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常染色体显性多囊肾病对黏液纤毛清除功能的影响。

The effect of autosomal dominant polycystic kidney disease on mucociliary clearance.

作者信息

Kara İrfan, Öztürk İlyas, Doğaner Adem, Yıldız Muhammed Gazi, Güzel Fatma Betül, Kılıç Ahmet, Orhan İsrafil, Altınören Orçun

机构信息

Department of Otorhinolaryngology, Medical Faculty, Kahramanmaraş Sutcu Imam University, Kahramanmaras, Turkey.

Department of Nephrology, Faculty of Medicine, Kahramanmaraş Sutcu Imam University, Kahramanmaras, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2023 May;280(5):2359-2364. doi: 10.1007/s00405-023-07891-4. Epub 2023 Feb 28.


DOI:10.1007/s00405-023-07891-4
PMID:36854810
Abstract

PURPOSE: Autosomal dominant polycystic kidney disease (ADPKD) is a renal disease with genetic transmisson. Mutations in the PKD1 and PKD2 genes, which encode integral membrane proteins of the cilia of primary renal tubule epithelial cells, are seen in ADPKD. The aim of this study was to evaluate the sinonasal epithelium, which is epithelium with cilia, by measuring the nasal mucociliary clearance time, and to investigate the effect of ADPKD on nasal mucociliary clearance. METHODS: The study included 34 patients, selected from patients followed up in the Nephrology Clinic, and 34 age and gender-matched control group subjects. The nasal mucociliary clearance time (NMCT) was measured with the saccharin test. RESULTS: The mean age of the study subjects was 47.15 ± 14.16 years in the patient group and 47.65 ± 13.85 years in the control group. The eGFR rate was determined as mean 72.06 ± 34.26 mL/min in the patient group and 99.79 ± 17.22 mL/min in the control group (p < 0.001). The NMCT was determined to be statistically significantly longer in the patient group (903.6 ± 487.8 s) than in the control group (580 ± 259 s) (p = 0.006). CONCLUSIONS: The study results showed that the NMCT was statistically significantly longer in patients with ADPKD compared to the control group, but in the linear regression analysis results, no correlation was determined between eGFR and NMCT.

摘要

目的:常染色体显性遗传性多囊肾病(ADPKD)是一种具有遗传传递性的肾脏疾病。ADPKD患者中可见编码肾近端小管上皮细胞纤毛整合膜蛋白的PKD1和PKD2基因突变。本研究旨在通过测量鼻黏液纤毛清除时间来评估具有纤毛的鼻黏膜上皮,并研究ADPKD对鼻黏液纤毛清除的影响。 方法:本研究纳入了34例选自肾脏病门诊随访患者的病例,以及34例年龄和性别匹配的对照组受试者。用糖精试验测量鼻黏液纤毛清除时间(NMCT)。 结果:病例组研究对象的平均年龄为47.15±14.16岁,对照组为47.65±13.85岁。病例组的估算肾小球滤过率(eGFR)平均为72.06±34.26 mL/min,对照组为99.79±17.22 mL/min(p<0.001)。病例组的NMCT(903.6±487.8秒)在统计学上显著长于对照组(580±259秒)(p=0.006)。 结论:研究结果表明,与对照组相比,ADPKD患者的NMCT在统计学上显著更长,但在线性回归分析结果中,未确定eGFR与NMCT之间存在相关性。

相似文献

[1]
The effect of autosomal dominant polycystic kidney disease on mucociliary clearance.

Eur Arch Otorhinolaryngol. 2023-5

[2]
Identification and Characterization of Novel Mutations in Chronic Kidney Disease (CKD) and Autosomal Dominant Polycystic Kidney Disease (ADPKD) in Saudi Subjects by Whole-Exome Sequencing.

Medicina (Kaunas). 2022-11-16

[3]
Genotype-renal function correlation in type 2 autosomal dominant polycystic kidney disease.

J Am Soc Nephrol. 2003-5

[4]
PKD2-Related Autosomal Dominant Polycystic Kidney Disease: Prevalence, Clinical Presentation, Mutation Spectrum, and Prognosis.

Am J Kidney Dis. 2017-10

[5]
A comprehensive search for mutations in the PKD1 and PKD2 in Japanese subjects with autosomal dominant polycystic kidney disease.

Clin Genet. 2015-3

[6]
Pancreatic Cysts in Autosomal Dominant Polycystic Kidney Disease: Prevalence and Association with PKD2 Gene Mutations.

Radiology. 2016-9

[7]
Assessment of nasal mucociliary activity in patients with Behçet's disease.

J Laryngol Otol. 2016-4

[8]
Somatic Mutations in Renal Cyst Epithelium in Autosomal Dominant Polycystic Kidney Disease.

J Am Soc Nephrol. 2018-7-24

[9]
Evaluation of nasal mucociliary clearance using saccharin test in smokers: A prospective study.

Clin Respir J. 2018-4

[10]
Increased prevalence of polycystic kidney disease type 2 among elderly polycystic patients.

Am J Kidney Dis. 2000-10

本文引用的文献

[1]
Nasal Mucociliary Clearance and Sinonasal Symptoms in Healthcare Professionals Wearing FFP3 Respirators: A Prospective Cross-Sectional Study.

ORL J Otorhinolaryngol Relat Spec. 2022

[2]
Predictors of Taste Dysfunction and Its Severity Among Patients With Chronic Kidney Disease.

Ear Nose Throat J. 2023-12

[3]
The effect of N95 and surgical masks on mucociliary clearance function and sinonasal complaints.

Eur Arch Otorhinolaryngol. 2022-2

[4]
Autosomal Dominant Polycystic Kidney Disease.

Prim Care. 2020-12

[5]
Otorhinolaryngological dysfunctions induced by chronic kidney disease in pre- and post-transplant stages.

Eur Arch Otorhinolaryngol. 2020-6

[6]
Mucociliary clearance in patients with continuous ambulatory peritoneal dialysis.

Nefrologia (Engl Ed). 2019

[7]
International consensus statement on the diagnosis and management of autosomal dominant polycystic kidney disease in children and young people.

Nat Rev Nephrol. 2019-11

[8]
Autosomal dominant polycystic kidney disease.

Lancet. 2019-2-25

[9]
Early and Severe Polycystic Kidney Disease and Related Ciliopathies: An Emerging Field of Interest.

Nephron. 2018-10-25

[10]
Hemostatic Abnormalities in Severe Renal Failure: Do They Bark or Bite?

Indian J Nephrol. 2018

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