首页|TIA患者血清IL-6、IL-18水平与颈动脉内中膜厚度的关系

TIA患者血清IL-6、IL-18水平与颈动脉内中膜厚度的关系

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目的 通过分析颈动脉内中膜厚度(IMT)与血清细胞因子白介素-6(IL-6)、白介素-18(IL-18)水平的关系,探讨IMT增厚的发生机制.方法 选择66例短暂性脑缺血发作(TIA)患者(TIA组)作为研究对象,另选择40名健康者作为正常对照组.分别测量其颈动脉IMT值,并分为IMT<1.0mm亚组和IMT≥1.0mm亚组.利用液相平衡竞争放射免疫分析法(RIA)和酶联免疫吸附法(ELISA)分别测定了2组的血清IL-6和IL-18水平,并对IMT与IL-6,IL-18的关系进行分析.结果 TIA组所有IMT≥1.0mm患者血清IL-6、IL-18含量均比正常对照组升高,差异有统计学意义(P<0.05,P<0.01); TIA组IMT≥1.0mm亚组患者血清IL-6、IL-18含量比IMT<1.0 mm亚组患者升高,差异有统计学意义(P<0.05).经Pearson相关分析,TIA组IMT≥1.0mm亚组患者IMT与血清IL-18含量呈明显正相关(r=0.551,P<0.01);TIA组、脑梗塞组IMT≥1.0mm亚组患者IMT与血清IL-6含量无相关性(r=0.303,P=0.058).结论 TIA组IMT增厚的患者血清IL-6、IL-18的水平是升高的.IMT的增厚与血清IL-18含量呈明显正相关,与血清IL-6含量无相关性.IL-6、IL-18可能参与了AS的形成过程.
Relationships between Carotid Artery Intima-media Thickness and Serum Interleukin-6 and Interleukin-18 on TIA patients
Objective To investigate the mechanisms of carotid artery intima-media thickness (IMT) and the relationships between carotid artery IMT and the serum levels of interleukin 6, interleukin 18. Methods Carotid artery IMT values were prospectively measured by color Doppler ultrasound in sixty-six cases of transient ischemia attack (TIA) patients who as the study group, and forty heathy volunteers as control group. The study groups were divided into two subgroups according to IMT larger or lower than 1. 0 mm. Serum IL-6, IL-18 levels were determined in all patients and volunteers with radioimmunoassay(RIA)and enzyme-linked immunosorbent assay (EL1SA) respectively. Results There were significant differences in IL-6 and IL-18 levels between IMT≥l. 0 mm subgroups and control group (P<0. 05, P<0. 01). The IL-6 and IL-18 levels between IMT≥l. 0 mm and IMT<1. 0 mm subgroups had significant differences (P<0. 05). The levels of serum IL-18 were positively correlated with IMT values in IMT≥1.0 mm subgroups! Pearson correlation coefficients r=0. 551,P<0. 01), and the levels of serum IL 6 had no correlation with IMT values in IMT≥l. 0 mm subgroups(Pearson correlation coefficients r=0. 303,P=0. 058). Conclusion The levels of serum IL-6, IL-18 are increased in TIA patients with IMT thickness increased. Serum IL-18 level is positively correlated with carotid artery IMT,and no correlation between serum IL-6 level and IMT. IL-6 and IL-18 may involve in the development of AS.

lschemic Attack, TransientBloodInterleukin-6BloodInterleukin-18BloodCarotid Arteriesultrasonog-raphy

朱峻岭

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山东省莱芜市人民医院神经内科 271100

脑缺血发作,短暂性/血液 白细胞介素6/血液 白细胞介素18/血液 颈动脉/超声检查

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(14)
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