首页|IL-17和IL-1β基因多态性与AECOPD合并肺部感染的关联

IL-17和IL-1β基因多态性与AECOPD合并肺部感染的关联

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目的 分析白细胞介素(IL)-17、IL-1β基因多态性与慢性阻塞性肺疾病急性加重期(AECOPD)合并肺部感染的关联。方法 选取2018年1月-2023年6月金华市中心医院收治的AECOPD合并肺部感染患者180例为AECOPD合并感染组,另选取同期收治的未合并肺部感染的AECOPD患者180例为AECOPD组,收集患者住院期间临床资料,分析感染患者病原菌分布特征,检测两组患者外周血IL-17和IL-1β表达水平及其基因多态性。结果 AECOPD合并感染组患者共分离出201株病原菌,革兰阴性菌占比最高为50。25%;与AECOPD组比较,AECOPD合并感染组患者血清IL-17、IL-1β水平分别为(21。74±4。72)pg/ml、(18。41±3。30)pg/ml,均升高(P<0。05);两组患者IL-17A rs2275913、rs3819024基因型(AA/AG/GG)频率比较均有统计学意义(P<0。05),IL-1β rs1143634基因型(CC/CT/TT)和等位基因(C、T)频率比较均有统计学意义(P<0。05)。结论 IL-17 rs2275913、rs3819024基因型和IL-1β rs1143634基因型与AECOPD合并肺部感染风险密切相关。
Association of IL-17 and IL-1β gene polymorphisms with pulmonary infection in AECOPD patients
OBJECTIVE To analyze the association of interleukin(IL)-17 and IL-1β gene polymorphisms with pul-monary infection in the patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).METHODS A total of 180 AECOPD patients complicated with pulmonary infection who were treated in Jinhua Central Hospital from Jan 2018 to Jun 2023 were assigned as the AECOPD-infection group,meanwhile,180 AE-COPD patients who were not complicated with pulmonary infection were chosen as the AECOPD group.The clini-cal data were collected from the enrolled patients during the hospital stay,the distribution of pathogens isolated from the patients was observed,the expression levels of peripheral blood IL-17 and IL-1β were detected,and the gene polymorphisms were analyzed.RESULTS Totally 201 strains of pathogens were isolated from the patients of the AECOPD-infection group.The proportion of the gram-negative bacteria was the highest(50.25%).The levels of serum IL-17 and IL-1β of the AECOPD-infection group were respectively(21.74±4.72)pg/ml and(18.41±3.30)pg/ml,higher than those of the AECOPD group(P<0.05).There were significant differences in the frequencies of IL-17A rs2275913 and rs3819024 genotypes(AA/AG/GG)between the two groups of patients(P<0.05);there were significant differences in the frequencies of IL-1β rs1143634 genotypes(CC/CT/TT)and alleles(C,T)between the two groups of patients(P<0.05).CONCLUSION The IL-17 rs2275913 and rs3819024 geno-types and IL-1β rs1143634 genotypes are closely associated with the pulmonary infection in the AECOPD patients.

Acute exacerbation of chronic obstructive pulmonary diseasePulmonary infectionPathogenInter-leukin-17Interleukin-1βGene polymorphism

童惠静、滕旭升、孔来法、程江华、张晓玲

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金华市中心医院急诊科,浙江金华 321000

金华市中心医院重症医学科,浙江金华 321000

慢性阻塞性肺疾病急性加重期 肺部感染 病原菌 白细胞介素-17 白细胞介素-1β 基因多态性

浙江省中医药科技计划项目

2023ZL188

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(17)