首页|白细胞介素-8基因rs4073位点的基因多态性、纤溶系统的活性与新生儿败血症的关系

白细胞介素-8基因rs4073位点的基因多态性、纤溶系统的活性与新生儿败血症的关系

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目的 探究白细胞介素-8基因rs4073位点的基因多态性、纤溶系统的活性与新生儿败血症的关系.方法 选取于2021年1月至2023年1月我院的新生儿科收治的92例败血症患儿为研究组(n=92)和同期选择92例健康新生儿为对照组(n=92),收集研究对象的一般资料,对比两组血液中C-反应蛋白(C-reactive protein,CRP)、抗凝血酶(antithrombin,AT)、D-二聚体(D-dimer,D-D)以及血小板(platelet,PLT)的含量,鉴定败血症患儿的病原菌种属以及IL-8基因rs4073位点基因多态性情况并对比分析不同IL-8基因型的病原菌种属以及血清指标和凝血指标的差异.结果 研究组CRP、IL-6以及D-D与对照组相比显著升高,AT以及PLT指标与对照组相比显著下降,病原菌鉴定结果表明败血症患儿主要以革兰氏阳性菌为主,约占总病例的70%,研究组IL-8基因rs4073位点基因型分布与对照组相比差异具有统计学意义,等位基因T的基因频率增加,不同IL-8基因rs4073位点基因型之间血清指标以及凝血指标差异均有统计学意义,其中TT型败血症患儿的CRP、IL-6以及D-D均显著高于其他基因型,PLT以及AT显著低于其他基因型(P<0.05).结论 IL-8基因rs4073位点的多态性与败血症发病密切相关,且可能通过影响纤溶系统以及凝血系统的活性,参与败血症的发病机制.
The Relationship Between Interleukin-8 Gene rs4073 Polymorphism,Fibrinolytic System Activity and Neonatal Sepsis
Objective To explore the relationship between interleukin-8 gene rs4073 polymorphism,fibrinolytic system activity and neonatal sepsis.Methods Ninety-two neonates with sepsis admitted to the Neonatal Department in our hospital from January,2021 to January,2023 were selected as the study group(n=92),while 92 healthy neonates during the same period were selected as the control group(n=92).The general data of all subjects were collected and levels of C-reactive protein(CRP),antithrombin(AT),D-dimer(D-D)and platelet(PLT)in blood samples of these two groups were compared.The pathogen species of neonates with sepsis and IL-8 gene rs4073 polymorphism were identified and levels of pathogen species,serum indicators and coagulation indicators among different IL-8 genotypes were compared and evaluated.Results Levels of CRP,IL-6 and D-D in the study group were significantly higher than those in the control group,while levels of AT and PLT were significantly lower than those in the control group.The results of pathogen identification showed that Gram-positive bacteria were the main cause of sepsis in neonates,accounting for about 70%of the total cases.The distribution of IL-8 gene rs4073 genotypes in the study group was significantly different from that in the control group,and the gene frequency of allele T increased.There were significant differences in levels of serum indicators and coagulation indicators among different IL-8 gene rs4073 genotypes,among which levels of CRP,IL-6 and D-D in neonates with sepsis and TT genotype were significantly higher than those in other genotypes,while levels of PLT and AT were significantly lower than those in other genotypes(P<0.05).Conclusion IL-8 gene rs4073 polymorphism is closely related to the occurrence of sepsis,and could participate in the pathogenesis of sepsis by affecting the activity of fibrinolytic and coagulation systems.

IL-8MutationPolymorphismNeonatal sepsisFibrinolytic systemCoagulation function

赵春娟、徐征、杜晨、夏兰兰、高宇

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首都医科大学附属北京儿童医院保定医院新生儿科,河北保定 071000

首都医科大学附属北京儿童医院保定医院检验科,河北保定 071000

首都医科大学附属北京儿童医院保定医院放射科,河北保定 071000

IL-8 突变 多态性 新生儿败血症 纤溶系统 凝血功能

河北省保定市科技计划项目

2241ZF359

2024

标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
年,卷(期):2024.31(5)
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