骨关节病和动脉粥样硬化患者的细胞因子平衡特征

S. M. Tsvinger, A. Govorin, A. M. Karachenova
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摘要

本研究的目的是研究骨关节炎患者中一些关键的促/抗炎细胞因子的含量,并评估它们在预测这类患者动脉粥样硬化中的作用。材料和方法。对影像学分期为I-III期的原发性骨关节炎患者进行检查。行颈、上、下肢多普勒血管超声(多普勒超声)检查;流式细胞术检测血中促炎性因子IL-1β、TNF-α、IL-6、IL- 8、IL-18、MCP-1、IL-17、IL-10、IL-33的水平。结果。根据内膜-中膜复合体厚度将患者分为内膜-中膜复合体厚度正常组和动脉粥样硬化斑块组。与内膜-中膜复合体厚度正常的骨关节炎患者相比,与动脉粥样硬化相关的骨关节炎患者的促炎细胞因子显著增加。促/抗炎细胞因子水平与动脉粥样硬化密切相关。结论。根据所获得的研究结果,我们发现长期的亚临床炎症过程导致骨关节炎患者细胞因子平衡多向紊乱,这可能与骨关节炎和动脉粥样硬化的进展有关。还确定了骨关节炎患者早期动脉粥样硬化发展的一个可能因素。
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Features of cytokine balance in patients with osteoarthrosis and atherosclerosis
The aim of the research is to study the content of some key pro / anti-inflammatory cytokines in patients with osteoarthritis and to evaluate their role in predicting atherogenesis in this category of patients. Material and methods. Patients with primary osteoarthritis of I-III radiological stages were examined. Doppler vessels ultrasound (Doppler ultrasound) of the neck, upper and lower extremities was performed; blood levels of pro / anti-inflammatory cytokines were examined: IL-1β, TNF-α, IL-6, IL- 8, IL-18, MCP-1, IL-17, IL-10, IL-33 by flow cytometry. Results. According to the thickness of intima - media complex, the patients were divided into 2 groups: with a normal thickness of intima - media complex and with atherosclerotic plaque. A significant increase in pro-inflammatory cytokines was revealed in patients with osteoarthritis associated with atherosclerosis compared with those having osteoarthritis with normal thickness of intima-media complex. The level of pro / anti-inflammatory cytokines along with atherosclerosis are closely interconnected. Conclusion. According to the results of the studies obtained, it was found that a long-term subclinical inflammatory process leads to multidirectional disturbances in cytokine balance in patients with osteoarthritis, which probably contributes to the progression of both osteoarthritis and atherosclerosis. A possible factor of early atherosclerosis development in patients with osteoarthritis was also identified.
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