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感染与消化性溃疡患者肾损伤的关系。

Association between infection and kidney damage in patients with peptic ulcer.

机构信息

Department of Nephrology, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, China.

Department of Nephrology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.

出版信息

Ren Fail. 2019 Nov;41(1):1028-1034. doi: 10.1080/0886022X.2019.1683029.

Abstract

() is relevant to several renal diseases. Our previous research indicates that cytotoxin-associated gene A (CagA) of increases secretion of serum immunoglobulin A1 (IgA1) and induces the underglycosylation of IgA1, one of the key factors causing IgA nephropathy. Here, we aimed to study the correlation between infection and kidney damage in patients with peptic ulcer, and evaluate the effect of eradication on kidney damage. C-urea breath test and rapid urease tests were applied to infection detection. Random urine samples are subjected to the albumin-creatinine ratio (ACR) examination. The correlation between ACR and infection was analyzed in patients with peptic ulcer and healthy controls. The levels of IgA and underglycosylated IgA1 in serum are also detected by enzyme-linked immunosorbent assay (ELISA) and Helix aspersa lectin (HAA) binding assay. (1) infection rate in patients with peptic ulcer (88.14%) is significantly higher than that in healthy controls (42.68%). (2) There is a positive correlation between infection and ACR abnormal in patients with peptic ulcer ( = .025), while showing a negative correlation in healthy individuals ( = .571). (3) Urinary ACR was uncorrelated with the severity of infection in the 27 abnormal urinary ACR cases of the patients with peptic ulcer. (4) After eradication, the ACR rates of -positive patients with peptic ulcer were significantly decreased (<.01). (1) For the positive patients with peptic ulcer, infection may be a risk factor resulting in kidney damage. (2) eradication probably benefits to kidney damage relief and chronic kidney disease prevention.

摘要

()与多种肾脏疾病相关。我们之前的研究表明,细胞毒素相关基因 A(CagA)可增加血清免疫球蛋白 A1(IgA1)的分泌,并诱导 IgA1 的低聚糖化,这是导致 IgA 肾病的关键因素之一。在这里,我们旨在研究消化性溃疡患者中感染与肾脏损害的相关性,并评估根除对肾脏损害的影响。应用 C-尿素呼气试验和快速尿素酶试验检测感染。对随机尿样进行白蛋白/肌酐比值(ACR)检查。分析消化性溃疡患者和健康对照组中 ACR 与感染的相关性。通过酶联免疫吸附试验(ELISA)和螺旋形嗜黏蛋白凝集素(HAA)结合试验检测血清 IgA 和低聚糖化 IgA1 的水平。(1)消化性溃疡患者的感染率(88.14%)明显高于健康对照组(42.68%)。(2)消化性溃疡患者中感染与 ACR 异常呈正相关(=0.025),而在健康个体中呈负相关(=0.571)。(3)在 27 例消化性溃疡患者中,27 例 ACR 异常的患者尿液 ACR 与感染严重程度无关。(4)根除后,消化性溃疡阳性患者的 ACR 率明显降低(<0.01)。(1)对于消化性溃疡阳性患者,感染可能是导致肾脏损害的危险因素。(2)根除可能有利于缓解肾脏损害和预防慢性肾脏病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0104/6882483/e58455f02a5e/IRNF_A_1683029_F0001_C.jpg

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