首页|HBV相关慢加急性肝衰竭患者血清巨噬细胞移动抑制因子和游离DNA水平变化及其临床价值

HBV相关慢加急性肝衰竭患者血清巨噬细胞移动抑制因子和游离DNA水平变化及其临床价值

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目的:观察乙型肝炎病毒(HBV)相关慢加急性肝衰竭(ACLF)患者血清巨噬细胞移动抑制因子(MIF)、游离DNA(cf-DNA)水平变化,并分析MIF、cf-DNA在肝衰竭中的作用.方法:选取HBV相关ACLF患者60 例(肝衰竭组),体检健康者30 例(对照组),收集临床资料,试剂盒检测各组患者血清MIF、cf-DNA水平,Pearson相关或Spearman秩相关分析法分析MIF、cf-DNA与临床炎症指标的相关性.结果:与对照组相比,肝衰竭组患者血清 MIF 和 cf-DNA 水平升高(P<0.05).血清 MIF 与 cf-DNA(r = 0.482)、降钙素原(PCT)(r =0.566)、超敏C反应蛋白(r =0.285)呈正相关(P<0.05);cf-DNA与PCT(r =0.526)、超敏C反应蛋白(r =0.336)呈正相关(P<0.05).结论:HBV相关ACLF患者血清MIF、cf-DNA水平升高,MIF和cf-DNA在肝衰竭炎症过程中发挥重要作用.
Clinical value of serum macrophage migration inhibitor and cell-free DNA in HBV related acute-on-chronic liver failure patients
Objective:To observe the changes of serum macrophage migration inhibitory factor(MIF)and cell-free DNA(cf-DNA)in hepatitis B virus(HBV)related acute-on-chronic liver failure(ACLF)patients and analyze the clinical value of MIF and cf-DNA in liver failure.Methods:Sixty patients with HBV related ACLF(liver failure group)and 30 healthy subjects(control group)were selected.Clinical data were collected.Serum MIF and cf-DNA levels of each group were detected by kits.The correlation between MIF,cf-DNA and clinical inflammation indexes was analyzed by Pearson or Spearman correlation analysis.Results:Serum MIF and cf-DNA levels were higher in liver failure group compared with control group(P<0.05).MIF was positively correlated with cf-DNA(r =0.482),procalcitonin(PCT)(r = 0.566)and hypersensitive C-reactive protein(hs-CRP)(r =0.285)(P<0.05).The cf-DNA was positively correlated with PCT(r = 0.526)and hs-CRP(r = 0.336)(P<0.05).Conclusion:The serum levels of MIF and cf-DNA in HBV related ACLF patients are increased,and MIF and cf-DNA play important roles in liver failure.

liver failuremacrophage migration inhibitorcf-DNAinflammatory index

邹旭晨、石春霞、张丹眉、郭金、龚作炯

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武汉大学人民医院感染科(湖北 武汉,430061)

肝功能衰竭 巨噬细胞移动抑制因子 游离DNA 炎症指标

国家自然科学基金

82070609

2024

中西医结合肝病杂志
中国中西医结合学会,湖北中医学院

中西医结合肝病杂志

CSTPCD
影响因子:0.908
ISSN:1005-0264
年,卷(期):2024.34(3)
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