首页|SOCS-3、Gadd45β在脓毒症相关性脑病患儿中的表达及预测价值

SOCS-3、Gadd45β在脓毒症相关性脑病患儿中的表达及预测价值

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目的:分析细胞因子信号传导抑制因子-3(suppressor of cytokine signaling-3,SOCS-3)、生长抑制与DNA损伤修复相关基因β(growth arrest and DNA-damage inducible gene β,Gadd45β)在脓毒症相关性脑病患儿中的表达及预测价值。方法:选取 2021 年 1 月—2023 年 6 月贵州省人民医院收治的 22 例脓毒症相关性脑病患儿作为研究组,同期选取本院42 例脓毒症未合并相关性脑病患儿作为对照组。检测并比较两组肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-6(interleukin-6,IL-6)、免疫功能指标及SOCS-3、Gadd45β表达情况,分析SOCS-3、Gadd45β对脓毒症相关性脑病的预测价值。结果:研究组TNF-α、IL-6水平均高于对照组,差异有统计学意义(P<0。05)。研究组CD4+、CD4+/CD8+均低于对照组,CD8+高于对照组,差异有统计学意义(P<0。05)。研究组SOCS-3、Gadd45β表达情况均高于对照组,差异有统计学意义(P<0。05)。受试者工作特征(receiver operating characteristic,ROC)曲线分析,SOCS-3、Gadd45β联合预测价值最高。结论:脓毒症相关性脑病患儿炎症反应加重,免疫水平降低,SOCS-3、Gadd45β呈现高表达,两者对脓毒症相关性脑病均有一定诊断价值,且联合诊断临床意义更明显,为临床治疗提供新的靶点和策略。
Expression and Predictive Value of SOCS-3 and Gadd45β in Children with Sepsis Associated Encephalopathy
Objective:To analyze the expression and predictive value of suppressor of cytokine signaling-3(SOCS-3)and growth arrest and DNA-damage inducible gene β(Gadd45β)in children with sepsis associated encephalopathy.Method:A total of 22 children with sepsis associated encephalopathy who admitted to Guizhou Provincial People's Hospital from January 2021 to June 2023 were selected as the study group,and 42 children with sepsis without associated encephalopathy were selected as the control group during the same period.Tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),immune function indexes and the expression condition of SOCS-3 and Gadd45β in two groups were detected and compared,the predictive value of SOCS-3 and Gadd45β in sepsis associated encephalopathy was analyzed.Result:The levels of TNF-α and IL-6 in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).CD4+,CD4+/CD8+in the study group were lower than those in the control group,and CD8+was higher than that in the control group,the differences were statistically significant(P<0.05).The expression condition of SOCS-3 and Gadd45β in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Receiver operating characteristic(ROC)curve analysis of SOCS-3 and Gadd45β combined prediction value was the highest.Conclusion:Children with sepsis associated encephalopathy have increased inflammation,decreased immune level,and high expression of SOCS-3 and Gadd45β,both have certain diagnostic value for sepsis associated encephalopathy,and the combined diagnosis has more obvious clinical significance,providing a new target and strategy for clinical treatment.

Suppressor of cytokine signaling-3Growth arrest and DNA-damage inducible gene βSepsis associated encephalopathyPredictive value

刘禹江、徐树红、蒋忠奎

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贵州省人民医院(上海儿童医学中心贵州医院) 贵州贵阳 550081

细胞因子信号传导抑制因子-3 生长抑制与DNA损伤修复相关基因β 脓毒症相关性脑病 预测价值

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(18)