首页|血清GP73与慢性乙型病毒性肝炎患者肝功能及肝纤维化指标的相关性

血清GP73与慢性乙型病毒性肝炎患者肝功能及肝纤维化指标的相关性

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目的 分析血清高尔基体蛋白73(GP73)与慢性乙型病毒性肝炎(CHB)患者肝功能及肝纤维化指标的相关性。方法 选取延安大学附属医院 2023 年 1月至 6 月收治的 93 例CHB患者作为研究对象,按照病情严重程度将其分为轻度组(41例)、中度组(32例)及重度组(20 例)。检测所有研究对象的血清学指标、肝功能指标、肝纤维化指标;采用Pearson相关性分析CHB患者血清GP73、可溶性生长刺激表达基因 2 蛋白(sST2)、趋化因子配体13(CXCL13)、白细胞介素-18(IL-18)与肝功能、肝纤维化指标的相关性。结果 轻度组、中度组、重度组的血清GP73、sST2、CXCL-13、IL-18 水平均呈逐渐升高趋势,差异具有统计学意义(P<0。05)。轻度组、中度组、重度组的丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)及γ-谷氨酰转移酶(GGT)水平均呈逐渐升高趋势,差异具有统计学意义(P<0。05)。轻度组、中度组、重度组的层粘连蛋白(LN)、透明质酸(HA)、Ⅲ型前胶原(PC-Ⅲ)及Ⅳ型胶原(Ⅳ-C)水平均呈逐渐升高趋势,差异具有统计学意义(P<0。05)。Pearson相关性分析显示,CHB患者血清GP73、sST2、CXCL-13、IL-18 水平与肝功能、肝纤维化指标水平均呈正相关(P<0。05)。结论 CHB患者血清GP73、sST2、CXCL-13、IL-18 水平升高会导致肝功能受损程度加剧,促进肝纤维化,有望成为CHB诊断以及病情严重程度评估的可靠生物学标志物。
Correlation between serum GP73 and liver function and liver fibrosis indexes in patients with chronic hepatitis B
Objective To analyze the correlation between serum Golgi protein 73(GP73)and liver function and liver fibrosis indexes in patients with chronic hepatitis B(CHB).Methods A total of 93 patients with CHB admitted in the Yan'an University Affiliated Hospital from January to June 2023 were selected as the research objects.According to the severity of the disease,the patients were divided into mild group(41 cases),moderate group(32 cases)and severe group(20 cases).The serological indexes,liver function indexes and liver fibrosis indexes of all research objects were detected.Pearson correlation analysis was used to analyze the correlation between serum GP73,soluble growth stimulation expressed gene 2 protein(sST2),chemokine ligand-13(CXCL-13),interleukin-18(IL-18)and liver function and liver fibrosis indexes in CHB patients.Results The levels of serum GP73,sST2,CXCL-13 and IL-18 in the mild group,moderate group and severe group showed a gradually increasing trend,and the differences were statistically significant(P<0.05).The levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST)and gamma-glutamyltransferase(GGT)in the mild group,moderate group and severe group showed a gradually increasing trend,and the differences were statistically significant(P<0.05).The levels of laminin(LN),hyaluronic acid(HA),type Ⅲ procollagen(PC-Ⅲ)and typeⅣ collagen(Ⅳ-C)in the mild group,moderate group and severe group showed a gradually increasing trend,and the differences were statistically significant(P<0.05).Pearson correlation analysis showed that the levels of serum GP73,sST2,CXCL-13 and IL-18 in CHB patients were positively correlated with the levels of liver function and liver fibrosis indexes(P<0.05).Conclusion The increase of serum GP73,sST2,CXCL-13 and IL-18 levels in CHB patients will lead to the aggravation of liver function damage and promote liver fibrosis,which is expected to be a reliable biomarker for the diagnosis of CHB and the assessment of the severity of the disease.

chronic hepatitis BGolgi protein 73liver functionliver fibrosis

高晓伟、李慧

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延安大学附属医院检验科,陕西 延安,716000

慢性乙型病毒性肝炎 高尔基体蛋白73 肝功能 肝纤维化

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(26)