临床和实验医学杂志2024,Vol.23Issue(15) :1590-1594.DOI:10.3969/j.issn.1671-4695.2024.15.007

幽门螺杆菌感染与胃癌患者血清缺氧诱导因子-1α及活性氧水平的相关性

Correlation between Helicobacter pylori infection and serum hypoxic-inducing factor-1α and reactive oxygen species expression in pa-tients with gastric cancer

肖丽丽 吴悦 徐洋
临床和实验医学杂志2024,Vol.23Issue(15) :1590-1594.DOI:10.3969/j.issn.1671-4695.2024.15.007

幽门螺杆菌感染与胃癌患者血清缺氧诱导因子-1α及活性氧水平的相关性

Correlation between Helicobacter pylori infection and serum hypoxic-inducing factor-1α and reactive oxygen species expression in pa-tients with gastric cancer

肖丽丽 1吴悦 1徐洋1
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作者信息

  • 1. 大庆油田总医院消化内科 黑龙江 大庆 163001
  • 折叠

摘要

目的 探讨幽门螺杆菌(Hp)感染与胃癌患者血清缺氧诱导因子-1α(HIF-1α)、活性氧水平的相关性.方法 回顾性选取2019年9月至2023年9月大庆油田总医院胃炎及胃癌患者60例,依据疾病类型方法分为胃癌组、慢性萎缩性胃炎组、慢性非萎缩性胃炎3组,每组各20例.统计分析3组患者的血清HIF-1α、活性氧水平,并统计分析3组不同临床特征患者的血清HIF-1α、活性氧水平及其相关性.结果 胃癌组患者的血清HIF-1α、活性氧水平分别为(248.04±41.36)、(3 361.50±512.23)μmol/L,慢性萎缩性胃炎组患者的血清HIF-1α、活性氧水平分别为(231.25±36.21)、(3 079.76±502.12)μmol/L,均高于慢性非萎缩性胃炎组[(180.45±30.41)、(2 599.07±412.63)μmol/L],差异均有统计学意义(P<0.05).不同年龄、性别患者的血清HIF-1α、活性氧水平比较,差异均无统计学意义(P>0.05);胃癌组、慢性萎缩性胃炎组Hp阳性患者的血清HIF-1α、活性氧水平均高于Hp阴性患者,差异均有统计学意义(P<0.05);慢性非萎缩性胃炎组中Hp阳性患者的血清HIF-1α、活性氧水平与Hp阴性患者比较,差异均无统计学意义(P>0.05).胃癌组、慢性萎缩性胃炎组患者的血清HIF-1α与活性氧水平呈显著正相关(r=0.712,P<0.05).结论 胃癌患者Hp感染与血清HIF-1α、活性氧水平的相关性显著,Hp感染可能通过上调血清HIF-1α、活性氧水平促进胃癌的发生、发展,可为临床诊疗提供有效依据.

Abstract

Objective To investigate the correlation between serum hypoxia-inducing factor-1α(HIF-1α)and reactive oxygen spe-cies expression levels and Helicobacter pylori(Hp)infection in patients with gastric cancer.Methods Sixty patients with gastric cancer and gas-tritis in Daqing Oilfield General Hospital from September 2019 to September 2023 were retrospectively selected and divided into three groups ac-cording to disease types:the gastric cancer group,the non-atrophic gastritis group and the chronic chronic atrophic gastritis group,with 20 cases in each group.The expression levels of serum reactive oxygen species and HIF-1α in the three groups were statistically analyzed,and the expres-sion levels of serum HIF-1α and reactive oxygen species in the three groups of patients with different clinical characteristics and their correlation were statistically analyzed.Results The levels of serum HIF-1α and reactive oxygen species in the gastric cancer group were(248.04±41.36)and(3 361.50±512.23)μmol/L,respectively,the levels of serum HIF-1α and reactive oxygen species in the chronic atrophic gastritis group were(231.25±36.21)μmol/L and(3 079.76±502.12)μmol/L,respectively,which were higher than those in chronic non-atrophic gastri-tis group[(180.45±30.41)μmol/L,(2 599.07±412.63)μmol/L],the differences were statistically significant(P<0.05).There were no statistically significant differences in serum HIF-1α and reactive oxygen species levels between patients of different ages and genders(P>0.05);the levels of serum HIF-1α and reactive oxygen species in Hp-positive patients in the gastric cancer group and the chronic atrophic gas-tritis group were higher than those in Hp-negative patients,and the differences were statistically significant(P<0.05);there were no statisti-cally significant differences in serum HIF-1α and reactive oxygen species levels between Hp-positive patients and Hp-negative patients in the chronic non-atrophic gastritis group(P>0.05).The expression levels of serum reactive oxygen species and HIF-1α in the chronic atrophic gastritis group and the gastric cancer group were significantly positively correlated(r=0.712,P<0.05).Conclusion Hp infection is signifi-cantly correlated with serum HIF-1α and reactive oxygen species expression levels in patients with gastric cancer.Hp infection can promote the occurrence and development of gastric cancer by up-regulating serum HIF-1α and reactive oxygen species expression levels.This provides effec-tive evidence for clinical diagnosis and treatment.

关键词

胃癌/幽门螺杆菌感染/缺氧诱导因子-1α/活性氧/相关性

Key words

Gastric cancer/Helicobacter pylori infection/Hypoxia-inducible factor-1α/Reactive oxygen species/Correlation

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基金项目

黑龙江省中医药管理局科研项目(ZHY2022-03310)

出版年

2024
临床和实验医学杂志
首都医科大学附属北京友谊医院

临床和实验医学杂志

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影响因子:1.504
ISSN:1671-4695
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