首页|血清IL-16、CCL27及TRAIL与多发性硬化病情严重程度的相关性及其预测价值

血清IL-16、CCL27及TRAIL与多发性硬化病情严重程度的相关性及其预测价值

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目的:探讨血清白细胞介素-16(IL-16)、CC趋化因子配体27(CCL27)及肿瘤坏死因子相关凋亡诱导配体(TRAIL)与多发性硬化病情严重程度的相关性及其预测价值,为多发性硬化的诊断提供理论依据。方法:以2018年1月-2022年10月本院收治的多发性硬化患者72例为研究对象,依据症状严重程度分为急性发作期(n=40)及缓解期(n=32),另选取同期于本院接受体检的健康志愿者65例为对照组。以酶联免疫吸附法(ELISA)测定所有研究对象的血清IL-16、CCL27、TRAIL水平。以Spearman相关性分析血清IL-16、CCL27、TRAIL水平与多发性硬化病情严重程度的相关性,绘制受试者特征曲线(ROC)分析血清IL-16、CCL27、TRAIL水平对多发性硬化病情严重程度的预测价值。结果:研究组的血清IL-16、CCL27、TRAIL水平高于对照组(P<0。05);急性发作期患者的血清IL-16、CCL27、TRAIL水平高于缓解期患者(P<0。05)。Spearman相关性分析显示,血清IL-16、CCL27、TRAIL水平与多发性硬化的病情严重程度呈正相关(r=0。436,0。461,0。447,P<0。05)。ROC曲线分析结果显示,血清IL-16、CCL27、TRAIL水平联合预测多发性硬化病情严重程度的曲线下面积(AUC)为0。939,显著优于各指标单独评估。结论:血清IL-16、CCL27、TRAIL水平与多发性硬化的发生、发展密切相关,早期检测血清IL-16、CCL27、TRAIL水平对多发性硬化病情具有一定的预测价值,且联合预测的价值更高。
Correlation between Serum IL-16,CCL27 and CCL27 and Severity of Multiple Sclerosis and its Predictive Value
Objective:To investigate the correlation between serum interleukin-16(IL-16),CC chemokine ligand 27(CCL27)and TNF-related apoptosis-inducing ligand(TRAIL)and the severity of multiple sclerosis and its predictive value,and to provide theoretical basis for the diagnosis of MS.Methods:A total of 72 patients with multiple sclerosis admitted to our hospital from January 2018 to Octo-ber 2022 were selected as the study objects.According to the severity of symptoms,they were divided into acute attack period(n=40)and remission period(n=32),and 65 healthy volunteers who underwent physical examination in our hospital during the same period were se-lected as the control group.Serum levels of IL-16,CCL27 and TRAIL were determined by enzyme-linked immunosorbent assay(ELISA).Spearman correlation was used to analyze the correlation between serum IL-16,CCL27 and TRAIL levels and the severity of multiple sclerosis,and receiver characteristic curve(ROC)was drawn to analyze the predictive value of serum IL-16,CCL27 and TRAIL levels on the severity of multiple sclerosis.Results:The levels of IL-16,CCL27 and TRAIL in the study group were higher than those in the control group(P<0.05).The levels of IL-16,CCL27 and TRAIL in patients with acute attack period were higher than those in remis-sion period(P<0.05).Spearman correlation analysis showed that serum IL-16,CCL27 and TRAIL levels were positively correlated with the severity of multiple sclerosis(r=0.436,0.461,0.447,P<0.05).ROC curve analysis showed that the area under the curve(AUC)of serum IL-16,CCL27 and TRAIL combined to predict the severity of multiple sclerosis was 0.939,which was significantly better than that evaluated by each indicator alone.Conclusion:Serum IL-16,CCL27 and TRAIL levels are closely related to the occurrence and develop-ment of multiple sclerosis.Early detection of serum IL-16,CCL27 and TRAIL levels has a certain predictive value for multiple sclerosis,and the combined prediction value is higher.

Multiple SclerosisIL-16CCL27TRAILSeverityCorrelationPredictive Value

刘丽娟、任鲜卉、李敏、康娟、刘永良

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空军军医大学第一附属医院神经内科 陕西西安 710000

天水市中医医院神经内科 甘肃天水 741000

多发性硬化 IL-16 CCL27 TRAIL 病情严重程度 相关性 预测价值

陕西省自然科学基础研究计划

2020JM-338

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(4)
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