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吸烟对血管内皮生长因子及炎症标志物的影响:一项病例对照研究。

The effects of smoking on vascular endothelial growth factor and inflammation markers: A case-control study.

作者信息

Ugur Merve Guzeldulger, Kutlu Ruhusen, Kilinc Ibrahim

机构信息

Department of Family Medicine, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.

Department of Medical Biochemistry, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey.

出版信息

Clin Respir J. 2018 May;12(5):1912-1918. doi: 10.1111/crj.12755. Epub 2018 Jan 18.

Abstract

BACKGROUND AND AIMS

Chronic obstructive pulmonary disease (COPD) is a type of obstructive lung disease characterized by long-term poor airflow. Tobacco smoking is the most common cause of COPD. In this study, we aimed to assess the vascular endothelial growth factor (VEGF) and inflammation markers on smokers and non-smoking individuals.

METHODS

Our study was a case-control study and 175 individuals who want to give up smoking constituted the case group. As a control group, 175 individuals who never smoked.

RESULTS

The mean age of 350 participants was 35.83 ± 13.11 years. Educational status of the non-smokers was significantly higher than that of the smoking group (P < .001). When smoking and non-smoking groups were compared in terms of VEGF and interleukin-6 (IL-6), it was found that these values were statistically higher in smokers than non-smokers (P < .001). The levels of IL-10 were found to be higher in non-smokers than in smokers (P < .001). Although a moderate positive correlation was found between VEGF and IL-6 levels (r = .486, P < .001), there was a weak negative correlation between VEGF and IL-10 (r = -.210, P < .001). A weak negative correlation was found between IL-6 and IL-10 (r = -.185, P < .001).

CONCLUSIONS

In our study, IL-6 inflammatory marker and VEGF levels were found to be high and IL-10 anti-inflammatory marker was discovered to be low in smokers. For this reason, raising awareness in the society about the harms of smoking and encouraging people to give it up have become more challenging to counteract the inflammatory effects of smoking in human body and to prevent many smoking-related diseases.

摘要

背景与目的

慢性阻塞性肺疾病(COPD)是一种以长期气流受限为特征的阻塞性肺部疾病。吸烟是COPD最常见的病因。在本研究中,我们旨在评估吸烟者和非吸烟者的血管内皮生长因子(VEGF)及炎症标志物。

方法

我们的研究为病例对照研究,175名想要戒烟的个体组成病例组。作为对照组,选取175名从不吸烟的个体。

结果

350名参与者的平均年龄为35.83±13.11岁。非吸烟者的教育程度显著高于吸烟组(P<0.001)。在比较吸烟组和非吸烟组的VEGF及白细胞介素-6(IL-6)时,发现吸烟者的这些值在统计学上高于非吸烟者(P<0.001)。发现非吸烟者的IL-10水平高于吸烟者(P<0.001)。虽然VEGF与IL-6水平之间存在中度正相关(r = 0.486,P<0.001),但VEGF与IL-10之间存在弱负相关(r = -0.210,P<0.001)。IL-6与IL-10之间存在弱负相关(r = -0.185,P<0.001)。

结论

在我们的研究中,发现吸烟者体内IL-6炎症标志物和VEGF水平较高,而IL-10抗炎标志物较低。因此,提高社会对吸烟危害的认识并鼓励人们戒烟,对于抵消吸烟对人体的炎症影响以及预防许多与吸烟相关的疾病变得更具挑战性。

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