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老年住院患者中高尿酸与白细胞介素-6和白细胞介素-1β水平升高相关:一项横断面研究。

Higher uric acid associated with elevated IL‑6 and IL‑1β levels in older inpatients: a cross‑sectional study.

作者信息

Husejko Jakub, Kozakiewicz Mariusz, Gackowski Marcin, Mądra-Gackowska Katarzyna, Wojtasik Jakub, Strzała Dominika, Pesta Maciej, Ciesielska Justyna, Ratajczak Dorota, Kędziora-Kornatowska Kornelia

机构信息

Department of Geriatrics, Faculty of Health Science, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Skłodowska-Curie 9 Street, 85-094, Bydgoszcz, Poland.

Department of Toxicology and Bromatology, Faculty of Pharmacy, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, A. Jurasza 2 Street, 85-089, Bydgoszcz, Poland.

出版信息

Rheumatol Int. 2025 Aug 1;45(8):177. doi: 10.1007/s00296-025-05931-2.

Abstract

Previous studies have shown the role of uric acid in triggering inflammatory reactions through its influence on a large group of cytokines. Therefore, searching for possible relationships between treating hyperuricemia and the course of inflammatory processes may provide valuable knowledge for clinical practice. The study was designed to determine the relationship between uric acid levels and interleukin-6 (IL-6) and interleukin-1-beta (IL-1 beta) levels determined in older adults during hospitalization. Patients were assigned to different study groups based on the uric acid levels and effectiveness, lack of treatment, or recognition of hyperuricemia. Classical variance analysis methods or nonparametric Kruskal-Wallis tests were used for statistical analysis. The analysis showed different correlations between the concentration of uric acid and the mentioned interleukins and designated study groups. In the case of properly treated hyperuricemia, a weak negative correlation is observed between the level of uric acid and interleukin IL-1β. There is a statistically significant positive correlation between the value of uric acid and interleukins IL-6 and IL-1β in people with untreated hyperuricemia and, to a lesser extent, in people with normal uric acid levels. The study's results suggest that effective treatment may be associated with appropriate control of uric acid concentration and modulation of the inflammatory response. However, due to several measurement limitations, further research is warranted to better elucidate these associations.

摘要

先前的研究表明,尿酸通过影响大量细胞因子在引发炎症反应中发挥作用。因此,探寻治疗高尿酸血症与炎症过程之间的可能关系,或许能为临床实践提供有价值的知识。本研究旨在确定住院老年人尿酸水平与白细胞介素-6(IL-6)及白细胞介素-1β(IL-1β)水平之间的关系。根据尿酸水平、治疗效果、未治疗情况或高尿酸血症的确诊情况,将患者分配至不同的研究组。采用经典方差分析方法或非参数Kruskal-Wallis检验进行统计分析。分析显示,尿酸浓度与上述白细胞介素及指定研究组之间存在不同的相关性。在高尿酸血症得到恰当治疗的情况下,尿酸水平与白细胞介素IL-1β之间观察到弱负相关。在未治疗的高尿酸血症患者中,以及在尿酸水平正常的患者中程度较轻,尿酸值与白细胞介素IL-6和IL-1β之间存在统计学显著正相关。该研究结果表明,有效治疗可能与尿酸浓度的适当控制及炎症反应的调节相关。然而,由于若干测量限制,有必要进行进一步研究以更好地阐明这些关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cab/12316710/d134c37ce601/296_2025_5931_Fig1_HTML.jpg

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