首页|ADPN、HMGB1、NGAL在尿路感染患者中的表达及相关性研究

ADPN、HMGB1、NGAL在尿路感染患者中的表达及相关性研究

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目的 探讨脂联素(ADPN)、高迁移率族蛋白B1(HMGB1)、中性粒细胞明胶酶相关脂质运载蛋白(NGAL)在尿路感染患者中的表达及与尿路感染的相关性.方法 选取本院2019年12月至2020年12月收治的130例尿路感染患者作为尿路感染组,另外选取本院80例体检健康者作为健康组,采用酶联免疫分析(ELISA)法检测患者的ADPN、HMGB1、NGAL水平,分析ADPN、HMGB1、NGAL在健康组与尿路感染组的表达水平及与疾病严重程度的关系.结果 与健康组相比,尿路感染组的ADPN表达降低,HMGB1、NGAL表达升高,差异均有统计学意义(均P<0.05).随着尿路感染严重程度的加重,ADPN的降低加剧,HMGB1、NGAL的升高加剧(均P<0.05).以尿路感染为因变量(否=1,是=0),以ADPN、HMGB1、NGAL为自变量建立logistic回归模型,结果显示:ADPN、HMGB1、NGAL为尿路感染发生的危险因素(均P<0.05).相关性分析显示:ADPN与HMGB1呈负相关(r=-0.458,P=0.001);ADPN与NGAL呈负相关(r=-0.542,P=0.001);HMGB1 与 NGAL呈正相关(r=0.511,P=0.001).受试者工作特征(ROC)曲线分析结果显示,与ADPN、HMGB1、NGAL单项诊断相比,三项联合诊断对尿路感染的诊断价值较高(P<0.05).结论 ADPN在尿路感染患者中表达降低,HMGB1、NGAL表达升高,且ADPN、HMGB1、NGAL的升高或降低与患者的疾病严重程度有相关性,可作为评估患者疾病严重程度的指标.
Study on the expression and correlation of ADPN,HMGB1 and NGAL in patients with urinary tract infection
Objective To analyze the expression and correlation of adiponectin(ADPN),high mobility group protein B(HMGB1),neutrophil gelatinase-associated lipocalin(NGAL)in pa-tients with urinary tract infections.Methods A total of 130 patients with urinary tract infection admit-ted to our hospital from December 2019 to December 2020 were selected as the urinary tract infection group,and 80 healthy subjects in our hospital were selected as the healthy group.The ADPN,HMGB1 and NGAL levels of the patients were detected by enzyme linked immunoassay(ELISA).The expression levels of ADPN,HMGB1 and NGAL in healthy group and urinary tract infection group were analyzed and their relationship with the severity of the disease was analyzed.Results The expression of ADPN in the urinary tract infection group was relatively lower than that in the healthy group,and the expression of ADPN,HMGB1 and NGAL increased(all P<0.05).With the aggravation of the sever-ity of urinary tract infection,the decrease of ADPN increased;the increase of HMGB1 and NGAL in-creased(all P<0.05).The logistic regression model was established with urinary tract infection as the dependent variable and ADPN,HMGB1 and NGAL as the independent variables.The results showed that ADPN,HMGB1 and NGAL were the risk factors for urinary tract infection(all P<0.05).Correlation analysis showed that ADPN was negatively correlated with HMGB1(r=-0.458,P=0.001).ADPN was negatively correlated with NGAL(r=-0.542,P=0.001).HMGB1 was positively correlated with NGAL(r=0.511,P=0.001).Receiver operating characteristic(ROC)curve analysis showed that compared with the single diagnosis of ADPN,HMGB1 and NGAL,the three combined diagnoses were more valuable in diagnosing urinary tract infection(P<0.05).Conclusions The expression of ADPN is decreased in patients with urinary tract infection,and the expression of HMGB1 and NGAL is increased.The increase or decrease of ADPN,HMGB1 and NGAL is related to the severity of the patient's disease,and can be used as an index to assess the severity of the patient's disease.

AdiponectinHigh Mobility Group Box 1 ProteinNeutrophil Gelatinase Associated LipocalinUrinary Tract Infection

李润奇、郑雪君、侯桂平、李润姣、崔利

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张家口市第二医院检验科,张家口 075000

张家口市第二医院骨外科,张家口 075000

张家口市第二医院中药学,张家口 075000

脂联素 高迁移率族蛋白B1 中性粒细胞明胶酶相关脂质运载蛋白 尿路感染

河北省中医药管理局项目

2021442

2024

国际泌尿系统杂志
中华医学会,湖南省医学会

国际泌尿系统杂志

CSTPCD
影响因子:0.414
ISSN:1673-4416
年,卷(期):2024.44(2)
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