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人体肌肉和皮肤中钠沉积的性别差异。

Sex differences in sodium deposition in human muscle and skin.

作者信息

Wang Ping, Deger Muge Serpil, Kang Hakmook, Ikizler T Alp, Titze Jens, Gore John C

机构信息

Institute of Imaging Science, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.

Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

Magn Reson Imaging. 2017 Feb;36:93-97. doi: 10.1016/j.mri.2016.10.023. Epub 2016 Oct 27.


DOI:10.1016/j.mri.2016.10.023
PMID:27989912
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5222810/
Abstract

The aim of this work was to investigate possible sex differences in the patterns of sodium deposition between muscle and skin using sodium MRI. A total of 38 subjects were examined for comparisons: 20 males, aged 25-79years with a median age of 51; 18 females, aged 38-66years, median age 53. All subjects underwent sodium MRI scans of the calf muscles together with cross sections through four calibration standards containing known sodium contents (10mM, 20mM, 30mM, and 40mM). Tissue sodium concentrations (TSC) in muscle and skin were then calculated by comparing signal intensities between tissues and reference standards using a linear analysis. A Wilcoxon rank sum test was applied to the ΔTSC (=TSC-TSC) series of males and females to examine if they were significantly different. Finally, a multiple linear regression was utilized to account for the effects from two potential confounders, age and body mass index (BMI). We found that sodium content appears to be higher in skin than in muscle for men, however women tend to have higher muscle sodium than skin sodium. This sex-relevant sodium deposition is statistically significant (P=3.10×10) by the Wilcoxon rank sum test, and this difference in distribution seems to be more reliable with increasing age. In the multiple linear regression, gender still has a statistically significant effect (P<1.0×10) on the difference between sodium deposition in muscle and skin, while taking the effects of age and BMI into account.

摘要

这项工作的目的是使用钠磁共振成像(MRI)研究肌肉和皮肤之间钠沉积模式可能存在的性别差异。总共对38名受试者进行了检查以作比较:20名男性,年龄在25至79岁之间,中位年龄为51岁;18名女性,年龄在38至66岁之间,中位年龄为53岁。所有受试者均接受了小腿肌肉的钠MRI扫描以及通过四个含有已知钠含量(10mM、20mM、30mM和40mM)的校准标准品的横截面扫描。然后通过使用线性分析比较组织与参考标准品之间的信号强度来计算肌肉和皮肤中的组织钠浓度(TSC)。对男性和女性的ΔTSC(=TSC - TSC)系列应用Wilcoxon秩和检验,以检查它们是否存在显著差异。最后,利用多元线性回归来考虑两个潜在混杂因素年龄和体重指数(BMI)的影响。我们发现,男性皮肤中的钠含量似乎高于肌肉,然而女性的肌肉钠含量往往高于皮肤钠含量。通过Wilcoxon秩和检验,这种与性别相关钠沉积具有统计学显著性(P = 3.10×10),并且随着年龄的增长,这种分布差异似乎更可靠。在多元线性回归中,在考虑年龄和BMI影响的情况下,性别对肌肉和皮肤中钠沉积差异仍具有统计学显著性影响(P < 1.0×10)。

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本文引用的文献

[1]
Retrospectively-gated CINE (23)Na imaging of the heart at 7.0 Tesla using density-adapted 3D projection reconstruction.

Magn Reson Imaging. 2015-11

[2]
Sodium MRI of the human heart at 7.0 T: preliminary results.

NMR Biomed. 2015-8

[3]
Sodium-23 MRI of whole spine at 3 Tesla using a 5-channel receive-only phased-array and a whole-body transmit resonator.

Z Med Phys. 2016-3

[4]
Quantitative sodium MRI of kidney.

NMR Biomed. 2015-2-27

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Tissue sodium storage: evidence for kidney-like extrarenal countercurrent systems?

Pflugers Arch. 2015-3

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Prog Nucl Magn Reson Spectrosc. 2014-5

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T1-weighted sodium MRI of the articulator cartilage in osteoarthritis: a cross sectional and longitudinal study.

PLoS One. 2013-8-5

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Biomedical applications of sodium MRI in vivo.

J Magn Reson Imaging. 2013-5-30

[9]
23Na magnetic resonance imaging-determined tissue sodium in healthy subjects and hypertensive patients.

Hypertension. 2013-1-21

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Hypertension. 2011-12-5

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