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采用 ELISA 法评估布鲁氏菌病感染患者血清 IL-23 水平,并探讨其与治疗失败病例的关系。

Evaluating the Level of Serum IL-23 in Brucellosis Infection by ELISA and Investigating its Relationship in Cases with Failure to Respond to Treatment.

机构信息

Department of Pharmacy, Al-Hadba University College, Mosul, Iraq.

College of technical engineering, The Islamic University, Najaf, Iraq.

出版信息

Arch Razi Inst. 2022 Jun 30;77(3):1275-1279. doi: 10.22092/ARI.2022.358877.2324. eCollection 2022 Jun.

Abstract

is belonging to the small immobile gram-negative spore-lacking cocco-bacilli bacteria family that grows in an aerobic environment, it is known as a zoonosis infection named brucellosis. This study was designed to investigate serum values of IL-23 in patient with brucellosis and investigate its relationship with cases with failure to respond to conventional medical therapy. A total of 372 individuals were divided into 2 groups (n=186) as follows: Group A comprising 186 infected participants with (7-80 years-old), these people had not received antibiotics for at least 6 months ago. Group B including the healthy participants. All the participants in both groups were in the same age range. 5 ml blood samples were obtained from the participants intravenously (without anticoagulation substance). The serum level of IL-23 was investigated by ELISA diagnostic kit. The recorded data showed that the levels of IL-23 in the serum samples obtained from group A (143.64 Pg/ml) significantly (<0.001) increased compared with this value in group B (23.14 Pg/ml). Based on the recorded data in the forms completed by all the participants at the day 0 of the experiment, 44 out of 186 individuals in group A, had experienced Brucellosis attack 2-3 times in spite of receiving medical prescriptions. A hypothesis about the possible immune system disorders in these participants lead us to did the re-sampling following drug administration. Results illustrated failure to respond to conventional medical therapy in patients with low level of serum IL-23.

摘要

布鲁氏菌病是一种由无运动、不形成孢子的革兰氏阴性小球杆菌引起的疾病,属于需氧菌。它是一种人畜共患病感染。本研究旨在探讨布鲁氏菌病患者血清中白细胞介素 23(IL-23)的水平,并研究其与常规医学治疗失败病例的关系。共有 372 人分为 2 组(n=186):A 组包括 186 名感染患者(年龄 7-80 岁),这些患者至少在 6 个月前未接受抗生素治疗。B 组包括健康参与者。两组参与者的年龄相同。从参与者静脉内(无抗凝物质)采集 5ml 血液样本。通过 ELISA 诊断试剂盒检测 IL-23 的血清水平。记录的数据显示,与 B 组(23.14Pg/ml)相比,A 组(143.64Pg/ml)血清样本中的 IL-23 水平显著升高(<0.001)。根据所有参与者在实验第 0 天填写的表格记录的数据,A 组中有 44 名患者在接受处方治疗后仍出现 2-3 次布鲁氏菌病发作。这可能导致我们在药物治疗后进行了重新取样。结果表明,血清 IL-23 水平较低的患者对常规医学治疗反应不佳。

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