首页|铁过载骨髓增生异常综合征患者白介素-17、白介素-6水平及其临床意义

铁过载骨髓增生异常综合征患者白介素-17、白介素-6水平及其临床意义

扫码查看
目的 分析铁过载骨髓增生异常综合征患者白介素-17、白介素-6水平及其临床意义.方法 回顾分析150例骨髓增生异常综合征患者资料,根据患者血清铁蛋白水平分为铁过载组(血清铁蛋白>1 000 ng/ml,88例)和非铁过载组(血清铁蛋白≤1 000 ng/ml,62例),取同期75例健康体检者为对照组.比较3组白介素-17、白介素-6水平差异.依据国际预后积分系统(IPSS)将铁过载组患者分为低危亚组、中危亚组、高危亚组,比较3组白介素-17、白介素-6水平差异,使用Spearman相关系数分析白介素-17、白介素-6水平与预后相关性.结果 3组白介素-17、白介素-6水平差异有统计学意义(P<0.05),铁过载组>非铁过载组>对照组.铁过载组三亚组白介素-17、白介素-6水平差异有统计学意义(P<0.05),高危亚组>中危亚组>低危亚组;Spearman相关系数显示白介素-17、白介素-6水平与IPSS正相关(P<0.05).结论 白介素-17、白介素-6水平与铁过载骨髓增生异常综合征发生发展均有关联,早期监测有助于预后评估.
Levels and Clinical Significance of Interleukin-17 and Interleukin-6 in Patients with Iron Overload and Myelodysplastic Syndrome
Objective To analyze the levels and clinical significance of interleukin-17 and interleukin-6 levels on prog-nosis in patients with iron overload and myelodysplastic syndrome.Methods The data of 150 patients with myelodysplastic syn-drome were retrospectively analyzed.According to the level of serum ferritin,the patients were divided into iron overload group(serum ferritin>1000 ng/ml,88 cases)and non-iron overload group(serum ferritin≤1000 ng/ml,62 cases).75 healthy subjects with physical examination during the same period were selected as control group.The differences in levels of interleukin-17 and interleukin-6 were compared among the three groups.Patients in iron overload group were classified into low-risk subgroup,mid-dle-risk subgroup and high-risk subgroup according to the International Prognosis Score System(IPSS),and the differences in in-terleukin-17 and interleukin-6 levels among the three subgroups were compared.The correlation between interleukin-17 and inter-leukin-6 levels and prognosis was analyzed by Spearman correlation coefficient.Results There were statistical differences in the levels of interleukin-17 and interleukin-6 among the 3 groups(P<0.05),and the levels were shown as iron overload group non-iron overload group control group.The levels of interleukin-17 and interleukin-6 in the 3 subgroups of iron overload group were statistically different(P<0.05),and the levels were manifested as high-risk subgroup middle-risk subgroup low-risk subgroup.Spearman correlation coefficient showed that the levels of interleukin-17 and interleukin-6 were positively correlated with IPSS(P<0.05).Conclusion Interleukin-17 and interleukin-6 levels are associated with the occurrence and development of iron over-load and myelodysplastic syndrome,and early monitoring is helpful for prognosis assessment.

Iron overloadMyelodysplastic syndromeInterleukin-17Interleukin-6PrognosisInternational prognosis score system

朱献光、刘慧芳、杨梦然、陈冉

展开 >

450000 河南省人民医院

450000 郑州市金水区总医院

铁过载 骨髓增生异常综合征 白介素-17 白介素-6 预后 国际预后积分系统

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(8)
  • 6