血清HMGB1和hs-CRP水平与冠心病严重程度的相关性分析
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上海浦东新区卫生行业科研专项课题(PW2013E-2),浦东新区卫生系统领先人才培养项目(PERI2010-03),上海市科委基金项目(114119a9100)


Analysis of the Correlation Between Serum HMGB1, hs-CRP Level and Severity of Coronary Heart Disease
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    摘要:

    目的 研究冠心病患者血清高迁移率族蛋白B1(HMGB1)及高敏C反应蛋白(hs-CRP)水平与冠心病严重程度的相关性。方法 对100例可疑冠心病患者行冠状动脉造影,按冠状动脉造影结果分为冠心病组与对照组。冠心病组再根据临床症状、冠状动脉狭窄程度及冠状动脉病变支数分为若干个亚组。所有患者造影前均测定血清HMGB1、hs-CRP、血脂、空腹血糖、肝功能和肾功能、心肌标志物等相关指标,同时询问吸烟史、高血压及糖尿病病史。比较各组患者血清HMGB1及hs-CRP水平,以明确冠心病患者血清 HMGB1 及hs-CRP水平对预测冠状动脉病变严重程度的潜在价值。结果 ①冠心病患者血清HMGB1及hs-CRP浓度明显高于对照组(P<0.01)。且AMI组血清HMGB1和hs-CRP水平高于UAP组(P<0.05),UAP组血清HMGB1水平高于SAP组(P<0.05),SAP组血清HMGB1水平高于对照组(P<0.05)。②冠状动脉重度狭窄组血清HMGB1及hs-CRP水平高于中度狭窄组(P<0.05),中度狭窄组血清HMGB1水平高于轻度狭窄组(P<0.05)。Gensini积分与血清HMGB1水平呈正相关(r0.760,P<0.01),与hs-CRP水平呈正相关(r0.596,P<0.01)。③单支、双支、三支病变组血清HMGB1、hs-CRP水平高于对照组(P<0.05),双支、三支病变组血清HMGB1水平高于单支病变组(P<0.05)、三支病变组血清HMGB1水平高于双支病变组(P<0.05)。④冠心病患者血清HMGB1水平与hs-CRP水平呈正相关(r0.391,P<0.01)。结论 血清HMGB1水平与冠心病严重程度呈正相关。且在冠心病患者中,血清HMGB1水平与hs-CRP水平呈正相关。在预测冠心病严重程度方面,血清HMGB1优于hs-CRP。

    Abstract:

    Aim To investigate the relationship between severity of coronary heart disease (CHD) and plasma level of high-mobility group box1 protein(HMGB1), high sensitive C-reactive protein(hs-CRP ). Methods The study enrolled 100 patients suspected of CHD. All patients underwent coronary artery angiography. The patients were divided into CHD group and control group. The CHD group was divided into several subgroups according to the type of disease, Gensini score and the number of diseased coronary arteries. Serum HMGB1, hs-CRP, renal/hepatic function, blood lipids, blood glucose, myocardial markers were measured before coronary artery angiography, and history of smoking, hypertension, diabetes mellitus were also asked. The plasma level of HMGB1 and hs-CRP were compared among all groups to explore the correlation between plasma level of HMGB1,hs-CRP and severity of CHD. All data were analyzed by SPSS 20.0 for windows. Results ①Serum HMGB1 and hs-CRP level of CHD group were higher than the control group(P<0.01). Serum HMGB1 and hs-CRP level of AMI group were higher than the UAP group(P<0.05).

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李 娇,李新明,柳 亮,王温慧,丛欣鹏,侯士强.血清HMGB1和hs-CRP水平与冠心病严重程度的相关性分析[J].中国动脉硬化杂志,2015,23(02):175~179.

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  • 收稿日期:2014-04-28
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