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[高安动脉炎患者血清25-羟维生素D水平与白细胞介素-6水平的关系]

[Relationships between the levels of serum 25-hydroxyvitamin D and interleukin-6 in patients with Takayasu's arteritis].

作者信息

Liao H, Pan L L, Du J, Wang T

机构信息

Department of Rheumatology and Immunology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2018 Nov 20;98(43):3509-3512. doi: 10.3760/cma.j.issn.0376-2491.2018.43.009.

Abstract

The main purpose of this paper is to evaluate the level of serum 25-hydroxyvitamin D (25-OH-D) and clinical significance in patients with Takayasu's Arteritis (TA). A total of 62 untreated TA patients (TA group) and 60 healthy people (control group) were enrolled. The level of serum 25-OH-D were measured and compared between groups. The correlations of 25-OH-D level with related indicators were analyzed. Lower concentrations of serum 25-OH-D were detected in TA patients compared with healthy subjects[(11.8±4.7) μg/L versus (23.2±8.3) μg/L](<0.001). In active stage group, the 25-(OH)-D level of TA were significantly lower than that in remission stage group(10.5±4.3) μg/L vs (13.3±4.9) μg/L. In all patients with TA, serum 25-OH-D correlated negatively with interleukin (IL)-6 (=-0.296, =0.023). There was no correlation between serum 25-OH-D level and C-reactive protein , erythrocyte sedimentation rate , National Institutes of Health Score, Indian Takayasu Clinical Activity Score 2010, and anti-tumor necrosis factor (TNF)-alpha antibody. A high prevalence of vitamin D deficiency was observed in patients with TA. The serum 25-OH-D level were negatively correlated with IL-6.

摘要

本文的主要目的是评估大动脉炎(TA)患者血清25-羟基维生素D(25-OH-D)水平及其临床意义。共纳入62例未经治疗的TA患者(TA组)和60例健康人(对照组)。测量并比较两组血清25-OH-D水平。分析25-OH-D水平与相关指标的相关性。与健康受试者相比,TA患者血清25-OH-D浓度较低[(11.8±4.7)μg/L对(23.2±8.3)μg/L](<0.001)。在活动期组,TA患者的25-(OH)-D水平显著低于缓解期组[(10.5±4.3)μg/L对(13.3±4.9)μg/L](=0.021)。在所有TA患者中,血清25-OH-D与白细胞介素(IL)-6呈负相关(=-0.296,=0.023)。血清25-OH-D水平与C反应蛋白、红细胞沉降率、美国国立卫生研究院评分、2010年印度大动脉炎临床活动评分及抗肿瘤坏死因子(TNF)-α抗体之间无相关性。TA患者中维生素D缺乏的患病率较高。血清25-OH-D水平与IL-6呈负相关。

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