Relationship between serum LXA4 and Gal-3 levels and disease progression in patients with allergic rhinitis
Objective To investigate the relationship between serum levels of lipoxin A4(LXA4)and galactin-3(Gal-3)and disease progression in patients with allergic rhinitis(AR).Methods A total of 113 AR patients admitted to the outpatient department of Jingnan Medical District of PLA General Hospital from July 2022 to October 2023 were included as AR group,and were divided into mild group(48 cases)and moderate and severe group(65 cases)according to the grading standard of the World Health Organization.Meanwhile,110 healthy volunteers were selected as control group.Serum levels of LXA4 and Gal-3 were measured by enzyme-linked immunosorbent kit.General data of AR patients was collected.The correlation analysis between variables was conducted using Spearman correlation test.Receiver operating characteristic(ROC)curve was applied to evaluate the ability of serum LXA4 and Gal-3 levels to distinguish different severity of AR.Logistic regression was used to analyze the influencing factors of AR disease severity.Results Compared with the control group,serum levels of LXA4 and Gal-3 in AR group obviously increased(P<0.05).VAS,TNSS scores,serum LXA4 and Gal-3 levels in the moderate and severe group were obviously higher than those in mild group(P<0.05).Spearman correlation analysis showed that serum levels of LXA4 and Gal-3 were positively correlated with VAS and TNSS scores in AR patients(P<0.05).The AUC of serum LXA4,Gal-3,and their combination in the diagnosis of moderate and severe AR were 0.829,0.812,and 0.912,respectively,which were obviously higher than that of single detection(Z combination-LXA4=3.076,Z combina-tion-Gal-3=2.940,P<0.05).Serum LXA4 and Gal-3 levels were independent risk factors for the occurrence of moderate and severe AR(P<0.05).Conclusions The levels of serum LXA4 and Gal-3 are elevated in AR patients and are closely related to disease pro-gression.
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