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多发性硬化症患者血液瘦素和阿朵蛋白水平的研究:一项 CONSORT 临床研究。

Investigation of blood leptin and adropin levels in patients with multiple sclerosis: A CONSORT-clinical study.

机构信息

Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.

Pamukkale University Faculty of Medicine, Denizli, Turkey.

出版信息

Medicine (Baltimore). 2021 Sep 17;100(37):e27247. doi: 10.1097/MD.0000000000027247.

Abstract

BACKGROUND

The effects of adipokines have been investigated in multiple sclerosis (MS) in the literature. Results are uncertain, and subgroups like adropin have not been previously studied. We primarily aimed to determine leptin and adropin levels in MS and their potential use as a biomarker.

METHODS

This study was an experimental research. While 44 MS patients diagnosed according to McDonald criteria were included in the patient group, 40 people without MS diagnosis and risk factors took part in the control group. Demographic data, height, weight, body mass index, blood glucose, thyroid-stimulating hormone, alanine transaminase, aspartate transaminase, creatinine, low-density lipoprotein, leptin, adropin levels, presence of hypertension, diabetes mellitus, coronary artery disease were recorded. Expanded disability status scale and disease duration were also evaluated in the patient group. Our data were presented as mean ± standard deviations.

RESULTS

The mean blood leptin value of the patient group (6.12 ± 5.34 ng/mL) was significantly lower than the value of the control group (13.02 ± 8.25 ng/mL) (P < .001). The patient group had a mean adropin level of 504.12 ± 311.17 ng/mL, which was significantly lower than that of the control group (747.0 ± 309.42 ng/mL) (P < .001). Statistically insignificant differences were found between their body mass index, glucose, alanine transaminase, aspartate transaminase, thyroid-stimulating hormone, low-density lipoprotein levels (P > .001).

CONCLUSION

This is the first study that has evaluated adropin levels in patients with MS. The relationship between MS and leptin levels is still unclear. Therefore, our study might be helpful to elucidate MS pathogenesis and provide supportive criteria for diagnosis.

摘要

背景

脂肪细胞因子在多发性硬化症(MS)的文献中已经得到了广泛研究。但结果并不确定,并且之前也没有研究过像 adropin 这样的亚组。我们主要旨在确定 MS 患者的瘦素和 adropin 水平及其作为生物标志物的潜在用途。

方法

这是一项实验性研究。纳入了 44 名根据 McDonald 标准诊断为 MS 的患者作为患者组,同时纳入 40 名无 MS 诊断和危险因素的人作为对照组。记录了人口统计学数据、身高、体重、体重指数、血糖、促甲状腺激素、丙氨酸转氨酶、天冬氨酸转氨酶、肌酐、低密度脂蛋白、瘦素、adropin 水平、高血压、糖尿病、冠心病的存在情况。患者组还评估了扩展残疾状态量表和疾病持续时间。我们的数据以平均值±标准偏差表示。

结果

患者组的平均血液瘦素值(6.12±5.34ng/mL)明显低于对照组(13.02±8.25ng/mL)(P<.001)。患者组的平均 adropin 水平为 504.12±311.17ng/mL,明显低于对照组(747.0±309.42ng/mL)(P<.001)。但两组的体重指数、血糖、丙氨酸转氨酶、天冬氨酸转氨酶、促甲状腺激素、低密度脂蛋白水平差异无统计学意义(P>.001)。

结论

这是第一项评估多发性硬化症患者 adropin 水平的研究。MS 与瘦素水平之间的关系仍不清楚。因此,我们的研究可能有助于阐明 MS 的发病机制,并为诊断提供支持性标准。

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Defining the clinical course of multiple sclerosis: the 2013 revisions.多发性硬化症临床病程的定义:2013年修订版
Neurology. 2014 Jul 15;83(3):278-86. doi: 10.1212/WNL.0000000000000560. Epub 2014 May 28.

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