临床荟萃 ›› 2016, Vol. 31 ›› Issue (1): 53-55.doi: 10.3969/j.issn.1004-583X.2016.01.013

• 论著 • 上一篇    下一篇

载脂蛋白M在炎症性肠病中的测定及意义

王婷婷, 汪良芝   

  1. 苏州大学附属第三医院 消化内科,江苏 常州 213003
  • 收稿日期:2015-08-28 出版日期:2016-01-05 发布日期:2016-04-19
  • 通讯作者: 汪良芝,Email:wangdoc371@sohu.com
  • 基金资助:
    常州市科技局应用基础研究计划资助项目(CJ20112006)

Expression and clinical significance of apolipoprotein M in inflammatory bowel disease

Wang Tingting, Wang Liangzhi   

  1. Department of Gastroenterology, the Third Affiliated Hospital of Soochow University, Changzhou 213003, China
  • Received:2015-08-28 Online:2016-01-05 Published:2016-04-19
  • Contact: Wang Liangzhi, Email: wangdoc371@sohu.com

摘要: 目的 探讨血清载脂蛋白M (apolipoprotein M,apoM)在炎症性肠病(inflammatory bowel disease,IBD)患者血清中的表达及意义。方法 采用双抗夹心酶联免疫吸附法(enzyme-linked immuno sorbent assay,ELISA)检测101例IBD患者及69例健康对照组的血清apoM和肿瘤坏死因子a(tumor necrosis factor-a,TNF-α)水平,分析其与IBD疾病活动度的相关性。结果 溃疡性结肠炎(ulcerative colitis,UC)组、克罗恩病(Crohn's disesse,CD)组和健康对照组的血清apoM水平分别为(13.5±8.8) mg/L,(10.2±5.8) mg/L和(2.0±1.3) mg/L,且UC组血清apoM水平高于CD组,差异有统计学意义(P<0.05);UC和CD患者血清apoM水平均随着疾病活动度的增加而升高,各等级间差异有统计学意义(P<0.05);IBD组血清apoM水平与血清TNF-α水平呈正相关(r=0.314,P=0.001),以CD组为著(r=0.365,P=0.010)。结论 UC、CD患者血清apoM水平与疾病活动度相关,在评估IBD疾病活动度上有潜在的运用价值。

关键词: 炎性肠疾病, 载脂蛋白M, 疾病活动度

Abstract: Objective To investigate the expression and clinical value of serum apolipoprotein M (apoM) in patients with inflammatory bowel disease (IBD).Methods The levels of serum apoM and TNF-α in 101 IBD patients and 69 healthy individuals were measured by ELISA.Results The serum concentration of apoM was respectively (13.5±8.8) mg/L, (10.2±5.8) mg/L and (2.0±1.3) mg/L in ulcerative colitis (UC) patients, Crohn disease (CD) patients and healthy controls, and the level of serum apoM in UC patients was significantly higher than that of CD patients (P<0.05). Serum apoM concentrations in both UC and CD patients were significantly elevated with increased disease activity(P<0.05). In addition, serum apoM concentration and TNF-α concentration were positively correlated in IBD group (r=0.314,P=0.001), especially in CD subgroup (r=0.365,P=0.010).Conclusion The levels of serum apoM in UC and CD patients were correlated with disease activity and have potential application value in evaluating disease activity of IBD.

Key words: inflammatory bowel diseases, apolipoprotein M, disease activity

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