首页|Galectin-3在腹膜透析液中的表达及其临床意义研究

Galectin-3在腹膜透析液中的表达及其临床意义研究

Expression of Galectin-3 in peritoneal dialysate and its clinical significance

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目的 观察不同透析年龄腹膜透析(PD)患者腹透液中半乳糖凝集素-3(Galectin-3)的表达,并与血管内皮生长因子(VEGF)、纤连蛋白(FN)及临床相关指标进行相关性分析.方法 以肾脏内科规律随访的109例PD患者为研究对象,根据不同PD年龄分为A、B、C、D四组,采用酶联免疫吸附法测定Galectin-3、VEGF、FN浓度,比较四组腹膜透析液中Galectin-3的表达,与VEGF、FN及临床相关指标进行相关性分析,用Spearman检验进行相关性分析.结果 腹透液中VEGF的浓度在D组PD患者中呈明显上升趋势(P<0.05).Galectin-3表达水平与VEGF(r=0.358,P=0.022)呈正相关,与FN(r=0.121,P=0.452)无明显相关性;Ga-lectin-3与临床指标甲状旁腺激素(PTH)(r=0.201,P=0.037)、C-反应蛋白(CRP)(r=0.357,P<0.001)、左心室后壁厚度(LVPWD)(r=0.213,P=0.026)呈正相关,与临床指标总胆固醇(TC)(r=-0.316,P=0.001)呈负相关.结论 腹透液中Galectin-3的浓度在长程PD患者腹透液中明显升高,提示随着PD时间延长,表达增加,推测其表达水平差异有助于PF的早期评估.与VEGF呈正相关可能提示其在腹膜血管新生及纤维化中的促进作用;并且与临床指标PTH、CRP、LVPWD正相关推测其对微炎症状态、心肌重构有一定临床指导意义.
Objective To observe the expression of Galectin-3 in peritoneal dialysis (PD) fluid in patients with different dialysis ages, and to conduct correlation analysis with vascular endothelial growth factor (VEGF) , fi-bronectin (FN) and related clinical indicators.Methods A total of 109 PD patients who were regularly followed up in the department of nephrology were divided into four groups according to different peritoneal dialysis ages.The concentrations of Galectin-3, VEGF and FN were determined by enzyme-linked immunosorbent assay.The expres-sion of Galectin-3 in peritoneal dialysate of the 4 groups was compared, the correlation with VEGF, FN and clinical related indexes was analyzed, and the correlation was analyzed by Spearman test.Results The concentration of VEGF in peritoneal dialysis patients in group D significantly increased (P<0.05) .Galectin-3 expression levels were positively correlated with VEGF (r =0.358 , P =0.022) , but not significantly correlated with FN (r =0.121, P=0.452).Galectin-3 was positively correlated with clinical indicators parathyroid hormone (PTH) (r=0.201, P=0.037), C-reactive protein (CRP) (r=0.357, P<0.001), left ventricular posterior wall dimensions (LVPWD) (r=0.213, P=0.026), and negatively correlated with clinical indicators total cholesterol (TC) (r=-0.316, P=0.001).Conclusion The concentration of Galectin-3 in the dialysate of long-term peritoneal dialy-sis patients is significantly elevated, indicating that the expression of galectin-3 increases with the extension of peri-toneal dialysis time, suggesting that the detection of galectin-3 levels may be helpful for the evaluation of early peri-toneal fibrosis.The positive correlation with VEGF may suggest its role in promoting peritoneal angiogenesis and fi-brosis.Moreover, it is positively correlated with clinical indicators PTH, CRP and LVPWD, suggesting that it has certain clinical guiding significance on microinflammatory state and myocardial remodeling.

peritoneal dialysisperitoneal fibrosisGalectin-3VEGFFN

姚玲、邵小琪、何萌萌、王秋凤、张培

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安徽医科大学第一附属医院肾内科,合肥 230022

腹膜透析 腹膜纤维化 Galectin-3 VEGF FN

国家自然科学基金

81900697

2024

安徽医科大学学报
安徽医科大学

安徽医科大学学报

CSTPCD北大核心
影响因子:1.095
ISSN:1000-1492
年,卷(期):2024.59(5)
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