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日本一般人群体检中高分子量(HMW)-脂联素水平检测的有用性研究:颈动脉超声测量的比较。

Study on the usefulness of high-molecular-weight (HMW)-Adiponectin level check of Japanese general population upon health check: comparison of carotid ultrasonography measurement.

机构信息

Department of Health Care, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan.

出版信息

Clin Biochem. 2012 Jan;45(1-2):72-6. doi: 10.1016/j.clinbiochem.2011.10.013. Epub 2011 Oct 28.

Abstract

OBJECTIVE

High-molecular-weight (HMW)-adiponectin is an active and powerful predictor of atherosclerosis. Unfortunately, there is currently no reliable epidemiological reference level data available in Japan. The current ELISA method for HMW-adiponectin measurement is tedious as it requires several sample pre-treatment steps. We studied the reference level of HMW-adiponectin measured by a simple, fully-automated CLEIA.

DESIGN

The study subjects were 858 men and 793 women who underwent health check-ups at a Japanese Red Cross Medical Center. We investigated the relation between HMW-adiponectin and metabolic parameters, including carotid ultrasonography.

RESULTS

The mean values of HMW-adiponectin were 3.11 ± 1.99 μg/ml in men, and 5.52 ± 3.07 μg/ml in women. There were significant differences (p<0.001) in relation to gender and age, where levels gradually increased with age. HMW-adiponectin was 3.18 ± 1.45 μg/ml in male subjects without carotid lesions, and 2.28 ± 0.90 μg/ml in male subjects with lesions.

CONCLUSIONS

HMW-adiponectin measured by simple CLEIA could be useful for routine risk assessment.

摘要

目的

高分子量(HMW)-脂联素是动脉粥样硬化的一个活跃且强有力的预测因子。不幸的是,目前在日本还没有可靠的流行病学参考水平数据。目前用于 HMW-脂联素测量的 ELISA 方法繁琐,因为它需要几个样品预处理步骤。我们研究了通过简单的全自动 CLEIA 测量 HMW-脂联素的参考水平。

设计

研究对象为在日本红十字医疗中心接受健康检查的 858 名男性和 793 名女性。我们调查了 HMW-脂联素与代谢参数之间的关系,包括颈动脉超声检查。

结果

男性的 HMW-脂联素平均值为 3.11 ± 1.99 μg/ml,女性为 5.52 ± 3.07 μg/ml。HMW-脂联素与性别和年龄存在显著差异(p<0.001),随着年龄的增长,水平逐渐升高。无颈动脉病变的男性 HMW-脂联素为 3.18 ± 1.45 μg/ml,有病变的男性 HMW-脂联素为 2.28 ± 0.90 μg/ml。

结论

通过简单 CLEIA 测量的 HMW-脂联素可用于常规风险评估。

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