1. Department of Oral Medicine, Dental Research Center, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran.
Cell J. 2013 Winter;14(4):276-81. Epub 2013 Feb 20.
This study defines the relationship between salivary beta-2 microglobulin (β2-M) and intensity of uremia in male patients diagnosed with chronic renal failure (CRF).
In total of 42 males were enrolled in a case-control study. There were 21 cases of CRF and 21 control cases. We collected 10cc of saliva plus 5 cc of blood from all patients to determine β2-M, blood urea nitrogen (BUN) and creatinine (Cr) levels.
There was a correlation between the level of serum BUN and salivary urea in controls and patients, which was statistically significant for controls (p=0.028).The correlation between serum and salivary Cr was 0.195 in controls (p=0.398) and 0.598 in patients (p=0.006), which was statistically significant in patients. The correlation between serum and saliva was 0.133 (p=0.566) in controls and 0.078 (p=0.737) in patients, which was not statistically significant. The correlation between serum BUN and β2-M was 0.168 (p=0.469) in the control group and 0.629 (p=0.002) in patients, which was statistically significant in patients. The correlation between serum Cr and β2-M was 0.110 (p=0.635) in the control group and 0.678 (p=0.001) in patients, which was statistically significant in patients. The correlation between serum BUN and salivary β2-M was 0.093 (p=0.0690) in controls and 0.152 (p=0.152) in patients, which was not statistically significant. The correlation between serum Cr and salivary β2-M was 0.072 (p=0.070) in the control group and 0.286 (p=0.209) in patients, which was not statistically significant in either group.
The results of the study indicated that salivary β2-M cannot be used as a noninvasive indicator to detect the severity of renal failure.
本研究旨在定义唾液β2-微球蛋白(β2-M)与男性慢性肾衰竭(CRF)患者尿毒症强度之间的关系。
共纳入 42 名男性患者进行病例对照研究。其中 21 例为 CRF 患者,21 例为对照组。我们从所有患者中收集 10cc 唾液和 5cc 血液,以确定β2-M、血尿素氮(BUN)和肌酐(Cr)水平。
对照组和患者的血清 BUN 水平与唾液尿素之间存在相关性,对照组具有统计学意义(p=0.028)。对照组血清与唾液 Cr 的相关性为 0.195(p=0.398),患者组为 0.598(p=0.006),患者组具有统计学意义。对照组血清与唾液的相关性为 0.133(p=0.566),患者组为 0.078(p=0.737),无统计学意义。对照组血清 BUN 与β2-M 的相关性为 0.168(p=0.469),患者组为 0.629(p=0.002),患者组具有统计学意义。对照组血清 Cr 与β2-M 的相关性为 0.110(p=0.635),患者组为 0.678(p=0.001),患者组具有统计学意义。对照组血清 BUN 与唾液β2-M 的相关性为 0.093(p=0.0690),患者组为 0.152(p=0.152),无统计学意义。对照组血清 Cr 与唾液β2-M 的相关性为 0.072(p=0.070),患者组为 0.286(p=0.209),两组均无统计学意义。
研究结果表明,唾液β2-M 不能作为一种非侵入性指标来检测肾衰竭的严重程度。