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重症疱疹感染患者的血浆铜蓝蛋白水平。

Ceruloplasmin plasma levels in patients with severe forms of herpes infection.

作者信息

Novikova Irina, Zlotnikova Maria

机构信息

Department of Clinical Laboratory Diagnostics, Gomel State Medical University, Belarus.

出版信息

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2011 Dec;155(4):361-6. doi: 10.5507/bp.2011.051.

DOI:10.5507/bp.2011.051
PMID:22336649
Abstract

BACKGROUND

Research interest in ceruloplasmin (CP) has significantly increased in recent years owing to new discoveries of its properties including anti-inflammatory and anti-oxidant effects. Data on CP blood plasma level in patients with herpetic infection caused by herpes simplex virus are scarce and often contradictory. Most point to a reduction of CP in the blood plasma of patients during the exacerbation of the disease with gradually return to normal values after treatment. There is evidence of an increase in CP levels during the acute period of CRHI (chronic recurrent herpes infection) and decrease in remission.

MATERIALS AND METHODS

The content of ceruloplasmin in blood plasma was determined by immunoturbidimetry using the test-systems "Spinreact" (Spain) and biochemical analyzer "Architect C8000".

RESULTS

We found that in patients with severe forms of chronic recurrent herpes infection in the exacerbation period, CP levels were increased by approximately 35% relative to the control values. However in the remission period in 80% of patients, CP concentrations remained elevated and in some patients the CP level was even increased in comparison with values in the exacerbation. Such dynamics of CP were not caused by the exacerbation of concomitant diseases.

CONCLUSION

The increased CP levels in the remission period in patients with severe forms of chronic recurrent herpes infection may have been caused by its effect as an endogenous antioxidant. No correlations of CP levels with other laboratory signs of acute inflammation were found but identified was a relation to free radical activity.

摘要

背景

近年来,由于对铜蓝蛋白(CP)特性的新发现,包括其抗炎和抗氧化作用,对其研究兴趣显著增加。关于单纯疱疹病毒引起的疱疹感染患者血浆中CP水平的数据稀缺且常常相互矛盾。大多数研究表明,在疾病发作期间患者血浆中CP水平降低,治疗后逐渐恢复正常。有证据表明,在慢性复发性疱疹感染(CRHI)急性期CP水平升高,缓解期降低。

材料与方法

采用西班牙“Spinreact”检测系统和“Architect C8000”生化分析仪,通过免疫比浊法测定血浆中铜蓝蛋白含量。

结果

我们发现,在慢性复发性疱疹感染严重形式的患者发作期,CP水平相对于对照值升高约35%。然而,在缓解期,80%的患者CP浓度仍保持升高,部分患者CP水平相较于发作期甚至有所增加。CP的这种动态变化并非由伴发疾病的发作引起。

结论

慢性复发性疱疹感染严重形式患者缓解期CP水平升高可能是由于其作为内源性抗氧化剂的作用。未发现CP水平与急性炎症的其他实验室指标相关,但发现其与自由基活性有关。

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