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首页|期刊导航|实用医学杂志|强化剂量阿托伐他汀对不稳定型心绞痛患者经皮冠脉介入术围手术期B7-H4的影响

强化剂量阿托伐他汀对不稳定型心绞痛患者经皮冠脉介入术围手术期B7-H4的影响

吕静 徐戈 黄琛 雷敏 张晶晶 马冰宁

实用医学杂志2017,Vol.33Issue(6):975-978,4.
实用医学杂志2017,Vol.33Issue(6):975-978,4.DOI:10.3969/j.issn.1006-5725.2017.06.034

强化剂量阿托伐他汀对不稳定型心绞痛患者经皮冠脉介入术围手术期B7-H4的影响

Effect of intensive atorvastatin therapy on B7-H4 in peripheral blood monocytes of patients with unstable angina undergoing percutaneous coronary intervention

吕静 1徐戈 1黄琛 2雷敏 3张晶晶 4马冰宁5

作者信息

  • 1. 530021 广西南宁,广西医科大学第一附属医院心血管研究所
  • 2. 537000 广西玉林,广西中医药大学第一附属医院
  • 3. 537000 广西玉林红十字会医院
  • 4. 413000 湖南益阳医专附属医院
  • 5. 425000 湖南省永州市中心医院
  • 折叠

摘要

Abstract

Objective To investigate the intensive atorvastatin therapy on B7-H4 in peripheral blood monocytes of patients with unstable angina PCI undergoing percutaneous coronary intervention. Methods 80 patients with unstable angina were randomized to pretreatment with intensive dose (80 mg/day ,n = 40) and conventional dose(20 mg/day,n=40)of atorvastatin. Peripheral blood were subsequently obtained prior to PCI,and 18 ~ 24 h after PCI. Peripheral blood serum level of IL-4,IL-10 and IFN-γ were quantified using enzyme-linked immunosorbent assays. Fluorescence-based quantitative real-time PCR was used to measure levels of periph-eral blood monocytes B7-H4 mRNA. Results Levels of IL-10 ,sB7-H4 and B7-H4 mRNA increased in patients of both groups after PCI. The increase in intensive dose group is more significant (P < 0.05). IL-4 and IFN-γ decreased in patients of both groups after PCI. The decrease in intensive dose group is more significant (P <0.05). Conclusion Intensive dose atorvastatin treatment improve post-PCI immune inflammation in patients with unstable angina,possibly by promoting the expression of B7-H4 in peripheral blood monocytes.

关键词

不稳定型心绞痛/B7-H4/阿托伐他汀/经皮冠脉介入术

Key words

Unstable angina/B7-H4/Atorvastatin/PCI

引用本文复制引用

吕静,徐戈,黄琛,雷敏,张晶晶,马冰宁..强化剂量阿托伐他汀对不稳定型心绞痛患者经皮冠脉介入术围手术期B7-H4的影响[J].实用医学杂志,2017,33(6):975-978,4.

基金项目

广西科学研究与技术开发计划项目(编号:1355005-4-6) (编号:1355005-4-6)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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