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外周自然杀伤T细胞频率与非酒精性脂肪性肝病的关联

Association of the frequency of peripheral natural killer T cells with nonalcoholic fatty liver disease.

作者信息

Xu Cheng-Fu, Yu Chao-Hui, Li You-Ming, Xu Lei, Du Juan, Shen Zhe

机构信息

Department of Gastroenterology, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.

出版信息

World J Gastroenterol. 2007 Sep 7;13(33):4504-8. doi: 10.3748/wjg.v13.i33.4504.

Abstract

AIM

To investigate whether changes in the frequency of peripheral natural killer T (NKT) cells were correlated with liver disease in patients who had metabolic predispositions to nonalcoholic fatty liver disease (NAFLD).

METHODS

Peripheral blood samples were obtained from 60 Chinese NAFLD patients and 60 age and gender matched healthy controls. The frequency of peripheral NKT cells was detected by flow cytometry. Clinical and laboratory data were collected for further analysis.

RESULTS

NAFLD patients had a lower frequency of peripheral NKT cells than healthy controls (1.21% +/- 0.06% vs 1.62% +/- 0.07%, P < 0.001). Further analysis revealed that the frequency of peripheral NKT cells was negatively correlated with body mass index, waist circumference and serum levels of alanine aminotransferase. Logistic regression analysis revealed that elevated body mass index [hazard ratio (HR): 2.991], aspartate aminotransferase levels (HR: 1.148) and fasting blood sugar (HR: 3.133) increased the risk of NAFLD, whereas an elevated frequency of peripheral NKT cells (HR: 0.107) decreased the risk.

CONCLUSION

Changes in the frequency of peripheral NKT cells were correlated with NAFLD and a decreased frequency of peripheral NKT cells was a risk factor for NAFLD.

摘要

目的

研究对于非酒精性脂肪性肝病(NAFLD)具有代谢易感性的患者,外周自然杀伤T(NKT)细胞频率的变化是否与肝脏疾病相关。

方法

采集60例中国NAFLD患者及60例年龄和性别匹配的健康对照者的外周血样本。采用流式细胞术检测外周NKT细胞频率。收集临床和实验室数据进行进一步分析。

结果

NAFLD患者外周NKT细胞频率低于健康对照者(1.21%±0.06%对1.62%±0.07%,P<0.001)。进一步分析显示,外周NKT细胞频率与体重指数、腰围及血清丙氨酸氨基转移酶水平呈负相关。逻辑回归分析显示,体重指数升高[风险比(HR):2.991]、天冬氨酸氨基转移酶水平升高(HR:1.148)和空腹血糖升高(HR:3.133)会增加NAFLD风险,而外周NKT细胞频率升高(HR:0.107)则会降低风险。

结论

外周NKT细胞频率的变化与NAFLD相关,外周NKT细胞频率降低是NAFLD的一个危险因素。

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