Article Summary
王医林,王 健,刘英纯,吉健华,赵花妮,周子涵,张 倩,朱琳惠.强直性脊柱炎患者外周血TNF-α、IL-17、IL-33的表达及与疾病活动程度的相关性研究[J].现代生物医学进展英文版,2017,17(35):6934-6937.
强直性脊柱炎患者外周血TNF-α、IL-17、IL-33的表达及与疾病活动程度的相关性研究
Expression of TNF-α, IL-17 and IL-33 in Peripheral Blood of Patients with Ankylosing Spondylitis and Their Correlation with Disease Activity
Received:July 12, 2017  Revised:July 31, 2017
DOI:10.13241/j.cnki.pmb.2017.35.031
中文关键词: 强直性脊柱炎  肿瘤坏死因子-α  白细胞介素-17  白细胞介素-33  疾病活动程度
英文关键词: Ankylosing spondylitis  Tumor necrosis factor alpha  Interleukin 17  Interleukin 33  Disease activity level
基金项目:
Author NameAffiliationE-mail
王医林 西安市第五医院风湿科 陕西 西安 710082 tjndfe@163.com 
王 健 西安市第五医院风湿科 陕西 西安 710082  
刘英纯 西安市第五医院风湿科 陕西 西安 710082  
吉健华 西安市第五医院风湿科 陕西 西安 710082  
赵花妮 西安市第五医院风湿科 陕西 西安 710082  
周子涵 西安市第五医院风湿科 陕西 西安 710082  
张 倩 西安市第五医院风湿科 陕西 西安 710082  
朱琳惠 西安市第五医院风湿科 陕西 西安 710082  
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中文摘要:
      摘要 目的:探讨强直性脊柱炎(AS)患者外周血肿瘤坏死因子-α(TNF-α)、白细胞介素-17(IL-17)、白细胞介素-33(IL-33)的表达及与疾病活动程度的相关性。方法:选取2016年5月到2017年6月在我院接受治疗的AS患者74例作为研究组,另选取同期在我院体检的健康志愿者40例作为对照组,根据AS病情活动评分量表(BASDAI)将研究组患者分为A组(BASDAI>4分,32例)和B组(BASDAI得分≦4分,42例),比较研究组和对照组外周血中TNF-α、IL-17、IL-33水平,比较A组和B组外周血中TNF-α、IL-17、IL-33、C反应蛋白(CRP)、红细胞沉降率(ESR),采用Spearman相关性分析TNF-α、IL-17、IL-33水平与BASDAI得分及CRP、ESR的相关性。结果:研究组外周血中TNF-α、IL-17、IL-33水平明显高于对照组,差异有统计学意义(P<0.05),A组外周血中TNF-α、IL-17、IL-33、CRP、ESR明显高于B组,差异有统计学意义(P<0.05);AS患者TNF-α、IL-17、IL-33水平与BASDAI得分及CRP、ESR水平均呈正相关(P<0.05)。结论:TNF-α、IL-17、IL-33在AS患者外周血中呈现高表达,并且与患者BASDAI得分及CRP、ESR水平呈正相关。
英文摘要:
      ABSTRACT Objective: To investigate the expression of Tumor necrosis factor-α (TNF-α), interleukin 17(IL-17) and interleukin 33(IL-33) in the peripheral blood of patients with ankylosing spondylitis (AS) and their correlation with disease activity. Methods: A total of 74 patients with AS, who were treated in the Fifth Hospital of Xi'an from May 2016 to June 2017, were chosen as study group; another 40 healthy volunteers, who were examined in this hospital during the same period, were chosen as control group. The patients in the study group were further divided into group A (BASDAI score over 4 points, 32 cases) and group B (BASDAI score below or equal to 4 points,42 cases) according to the AS disease activity scale (BASDAI).The levels of TNF-α IL-17 and IL-33 in the peripheral blood of study group and control group were compared; the levels of TNF-α, IL-17, IL-33 , creactive protein (CRP) and erythrocyte sedimentation rate (ESR) in the peripheral blood of group A and group B were compared.The spearman correlation was used to analyze the correlation of TNF-α, IL-17 and IL-33 levels with BASDAI score, CRP and ESR. Results: The levels of TNF-α, IL-17 and IL-33 in the peripheral blood of the study group were significantly higher than those in the control group, the differences were statistically significant (P<0.05).The levels of TNF-α, IL-17, IL-33, CRP and ESR in the peripheral blood of group A were significantly higher than those in group B, the differences were statistically significant(P<0.05). The levels of TNF-α, IL-17 and IL-33 in AS patients were positively correlated with BASDAI scores, CRP and ESR levels(P<0.05). Conclusion: TNF-α, IL-17 and IL-33 are highly expressed in the peripheral blood of pa- tients with AS, and positively correlated with BASDAI score, CRP and ESR levels in patients with AS.
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