| 周小明,邓桂明,龙 云,刘建和,吴亦之,谭 琦.人类巨细胞病毒感染与急性冠脉综合症患者血清炎症介质的相关性研究[J].,2020,(4):776-779 |
| 人类巨细胞病毒感染与急性冠脉综合症患者血清炎症介质的相关性研究 |
| Relationship between Human Cytomegalovirus Infection and Serum Inflammatory Mediators in Patients with Acute Coronary Syndrome |
| 投稿时间：2019-10-06 修订日期：2019-10-29 |
| DOI：10.13241/j.cnki.pmb.2020.04.038 |
| 中文关键词: 人类巨细胞病毒 感染 急性冠脉综合症 sP-选择素 肿瘤坏死因子-α 超敏C-反应蛋白 |
| 英文关键词: Human cytomegalovirus Infection Acute coronary syndrome sP-selectin Tumor necrosis factor-α High sensitivity C-reactive protein |
| 基金项目:教育部重点实验室开放基金项目（ZYNK201702） |
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| 中文摘要: |
| 摘要 目的：分析人类巨细胞病毒（HCMV）感染与急性冠脉综合症（ACS）患者炎症介质的相关性，探讨HCMV感染在ACS发生、发展过程中的作用。方法：选取我院2017年5月~2019年5月收治的冠心病患者118例，根据病情将其分为ACS组（n=81）和稳定型心绞痛（SAP）组（n=37），另选取同时期在我院进行健康检查的健康志愿者40例作为对照组。检测所有受试者血清特异性HCMV-IgG、HCMV-IgM，比较所有受试者血清sP-选择素（sP-selectin）、肿瘤坏死因子-α（TNF-α）及超敏C-反应蛋白（hs-CRP）水平。分析ACS组患者血清sP-selectin、TNF-α、hs-CRP水平与HCMV-IgM抗体滴度的相关性。结果：ACS组、SAP组的HCMV-IgG阳性率分别为81.48%、78.38%，均明显高于对照组的45.00%，差异有统计学意义（P<0.05）。ACS组的HCMV-IgM阳性率为40.74%，明显高于SAP组的10.81%和对照组的5.00%，差异有统计学意义（P<0.05）。ACS组患者血清sP-selectin、TNF-α及hs-CRP水平均明显高于SAP组和对照组，差异有统计学意义（P<0.05）。ACS组HCMV-IgM阳性患者血清sP-selectin、TNF-α及hs-CRP水平均明显高于HCMV-IgM阴性患者，差异有统计学意义（P<0.05）。ACS组患者血清sP-selectin、TNF-α、hs-CRP水平与HCMV-IgM抗体滴度均呈正相关（P<0.05）。结论：慢性HCMV感染可能在动脉粥样硬化的发生及发展中起着重要作用，而急性 HCMV 感染可能通过上调机体sP-selectin、TNF-α、hs-CRP等炎症因子水平，进一步促进ACS的发生发展。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the correlation between human cytomegalovirus (HCMV) infection and the inflammatory mediators of patients with acute coronary syndrome (ACS), and explore the role of HCMV infection in the occurrence and development of ACS. Methods: 118 cases of coronary heart disease patients who were admitted to our hospital from May 2017 to May 2019 were selected, and they were divided into ACS group (n=81) and stable angina pectoris (SAP) group (n=37) according to illness condition, another 40 healthy volunteers in our hospital who were selected as control group during the same period. The serum specific HCMV-IgG and HCMV-IgM were detected in all subjects, and the levels of serum sP-selectin, tumor necrosis factor-α(TNF-α) and high sensitivity C-reactive protein (hs-CRP) were compared in all subjects. The correlation between serum sP-selectin, TNF-α and hs-CRP levels and the titer of HCMV-IgM antibody in patients of ACS group were analyzed. Results: The positive rates of HCMV-IgG in the ACS group and in the SAP group were 81.48% and 78.38% respectively, which were significantly higher than 45.00% in the control group, and the differences were statistically significant(P<0.05). The positive rate of HCMV-IgM in the ACS group was 40.74%, which was significantly higher than 10.81% in the SAP group and 5.00% in the control group, and the differences were statistically significant(P<0.05). The levels of serum sP-selectin, TNF-α and hs-CRP in the ACS group were significantly higher than those in the SAP group and in the control group, and the differences were statistically significant (P<0.05). The levels of serum serum sP-selectin, TNF-α and hs-CRP in patients with HCMV-IgM positive in the ACS group were significantly higher than those in patients with HCMV-IgM negative, and the differences were statistically significant(P<0.05). The levels of serum sP-selectin, TNF-α, hs-CRP in the ACS group were positively correlated with the titer of HCMV-IgM antibody(P<0.05). Conclusion: Chronic HCMV infection may play an important role in the occurrence and development of atherosclerosis, and acute HCMV infection may increase the levels of inflammatory factors such as sP-selectin, TNF-α, hs-CRP and so on, and further promote the occurrence and development of ACS. |
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