Kotani Kazuhiko, Sakane Naoki
Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Int J Prev Med. 2012 Jun;3(6):428-31.
Chronic inflammation and oxidative stress are associated with health and the disease status. The objective of the present study was to investigate the association among white blood cell (WBC) counts, neutrophil counts as a WBC subpopulation, and diacron reactive oxygen metabolites (d-ROMs) levels in an asymptomatic population.
The clinical data, including general cardiovascular risk variables and high-sensitivity C-reactive protein (hs-CRP), were collected from 100 female subjects (mean age, 62 years) in outpatient clinics. The correlation of the d-ROMs with hs-CRP, WBC, and neutrophil counts was examined.
The mean/median levels were WBC counts 5.9 × 10(9)/L, neutrophil counts 3.6 × 10(9)/L, hs-CRP 0.06 mg/dL, and d-ROMs 359 CURR U. A simple correlation analysis showed a significant positive correlation of the d-ROMs with the WBC counts, neutrophil counts, or hs-CRP levels. The correlation between d-ROMs and neutrophil counts (β = 0.22, P < 0.05), as well as that between d-ROMs and hs-CRP (β = 0.28, P < 0.01), remained significant and independent in a multiple linear regression analysis adjusted for other variables. A multiple linear regression analysis showed that WBC counts had only a positive correlation tendency to the d-ROMs.
Neutrophils may be slightly but more involved in the oxidative stress status, as assessed by d-ROMs, in comparison to the overall WBC. Further studies are needed to clarify the biologic mechanism(s) of the observed relationship.
慢性炎症和氧化应激与健康及疾病状态相关。本研究的目的是调查无症状人群中白细胞(WBC)计数、作为白细胞亚群的中性粒细胞计数与戴克隆活性氧代谢产物(d-ROMs)水平之间的关联。
从门诊的100名女性受试者(平均年龄62岁)收集临床数据,包括一般心血管风险变量和高敏C反应蛋白(hs-CRP)。检测d-ROMs与hs-CRP、WBC及中性粒细胞计数之间的相关性。
平均/中位数水平为白细胞计数5.9×10⁹/L、中性粒细胞计数3.6×10⁹/L、hs-CRP 0.06mg/dL、d-ROMs 359CURR U。简单相关性分析显示d-ROMs与白细胞计数、中性粒细胞计数或hs-CRP水平呈显著正相关。在对其他变量进行校正的多元线性回归分析中,d-ROMs与中性粒细胞计数之间的相关性(β = 0.22,P < 0.05)以及d-ROMs与hs-CRP之间的相关性(β = 0.28,P < 0.01)仍然显著且独立。多元线性回归分析显示白细胞计数与d-ROMs仅呈正相关趋势。
与总体白细胞相比,中性粒细胞可能在由d-ROMs评估的氧化应激状态中参与程度稍高但更密切。需要进一步研究以阐明所观察到关系的生物学机制。