慢性阻塞性肺病患者血清中 Progranulin 水平与炎症标志物之间的相关性

Fatima Ali Abdulwahed Alkyoon, Falah Mahdi Dananah
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摘要

背景:慢性阻塞性肺病(COPD)是一种气道和/或肺实质的慢性炎症性疾病,通常以进行性不可逆气流为特征,伴有呼吸困难、咳嗽、痰液产生和/或加重等呼吸系统症状。慢性阻塞性肺病的病理生理学包括支气管炎和/或肺气肿,炎症影响发生在肺部,也有全身影响,最常见的原因是吸烟、职业污染、室内污染。Progranulin(PGRN)被定义为多种糖基化蛋白质的前体,它在炎症、血管生成、肿瘤、细胞发育、细胞周期、胚胎生成、伤口愈合、自身免疫过程的改变等过程中起着重要作用,在多种细胞中都有大量存在,如呼吸道上皮细胞。研究目的研究 COPD 患者血清中 PGRN 水平与炎症指标之间的关系。材料和方法:对 40 名慢性阻塞性肺病患者和 45 名对照组进行病例对照研究,测量人口统计学特征、肺功能测试、血液检查(包括 CRP-滴度、白细胞和血浆 PGRN),并将病例与对照组的数据进行比较,收集的数据通过 SPSS 进行统计分析。结果研究表明,慢性阻塞性肺病患者的血清原花青素水平、白细胞和 C 反应蛋白滴度之间无明显相关性(P 值大于 0.05)。结论结论:慢性阻塞性肺病患者的 PGRN 水平与 CRP 滴度水平或白细胞均无相关性。
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The Correlation between Serum Levels of Progranulin and Inflammatory Markers in Patients with Chronic Obstructive Pulmonary Disease
Back ground: the Chronic Obstructive Pulmonary Disease (COPD) is a chronic Inflammatory disease of the airways and/ or parenchyma usually characterized by progressive irreversible airflow with accompanying respiratory symptoms like dyspnea, cough, production of sputum, and/or exacerbations. The pathophysiology Of COPD involves bronchitis and /or emphysema, the effect of inflammation occurs in the lung and also have systemic effect, most common causes is tobacco smoking, occupational pollution, indoor pollution. Progranulin (PGRN) is defined as precursor of pleiotropic glycosylated protein, it has significant role in process of inflammation, angiogenesis, neoplasia, cell development, cell cycle, embryogenesis, wound healing, modification of autoimmune process, highly found in several type of cells like respiratory epithelial cells. Objective: The aim is to study relationship between serum level of PGRN and inflammatory markers in COPD patients. Material and method: A case control study composed of 40 patients with COPD and 45 controls, demographic characteristic, pulmonary function test, blood investigation include CRP-titer, WBC and plasma PGRN were measured and made comparison of data in cases with controls, data collected were statically analysis by SPSS. Result: The study showed that, there was no significant correlation between serum progranulin level, WBC and C-Reactive Protein titer in COPD patients (P value >0.05). Conclusions: It was concluded that PGRN level in COPD patients don’t correlate with CRP titer level or with WBC.
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