[白细胞介素-6和-8在慢性牙周病患者及慢性阻塞性肺疾病急性加重期患者中的临床意义]

[Clinical significance of interleukin-6 and -8 in patients with chronic periodontal disease and acute exacerbation of chronic obstructive pulmonary disease].

作者信息

Yang Y, Li W, Wang Z M, Sun G Y, Zhou P, Han X L

机构信息

Department of Stomatology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.

Department of Stomatology, Beijing Chao-Yang Hospital, Capital Medical University Beijing 100020, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 May 9;53(5):312-317. doi: 10.3760/cma.j.issn.1002-0098.2018.05.005.

Abstract

To investigate the serum levels of interleukin (IL)-6 and -8 in patients with chronic periodontal disease and acute exacerbation of chronic obstructive pulmonary disease (AECOPD) and the possible relationship between IL-6 and IL-8 with two diseases. A total of 40 cases of healthy subjects (control group 1) from graduate school of Anhui Medical University, and 120 cases (40 cases in each of the 3 groups) of eligible patients were collected, of which 40 were patients with chronic periodontal disease and AECOPD (experimental group) from Department of Respiratory Medicine, The First Affiliated Hospital of Anhui Medical University and Anhui NO.2 Provincial Peoples Hospital, 40 were patients with chronic periodontal disease (control group 2) from Department of Stomatology, The First Affiliated Hospital of Anhui Medical University, 40 were patients with AECOPD (control group 3) from Department of Respiratory Medicine, The First Affiliated Hospital of Anhui Medical University. The clinical indicators of all subjects were collected, including tooth mobility degree, probing depth (PD), bleeding index (BI), attachment level (AL), vital capacity max (VC Max), forced expiratory volume in first second (FEV1) and forced expiratory volume in first second to forced vital capacity (FEV1/FVC) ratio. Enzyme linked immunosorbent assay (ELISA) was used to detect the serum levels of IL-6 and IL-8 in the subjects of four groups. The attachment levels had no significant differences between experimental group and control group 2 (>0.05). The pulmonary function indices of experimental group including VC MAX% pre[(56.1±11.1)%], FEV1 %pre [(44.8±12.2)%], FEV1/FVC(%) [(56.8±11.4)%] were significantly different from those in control group 3 [(66.3±10.1)%, (53.0±10.4)%, (66.5±8.2)%, respectively]. The IL-6 levels of experimental group, control groups 1, 2 and 3 were (14.4±3.9), (2.1±1.1), (4.8±1.9) and (8.6±1.4) ng/L, respectively. And the IL-8 levels were (35.3±33.3), (4.8±1.7), (9.7±3.3) and (15.6±9.6) ng/L. In experimental group the IL-6 and IL-8 levels were significantly higher than those in control groups 1, 2, and 3 (<0.01). In control group 2 and 3 the IL-6 and IL-8 levels were significantly higher than that in control group 1 (< 0.01). The IL-6 and IL-8 levels of experimental group were significantly increased. IL-6 and IL-8 may be associated with the development of periodontal disease and AECOPD closely.

摘要

探讨慢性牙周炎患者及慢性阻塞性肺疾病急性加重期(AECOPD)患者血清白细胞介素(IL)-6和-8水平,以及IL-6和IL-8与这两种疾病之间可能存在的关系。选取安徽医科大学研究生院40例健康受试者(对照组1),收集120例符合条件的患者(3组,每组40例),其中40例为安徽医科大学第一附属医院呼吸内科和安徽省第二人民医院的慢性牙周炎合并AECOPD患者(实验组),40例为安徽医科大学第一附属医院口腔科的慢性牙周炎患者(对照组2),40例为安徽医科大学第一附属医院呼吸内科的AECOPD患者(对照组3)。收集所有受试者的临床指标,包括牙齿松动度、探诊深度(PD)、出血指数(BI)、附着水平(AL)、最大肺活量(VC Max)、第1秒用力呼气量(FEV1)和第1秒用力呼气量与用力肺活量(FEV1/FVC)比值。采用酶联免疫吸附测定(ELISA)法检测四组受试者血清IL-6和IL-8水平。实验组与对照组2的附着水平差异无统计学意义(>0.05)。实验组的肺功能指标,包括VC MAX%预估值[(56.1±11.1)%]、FEV1 %预估值[(44.8±12.2)%]、FEV1/FVC(%)[(56.8±11.4)%]与对照组3[分别为(66.3±10.1)%、(53.0±10.4)%、(66.5±8.2)%]相比,差异有统计学意义。实验组、对照组1、2和3的IL-6水平分别为(14.4±3.9)、(2.1±1.1)、(4.8±1.9)和(8.6±1.4)ng/L。IL-8水平分别为(35.3±33.3)、(4.8±1.7)、(9.7±3.3)和(15.6±9.6)ng/L。实验组的IL-6和IL-8水平显著高于对照组1、2和3(<0.01)。对照组2和3的IL-6和IL-8水平显著高于对照组1(<0.01)。实验组的IL-6和IL-8水平显著升高。IL-6和IL-8可能与牙周炎和AECOPD的发生密切相关。

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