耐多药结核病(MDR-TB)中的载脂蛋白 A1 和 B

B. Alexis, Bamba Abou, Aké-Edjème Angèle, N’Guessan A. Jean Luc, Kouman A. Augustine, D. Joseph
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引用次数: 0

摘要

目的:耐多药结核病(MDR-TB)的医疗管理已成为一个重大的公共卫生问题。载脂蛋白在脂蛋白代谢中发挥着关键作用,如识别参与脂蛋白代谢的受体。因此,研究脂蛋白(A1 和 B)与 MDR-TB 之间的相互关系可能是对 MDR-TB 患者进行生物学管理的一个重要方法:这是一项实验性研究,研究对象为 82 名患者,包括 38 名从阿比让市三家结核病中心(CAT)招募的 18 至 60 岁的 MDR-TB 患者,以及 44 名从特雷什维尔(科特迪瓦阿比让)国家输血中心(CNTS)招募的 18 至 60 岁的非结核病患者。总胆固醇、高密度脂蛋白胆固醇和甘油三酯采用酶比色法测量。采用免疫比浊法测量载脂蛋白 A1 和 B:结果和结论:耐多药肺结核患者的胆固醇及其高密度脂蛋白部分、甘油三酯和载脂蛋白 A1 和 B 均显示出血脂异常,这表明耐多药肺结核患者有动脉粥样硬化的特征。
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Apo Lipoproteins A1 and B in Multidrug-Resistant Tuberculosis (MDR-TB)
Aims: The medical management of multidrug-resistant tuberculosis (MDR-TB) has become a major public health issue. Apolipoproteins play a key role in lipoprotein metabolism such as the recognition of receptors involved in lipoprotein metabolism. Thus, the study of the inter- relationships between apolipoproteins (A1 and B) and MDR-TB could represent an important approach to the biological management of MDR-TB patients. Methodology: This is an experimental study carried out on eighty-two (82) patients including thirty-eight (38) MDR-TB patients which age ranged from 18 to 60 years old recruited from three tuberculosis centers (CAT) in the city of Abidjan and forty-four (44) non-tuberculosis patients used as control aged 18 to 60 years old recruited at the National Blood Transfusion Center (CNTS) in Treichville (Abidjan, Côte d’Ivoire). Total cholesterol, HDL-cholesterol and triglycerides were measured by the colorimetric-enzymatic method. Apolipoproteins A1 and B were measured using the immunoturbidimetric method. Results and Conclusion: Showed a dyslipidemia concerning cholesterol and its HDL fraction, triglycerides and apolipoproteins A1 and B suggest an atherogenic profile in multidrug-resistant TB patients.
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