Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, China; Graduate School of Hebei Medical University, Shijiazhuang, Hebei050032, China.
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, China.
Cell Mol Biol (Noisy-le-grand). 2023 Apr 30;69(4):120-124. doi: 10.14715/cmb/2023.69.4.19.
This study was carried out to investigate the correlation between the onset of peripheral neuropathy and levels of hypersensitive C-reactive protein (hs-CRP), interleukin 1β (IL-1β) and IL-6 in senile Parkinson's disease (PD) patients. For this purpose, a total of 60 PD patients and 60 age-matched healthy subjects were enrolled in this study and received the assessment for peripheral nerves by using the quantified method. Besides, levels of hs-CRP, IL-1β and IL-6 in serum were determined to analyze the correlation between the clinical features, including the severity of PD and cognitive decline, and the levels of hs-CRP, IL-1β and IL-6. Results showed that PD patients had more cases of peripheral neuropathy than those in the healthy control group. Levels of hs-CRP, IL-1β and IL-6 in the serum of PD patients were much higher than those in the healthy control (P<0.05). Besides, PD patients had lower scores of MMSE and MoCA but higher CNPI scores when compared to the healthy control group. As a result, we found that the severity of peripheral neuropathy was in a positive correlation with the levels of hs-CRP, IL-1β and IL-6. It was concluded that PD patients generally have peripheral neuropathy that may correlate with the increases in the levels of hs-CRP, IL-1β and IL-6, and early intervention may mitigate the development and progression of peripheral neuropathy.
本研究旨在探讨老年帕金森病(PD)患者周围神经病变的发病与超敏 C 反应蛋白(hs-CRP)、白细胞介素 1β(IL-1β)和 IL-6 水平之间的相关性。为此,共纳入 60 例 PD 患者和 60 名年龄匹配的健康对照者,并采用量化方法评估周围神经病变。此外,测定血清 hs-CRP、IL-1β 和 IL-6 水平,分析临床特征(包括 PD 严重程度和认知下降)与 hs-CRP、IL-1β 和 IL-6 水平之间的相关性。结果显示,PD 患者周围神经病变的发生率高于健康对照组。PD 患者血清 hs-CRP、IL-1β 和 IL-6 水平明显高于健康对照组(P<0.05)。与健康对照组相比,PD 患者的 MMSE 和 MoCA 评分较低,但 CNPI 评分较高。因此,我们发现周围神经病变的严重程度与 hs-CRP、IL-1β 和 IL-6 水平呈正相关。结论:PD 患者普遍存在周围神经病变,可能与 hs-CRP、IL-1β 和 IL-6 水平升高有关,早期干预可能减轻周围神经病变的发生和进展。