首页|CTRP3、CTRP9在糖尿病肾病患者微血管并发症中的作用及对炎症状态的影响

CTRP3、CTRP9在糖尿病肾病患者微血管并发症中的作用及对炎症状态的影响

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目的 分析补体C1q肿瘤坏死因子相关蛋白3(CTRP3)和补体C1q肿瘤坏死因子相关蛋白9(CTRP9)在糖尿病肾病患者微血管并发症发生中的作用及对机体炎症状态的影响.方法 选择2019年1月至2022年1月本院收治的82例糖尿病肾病患者作为研究对象,所有患者依照血管钙化情况分为钙化组(41例)和非钙化组(41例),同期选择50例健康体检者作为对照组;检测受试者血中的CTRP3、CTRP9、肿瘤坏死因子α(TNF-α)、白细胞介素6(IL-6)和细胞间黏附分子1(ICAM-1)水平以评估患者体内的炎症状态;采用Spearman相关性分析CTRP3、CTRP9水平与血管钙化积分和机体炎症指标的相关性.结果 钙化组患者的血中CTRP3水平明显高于非钙化组,CTRP9水平明显低于非钙化组,差异均有统计学意义(均P<0.05);钙化组患者的血中TNF-α、IL-6、ICAM-1水平明显高于非钙化组,差异均有统计学意义(均P<0.05);糖尿病肾病患者的血管钙化积分与CTRP3呈显著正相关,与CTRP9呈显著负相关(均 P<0.05);CTRP3 水平与 TNF-α、IL-6、ICAM-1 呈显著正相关(均 P<0.05),CTRP9 与TNF-α、IL-6、ICAM-1呈显著负相关(均P<0.05).结论 CTRP3、CTRP9与糖尿病肾病患者微血管并发症的发生呈显著相关性,并可显著调控机体的炎症状态.
The role of CTRP3 and CTRP9 in the occurrence of microvascular complications in patients with diabetes nephropathy and their influence on the body inflammatory state
Objective To analyze the role of C1q/TNF-related protein(CTRP3)and C1q/TNF-related protein(CTRP9)in the occurrence of microvascular complications in patients with diabe-tes nephropathy and their influence on the body inflammatory state.Methods From January 2019 to January 2022,82 patients with diabetes nephropathy admitted to our hospital were selected as the study subjects.All patients were divided into calcification group(41 cases)and non calcification group(41 cases)according to the vascular calcification of the patients,and 50 healthy people were selected as the control group at the same time.CTRP3,CTRP9 and tumor necrosis factor α(TNF-α),interleu-kin-6(IL-6)and intercellular adhesion molecule-1(ICAM-1)were detected.Spearman correlation was used to analyze the correlation between the levels of CTRP3 and CTRP9 and vascular calcification score and body inflammation index.Results The level of CTRP3 in blood of calcification group was significantly higher than that of non-calcification group,and the level of CTRP9 was significantly lower than that of non-calcification group,with statistical significance(all P<0.05).Serum levels of TNF-α,IL-6 and ICAM-1 in calcification group were significantly higher than those in non-calcification group,with statistical significance(all P<0.05).The vascular calcification score of diabetic ne-phropathy patients was significantly positively correlated with CTRP3 and negatively correlated with CTRP9(all P<0.05).The level of CTRP3 was significantly positively correlated with TNF-α,IL-6 and ICAM-1(all P<0.05),and CTRP9 was significantly negatively correlated with TNF-α,IL-6 and ICAM-1(all P<0.05).Conclusions CTRP3 and CTRP9 are significantly correlated with the occur-rence of microvascular complications in patients with diabetes nephropathy,and can significantly regu-late the inflammatory state of the body.

Diabetic NephropathiesMicrovesselsCTRP3CTRP9Inflammation

叶刚、罗丹

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武汉市第三医院武汉大学同仁医院肾内科,武汉 430060

糖尿病肾病 微血管 CTRP3 CTRP9 炎症

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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