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急性冠状动脉综合征患者血清高敏C反应蛋白与白细胞介素-6的相关性

Correlation of serum high-sensitivity C-reactive protein and interleukin-6 in patients with acute coronary syndrome.

作者信息

Wang X H, Liu S Q, Wang Y L, Jin Y

机构信息

Department of Cardiology, Liaocheng People's Hospital, Liaocheng, Shandong, China

Department of Cardiology, Liaocheng People's Hospital, Liaocheng, Shandong, China.

出版信息

Genet Mol Res. 2014 Jun 9;13(2):4260-6. doi: 10.4238/2014.June.9.11.

Abstract

Serum high-sensitivity C-reactive protein (hs-CRP) is a sensitive indicator of inflammation, which is closely related with the progress of plaque formation. Interleukin-6 (IL-6) is one of the inflammatory markers of local coronary plaque and the peripheral blood cycle, promoting the occurrence of atherosclerosis development and plaque rupture. In this study, the correlation of hs-CRP and IL-6 was investigated in patients with acute coronary syndrome (ACS). Sixty cases of ACS, including 33 cases of acute myocardial infarction (AMI) and 27 cases of unstable angina pectoris (UAP), 45 cases of stable angina pectoris (SAP), and 45 healthy people (HG) were enrolled in study. The serum hs-CRP and serum IL-6 levels were tested by the immune turbidimetric method and enzyme-linked immunosorbent assay (ELISA), respectively. The differences among groups and their correlations were evaluated. Results showed that the serum hs-CRP and IL-6 concentrations of the AMI and UAP groups were significantly higher than those of the SAP and HG groups, respectively (P<0.01), and those of the AMI group were significantly higher than those of the UAP group (P<0.05). The serum hs-CRP and IL-6 levels of the ACS group were positively correlated (r=0.836). The serum hs-CRP and IL-6 levels could be used to determine the stability of plaque, and have some relevance in the ACS process, showing great value in judgments of ACS prognosis.

摘要

血清高敏C反应蛋白(hs-CRP)是炎症的敏感指标,与斑块形成进程密切相关。白细胞介素-6(IL-6)是局部冠状动脉斑块和外周血液循环的炎症标志物之一,促进动脉粥样硬化发展和斑块破裂的发生。本研究调查了急性冠状动脉综合征(ACS)患者中hs-CRP与IL-6的相关性。研究纳入了60例ACS患者,包括33例急性心肌梗死(AMI)和27例不稳定型心绞痛(UAP),45例稳定型心绞痛(SAP)患者以及45名健康人(HG)。分别采用免疫比浊法和酶联免疫吸附测定(ELISA)检测血清hs-CRP和血清IL-6水平。评估组间差异及其相关性。结果显示,AMI组和UAP组的血清hs-CRP和IL-6浓度分别显著高于SAP组和HG组(P<0.01),且AMI组显著高于UAP组(P<0.05)。ACS组的血清hs-CRP和IL-6水平呈正相关(r=0.836)。血清hs-CRP和IL-6水平可用于判断斑块的稳定性,在ACS进程中具有一定相关性,对ACS预后判断具有重要价值。

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