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血清淀粉样蛋白A和C反应蛋白检测在继发性淀粉样变性中的临床价值

Clinical value of serum amyloid A and C-reactive protein measurements in secondary amyloidosis.

作者信息

Maury C P, Wegelius O

出版信息

Int J Tissue React. 1985;7(5):405-7.

PMID:4055265
Abstract

Serum amyloid A protein (SAA) and C-reactive protein (CRP) are acute-phase reactants synthesized by the liver. A close relationship was found between SAA and CRP concentrations in various rheumatic diseases (rs = 0.74 to 0.83). The serum concentration of these proteins reflected the activity of the rheumatic inflammation in a sensitive way. In secondary amyloidosis, persistently high SAA and CRP levels correlated closely with the progression of the renal amyloid manifestations. The findings show that measurements of SAA and CRP concentrations are valuable in assessing disease activity and the effect of therapy in rheumatic diseases, as well as in the assessment of the prognosis in secondary amyloidosis. Therapeutic measures that decrease SAA levels may reduce amyloid formation.

摘要

血清淀粉样蛋白A(SAA)和C反应蛋白(CRP)是由肝脏合成的急性期反应物。在各种风湿性疾病中,SAA和CRP浓度之间存在密切关系(rs = 0.74至0.83)。这些蛋白质的血清浓度以敏感的方式反映了风湿性炎症的活动情况。在继发性淀粉样变性中,持续高的SAA和CRP水平与肾脏淀粉样表现的进展密切相关。研究结果表明,测量SAA和CRP浓度在评估风湿性疾病的疾病活动度和治疗效果以及评估继发性淀粉样变性的预后方面具有重要价值。降低SAA水平的治疗措施可能会减少淀粉样蛋白的形成。

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Clinical value of serum amyloid A and C-reactive protein measurements in secondary amyloidosis.血清淀粉样蛋白A和C反应蛋白检测在继发性淀粉样变性中的临床价值
Int J Tissue React. 1985;7(5):405-7.
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Increased circulating serum amyloid A protein derivatives in rheumatoid arthritis patients with secondary amyloidosis.类风湿关节炎继发淀粉样变患者循环血清淀粉样蛋白A蛋白衍生物增加。
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Rheumatoid arthritis exhibits reduced acute phase and enhanced constitutive serum amyloid A protein in synovial fluid relative to serum. A comparison with C-reactive protein.与血清相比,类风湿性关节炎患者滑液中的急性期血清淀粉样蛋白A水平降低,组成型血清淀粉样蛋白A水平升高。与C反应蛋白的比较。
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[Inflammatory reaction and laboratory tests: serum amyloid A (SAA) protein].[炎症反应与实验室检查:血清淀粉样蛋白A(SAA)]
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Serum amyloid A in the assessment of early inflammatory arthritis.血清淀粉样蛋白A在早期炎症性关节炎评估中的应用
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Serum amyloid P component levels are not decreased in patients with systemic lupus erythematosus and do not rise during an acute phase reaction.系统性红斑狼疮患者的血清淀粉样蛋白P成分水平并未降低,且在急性期反应期间也不会升高。
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Nephelometric measurement of human serum prealbumin and correlation with acute-phase proteins CRP and SAA: results in familial amyloid polyneuropathy.人血清前白蛋白的比浊法测定及其与急性期蛋白CRP和SAA的相关性:家族性淀粉样多神经病的研究结果
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Serum amyloid-A protein concentration in inflammatory diseases and its relationship to the incidence of reactive systemic amyloidosis.炎症性疾病中血清淀粉样蛋白A的浓度及其与反应性系统性淀粉样变性发病率的关系。
Lancet. 1982 Jul 31;2(8292):231-4. doi: 10.1016/s0140-6736(82)90321-x.
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Changes in human serum amyloid A and C-reactive protein after etiocholanolone-induced inflammation.表雄酮诱导炎症后人体血清淀粉样蛋白A和C反应蛋白的变化。
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Serum amyloid A protein and C-reactive protein in systemic amyloidosis.系统性淀粉样变性中的血清淀粉样蛋白A和C反应蛋白。
Clin Exp Rheumatol. 1985 Oct-Dec;3(4):317-20.

引用本文的文献

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Genetic variation in C-reactive protein (CRP) gene may be associated with risk of systemic lupus erythematosus and CRP concentrations.C反应蛋白(CRP)基因的遗传变异可能与系统性红斑狼疮风险及CRP浓度相关。
J Rheumatol. 2008 Nov;35(11):2171-8. doi: 10.3899/jrheum.080262. Epub 2008 Sep 15.
2
The liver in systemic amyloidosis: insights from 123I serum amyloid P component scintigraphy in 484 patients.系统性淀粉样变性中的肝脏:484例患者123I血清淀粉样蛋白P成分闪烁扫描的见解
Gut. 1998 May;42(5):727-34. doi: 10.1136/gut.42.5.727.