铁蛋白的分析灵敏度为1.0 U/ml,白细胞介素-6的分析灵敏度为0.131 pg/ml。检测结果早产妇女的血浆乳铁蛋白水平(μ中值=0.90 U/ml)低于对照组(μ中值=40.68 U/ml)(p<0.001)。早产妇女血浆中白细胞介素-6的水平(μ中间值=51.90 pg/ml)比对照组足月分娩的妇女(μ中间值=21.51 pg/ml)要高(p<0.001)。结论研究结果表明,早产妇女血浆中乳铁蛋白和白细胞介素-6的水平可作为早产的早期生物标志物。
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Are Lactoferrin and Interleukine-6 preterm birth participants?
Background: Preterm birth remains a leading obstetrical complication because of the incomplete understanding of its multifaceted etiology. It is known that immune alterations toward a proinflammatory profile are observed in women with preterm birth, but therapeutic interventions are still lacking because of scarcity of evidence in the integration of maternal and placental interrelated compartments. Objective: To investigate value of Lactoferrin (LF) and Interleukine-6 (IL-6) in the preterm labor. Material and methods: The study comprised 65 women with spontaneous preterm labor and 65 women with term labor. Maternal plasma concentrations of Lactoferrin and Interleukine-6 were detected by standard test system Aeskulisa Lactoferrin and Best-Vector A-8768 for Interleukine-6 Ref 3307 which (GmbH & Co, Germany) gave an analytical sensitive of 1.0 U/ml for Lactoferrin and 0.131 pg/ml for Interleukine-6. Results: Plasma levels of Lactoferrin in women with preterm labor were lower (μmedian = 0.90 U/ml) (p<0.001) than in the control subjects (μmedian = 40.68 U/ml). Plasma levels of Interleukine-6 in the plasma in women with preterm were predictably higher (μmedian = 51.90 pg/ml) than that in the control subjects with term delivery (μmedian = 21.51 pg/ml) (p<0.001). Conclusions: The study findings suggest that plasma levels of Lactoferrin and Interleukine-6 in women with preterm labor may be considered as a promising early biomarker for preterm labor.
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