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甲型流感病毒感染血清SFTPD、LDH、Tim-3、PDCD5表达及意义

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目的 探讨甲型流感病毒感染血清表面活性蛋白D(SFTPD)、乳酸脱氢酶(LDH)、免疫调节分子T细胞免疫球蛋白及黏蛋白域蛋白3(Tim-3)及程序化细胞死亡分子5(PDCD5)水平与机体炎症反应及病情程度的关系。方法 选取2023年4月-2023年10月在天津市胸科医院接受治疗的甲型流感病毒感染患者569例为研究对象,根据病情程度分为轻症甲流组429例和重症甲流组140例,同时选取575名同期健康体检者为对照组。比较三组炎症反应指标、血清SFTPD、LDH、Tim-3、PDCD5水平,采用Pearson相关性分析血清SFTPD、LDH、Tim-3、PDCD5水平与炎症反应指标、病情程度的相关性。结果 重症甲流组血清淀粉样蛋白(SAA)、C-反应蛋白(CRP)、降钙素原(PCT)、白细胞介素(IL)-6、IL-17水平均高于轻症甲流组、对照组(P<0。05),相比于对照组,轻症甲流组更高(P<0。05)。重症甲流组血清SFTPD、LDH、Tim-3、PDCD5水平均高于轻症甲流组、对照组(P<0。05),相比于对照组,轻症甲流组更高(P<0。05)。血清SFTPD、LDH、Tim-3、PDCD5水平与SAA、CRP、PCT、IL-6、IL-17、病情程度均呈正相关(P<0。05)。结论 血清SFTPD、LDH、Tim-3、PDCD5表达与甲型流感病毒感染的发生、发展有关,且与患者炎症反应及病情程度密切相关,临床可据此判断甲型流感病毒感染疾病病情进展。
Expressions of serum SFPD,LDH,Tim-3 and PDCD5 in patients with influenza A virus infection and significance
OBJECTIVE To explore the association of serum surface active protein D(SFTPD),lactate dehydrogen-ase(LDH),immune regulatory molecule T cell immunoglobulin,mucin domain protein 3(Tim-3),and pro-grammed cell death molecule 5(PDCD5)with the inflammatory response and disease severity of the patients with influenza A virus infection.METHODS A total of 569 subjects with influenza A virus infection were selected from Tianjin Chest Hospital from Apr.2023 to Oct.2023.According to the disease severity,they were divided into the mild group with 429 cases and the severe group with 140 cases.Another 575 healthy individuals who underwent physical examinations during the same period were selected as the control group.The levels of inflammatory re-sponse indexes,serum SFTPD,LDH,Tim-3 and PDCD5 were compared among the three groups.Pearson corre-lation analysis was performed for the correlation between the serum SFTPD,LDH,Tim-3,PDCD5 levels and the inflammatory response indexes,and the severity of the disease.RESULTS The levels of serum amyloid like protein(SAA),C-reactive protein(CRP),procalcitonin(PCT),interleukin-6(IL-6),and interleukin-17(IL-17)of the severe group were higher than those of the mild group and the control group(P<0.05),and the levels of above indexes of the mild group were higher than those of the control group(P<0.05).The levels of serum SFTPD,LDH,Tim-3 and PDCD5 of the severe group were higher than those of the mild group and the control group(P<0.05),and the levels of above indexes of the mild group were higher than those of the control group(P<0.05).The serum SFTPD,LDH,Tim-3,and PDCD5 were positively correlated with SAA,CRP,PCT,IL-6,IL-17,and the severity of the disease(P<0.05).CONCLUSIONS The expressions of serum SFTPD,LDH,Tim-3 and PDCD5 are correlated with the occurrence and development of influenza A virus infection and intimately related to the inflammatory response and the severity of disease.It is necessary for the hospital to determine the progression of illness condition of the patients with influenza A virus infection based on the indexes.

Influenza A virusSurface active protein DLactate dehydrogenaseImmunomodulatory molecules T cell immunoglobulin and mucin domain protein 3Programmed cell death molecule 5Inflammatory reaction

李蕾、吉浩然、赵晓赟、侯敏

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天津市胸科医院检验科,天津 300350

天津市胸科医院胸内科,天津 300350

甲型流感病毒 表面活性蛋白D 乳酸脱氢酶 免疫调节分子T细胞免疫球蛋白及黏蛋白域蛋白3 程序化细胞死亡分子5 炎症反应

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(24)