冠心病患者血浆环氧二十碳三烯酸与高敏C反应蛋白及血脂的关系
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国家自然科学基金(81170190)、教育部新世纪优秀人才支持计划(NCET-08-0566)、湖南省自然科学基金(10JJ3026)、中南大学代谢与内分泌研究所基金(DY-2008-02-04)


Relationship Between Epoxyeicosatrienoic Acids and High Sensitivity C-Reactive Protein and Blood Lipoprotein in Patients with Coronary Heart Disease
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    摘要:

    目的观察冠心病患者血浆环氧二十碳三烯酸浓度变化与高敏C反应蛋白及血脂的关系。方法以冠心病患者及对照组各30例为研究对象,取其清晨空腹外周静脉血。用酶联免疫吸附法测定血浆环氧二十碳三烯酸浓度;并测定高敏C反应蛋白、血浆总胆固醇、甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇及肝肾功能等生物化学指标。结果冠心病患者血浆环氧二十碳三烯酸浓度低于对照组(p<0.05),高敏C反应蛋白水平显著高于对照组(p<0.01)。血浆环氧二十碳三烯酸浓度与高敏C反应蛋白浓度呈明显负相关(r=-0.286,p=0.027)。血浆环氧二十碳三烯酸与血浆总胆固醇、甘油三酯、低密度脂蛋白胆固醇及高密度脂蛋白胆固醇之间未发现明显相关性。结论冠心病患者血浆中血管活性物质环氧二十碳三烯酸浓度显著低于对照组,且与高敏C反应蛋白呈显著负相关,提示血浆环氧二十碳三烯酸浓度下降可能参与了动脉粥样硬化的炎症过程。

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    AimTo evaluate the plasma epoxyeicosatrienoic acids(EET) levels in patients with coronary heart disease,in order to investigate the relationship between EET and high sensitivity C-reactive protein(hs-CRP) and blood lipoprotein.MethodsPlasma samples of peripheral venous blood of 30 patients and 30 controls were drawn.Enzyme-linked immunosorbent assay(ELISA) was used to measure the plasma EET levels.hs-CRP, total cholesterol (TC), triglyceride (TG), high density lipoprotein-cholesterol (HDLC), and low density lipoprotein-cholesterol (LDLC) levels were measured with a Hirachi 7170A analyzer.ResultsThe levels of EET (60.01±35.06 μg/L) were significantly lower in patients with coronary heart disease compared with those in control group (88.07±33.60 μg/L,p<0.05),and the EET levels were inversely correlated with hs-CRP(r=-0.286, p=0.027).ConclusionsThe levels of EET were significantly lower in patients with coronary heart disease, and the levels of EET were inversely correlated with hs-CRP.It is suggested that the decrease of plasma EET might be involved in the atherosclerosis inflammatory process.

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杨天,彭然,许丹焰,赵水平.冠心病患者血浆环氧二十碳三烯酸与高敏C反应蛋白及血脂的关系[J].中国动脉硬化杂志,2012,20(9):805~808.

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  • 收稿日期:2011-10-22
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