文章摘要
崔彦杰 张峰波 黄国虹 黄睿 郝立君 胡金伟 丁剑冰.多发性骨髓瘤骨病患者血清中IL-6 和TRACP-5b 表达的临床意义[J].,2015,15(32):6290-6292
多发性骨髓瘤骨病患者血清中IL-6 和TRACP-5b 表达的临床意义
Clinical Significance of IL-6 and TRACP-5b Expression in Patients with MBD
  
DOI:
中文关键词: 多发性骨髓瘤  白介素-6  抗酒石酸盐酸性磷酸酶
英文关键词: Multiple myeloma  Interleukin-6  TRACP-5b
基金项目:新疆教育厅自治区级重点学科建设项目(XYDXK50780328)
作者单位
崔彦杰 张峰波 黄国虹 黄睿 郝立君 胡金伟 丁剑冰 新疆医科大学第一附属医院医学检验中心新疆维吾尔自治区人民医院临床检验中心 
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中文摘要:
      目的:探讨患者血清中白介素-6(Interleukin-6,IL-6)、抗酒石酸盐酸性磷酸酶(Tartrate-resistant acid phosphatase,TRACP-5b) 的水平在多发性骨髓瘤骨病(Multiple myeloma bone disease,MBD) 发病中的作用及其临床意义。方法:采用双抗体夹心酶联免疫 吸附试验法(Enzyme linked immunosorbent assay,ELISA)检测43 例MBD 患者组及22 例MM患者组(无骨损害)及40 例健康对 照组血清中的IL-6、TRACP-5b 的水平,并对检测结果进行统计学分析。结果:MBD 患者组血清IL-6、TRACP-5b (27.93± 7.45,21.33± 5.66)水平较MM 患者组(无骨损害)(13.58± 4.85,7.23± 2.86)、健康对照组(5.65± 2.57,6.76± 2.65)明显升高,差异 有统计学意义(P<0.01);Ⅲ 期MM 患者血清IL-6、TRACP-5b 水平(31.92± 7.84,24.2± 7.86)明显高于I 期(11.58± 4.85,7.13± 2.86)、Ⅱ期(22.45± 6.51,14.65± 6.76)MM患者,差异有统计学意义(P<0.01);MBD患者血清IL-6 与血清TRACP-5b 水平呈正相 关(r=0.915,P<0.01)。结论:检测MM患者血清IL-6、TRACP-5b 水平可以作为MBD的辅助诊断指标,血清IL-6、TRACP-5b 可能 参与了MBD的发生和发展。
英文摘要:
      Objective:To study the function and clinical significance of interleukin-6 (IL-6) and tartrate-resistant acid phosphatase (TRACP-5b) expression in multiple myeloma bone disease(MBD).Methods:Enzyme linked immunosorbent assay(ELISA) were used to detedcte serum level of IL-6 and TRACP-5b in 43 MBD patients, 22 MM patients (No bone damage ) and 40 healthy controls, then statistical analysis was conducted.Results:The IL-6 and TRACP-5b serum levels of MBD patients groups (27.93± 7.45, 21.33± 5.66) were much higher compare to MMpatients(No bone damage) (13.58± 4.85, 7.23± 2.86) and healthy control groups(5.65± 2.57, 6.76± 2.65). The serumlevels of IL-6 and TRACP-5b in stage Ⅲ MBD patients(31.92± 7.84, 24.2± 7.86)were much higher than those in stage I (11.58± 4.85, 7.13± 2.86) and Ⅱ (22.45± 6.51,14.65± 6.76); Both the differences were statistical significance (P<0.01). The serum level IL-6 was positively correlated to the level of TRACP-5b (r=0.915,P<0.01).Conclusion:Detection serum levle of IL-6 and TRACP-5b could be helpful to diagnoze MBD; and IL-6 and TRACP-5b might take part in the process of occurrence and development of MBD.
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