首页|原发性干燥综合征疾病活动度与血清TNF-α、IL-6及IL-17水平的关系

原发性干燥综合征疾病活动度与血清TNF-α、IL-6及IL-17水平的关系

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目的:探讨原发性干燥综合征(pSS)疾病活动度与血清肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)及白细胞介素-17(IL-17)水平的关系.方法:回顾性分析2021年5月-2023年5月濮阳市人民医院收治的96例pSS患者作为pSS组,另选取医院同期96例健康体检者作为健康对照组,检测并比较pSS组与健康对照组血清TNF-α、IL-6及IL-17水平.根据干燥综合征疾病活动度指数(ESSDAI)将96例患者分为pSS活动组(38例,ESSDAI评分≥5分)与pSS稳定组(58例,ESSDAI评分<5分),比较pSS活动组与pSS稳定组血清TNF-α、IL-6、IL-17水平及ESSDAI评分,采取Pearson相关性分析法评价ESSDAI评分与血清TNF-α、IL-6及IL-17的关系.结果:pSS组患者血清TNF-α、IL-6及IL-17水平均显著比健康对照组高,差异有统计学意义(t=19.787、25.663、25.400,P<0.05);pSS活动组患者血清TNF-α、IL-6及IL-17水平及ESSDAI评分均明显比pSS稳定组患者高,差异有统计学意义(t=8.286、5.865、6.470、14.920,P<0.05);Pearson相关性分析法结果显示,pSS患者ESSDAI评分与血清TNF-α、IL-6及IL-17均呈正相关(r>0,P<0.05).结论:pSS患者ESSDAI评分与血清TNF-α、IL-6及IL-17均呈正相关,可作为辅助评估pSS患者疾病活动度的重要血清标志物.
Relationship Between Disease Activity in Primary Sjogren's Syndrome and Serum TNF-α,IL-6 and IL-17 Levels
Objective:To explore the relationship between disease activity in primary Sjogren's syndrome(pSS)and serum tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and interleukin-17(IL-17).Methods:A retrospective analysis was conducted on 96 patients with pSS admitted to the hospital from May 2021 to May 2023 as the pSS group.Additionally,96 healthy individuals who underwent physical examination in the hospital during the same period were selected as the healthy control group.Serum TNF-α,IL-6 and IL-17 levels of pSS group and the healthy control group were measured and compared.And 96 patients were divided into the pSS active group(38 cases,ESSDAI score≥5 points)and the pSS stable group(58 cases,ESSDAI score<5 points)based on the Disease Activity Index of Sjogren's Syndrome(ESSDAI).Serum TNF-α,IL-6,IL-17 and ESSDAI scores were evaluated using Pearson correlation analysis.Results:Serum TNF-α,IL-6 and IL-17 were significantly higher than those of the healthy control group,and the differences were statistically significant(t=19.787,25.663,25.400;P<0.05).Serum TNF-α,IL-6 and IL-17,as well as the ESSDAI score,of pSS group were significantly higher than those in pSS stable group,and the differences were statistically significant(t=8.286,5.865,6.470,14.920;P<0.05).Pearson correlation analysis showed that the ESSDAI score of pSS patients was correlated with serum TNF-α,IL-6 and IL-17(r>0,P<0.05).Conclusion:ESSDAI score and serum TNF-α,IL-6 and IL-17 are both positively correlated,and can serve as important serum biomarkers to assist in evaluating disease activity in pSS patients.

Primary Sjogren's syndromeSjogren's syndrome disease activity indexTumor necrosis factor-αInterleukin-6Interleukin-17

张方方、张丽媛、田盈

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濮阳市人民医院检验科,河南 濮阳 457001

原发性干燥综合征 干燥综合征疾病活动度指数 瘤坏死因子-α 白细胞介素-6 白细胞介素-17

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(23)