血清白细胞介素17A与非心脏瓣膜病性心房颤动合并血栓事件的关联研究
DOI:
作者:
作者单位:

(1.江苏大学附属医院心内科,;2.江苏大学,江苏省镇江市 212001)

作者简介:

徐良洁,硕士研究生,主治医师,研究方向为心血管内科,E-mail为drxuliangjie@163.com。通信作者严金川,E-mail为yanjinchuan@hotmail.com。通信作者周红,E-mail为hongzhou@ujs.edu.cn。

通讯作者:

基金项目:

江苏省社会发展面上项目(BE2016719);镇江市社会发展基金项目(SH2018083);江苏省研究生科研与实践创新计划项目(KYCX18_2282)


Association of serum interleukin 17A with thrombotic events in patients with non-valvular atrial fibrillation
Author:
Affiliation:

1.Department of Cardiology, Affiliated Hospital of Jiangsu University, ;2.Jiangsu University, Zhenjiang, Jiangsu 212001, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 探讨白细胞介素17A(IL-17A)水平与非心脏瓣膜病性心房颤动的关系及对血栓事件发生的临床价值。方法 比较67例对照者(男性38例,女性29例,年龄60.37±9.51岁)、65例阵发性房颤患者(男性35例,女性30例,年龄58.92±8.59岁)、88例持续性房颤患者(男性57例,女性31例,年龄61.45±8.32岁)血清IL-17A水平变化,通过受试者工作曲线(ROC)分析其对房颤患者的诊断意义,并检测房颤患者血清基质金属蛋白酶9(MMP-9)、Ⅲ型前胶原蛋白(procollagen type Ⅲ)表达。对合并血栓事件的房颤患者进行随访,分析IL-17A对心房颤动合并血栓事件的预测价值。结果 IL-17A水平在对照组中明显低于房颤患者,IL-17A受试者工作曲线下面积为0.784(P<0.01),敏感度为78.6%,特异度为69.1%。发生血栓事件的房颤患者血清IL-17A水平显著升高,正规抗凝治疗后IL-17A水平明显降低;血清IL-17A水平与心肌纤维化指标(MMP-9、Ⅲ型前胶原蛋白)表达呈正相关,IL-17A与左心房射血分数(LAEF)水平呈负相关。结论 IL-17A是提示心房纤维化以及血栓事件的血清学指标。

    Abstract:

    Aim To observe the level of interleukin-17A (IL-17A) in patients with atrial fibrillation (AF), to assess its clinical value of thrombotic events in AF patients. Methods 67 controls (38 males and 29 females, average age 60.37±9.51 years), 65 patients with paroxysmal AF (35 males and 30 females, average age 58.92±8.59 years), and 88 patients with persistent AF (57 males and 31 females, average age 61.45±8.32 years) were enrolled in the present study, the expression of IL-17A was measured, then judged by creating the receiver operating characteristic curves (ROC). Serum levels of MMP-9, procollagen type Ⅲ and the left atrial ejection fraction (LAEF) were examined and compared. The patients with AF who were complicated by thrombotic events were followed-up, levels of IL-17A were further analyzed to assess the predictive value for thrombotic events in patients with AF. Results The level of serum IL-17A was increased in patients with AF. Area under the ROC of IL17A was 0.784 (P<0.01), the sensitivity was 78.6%, the specificity was 69.1%. In the patients with AF who were complicated by thrombotic events, the level of serum IL-17A was significantly increased, while it was markedly decreased after regular anticoagulant therapy. The increased IL-17A level was significantly correlated with the levels of MMP-9, procollagen type Ⅲ and LAEF. Conclusion IL-17A might promote AF and thrombus event in AF patients.

    参考文献
    相似文献
    引证文献
引用本文

徐良洁,王中群,王宁,梁仪,周翠翠,张芬,周红,严金川.血清白细胞介素17A与非心脏瓣膜病性心房颤动合并血栓事件的关联研究[J].中国动脉硬化杂志,2018,26(10):1027~1030.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2018-08-02
  • 最后修改日期:2018-10-12
  • 录用日期:
  • 在线发布日期: 2018-11-09