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维生素D3水平与原发性干燥综合征的相关性研究

陈雄兵 王永华 万兰 肖耀玲 陈接强

解放军医药杂志2017,Vol.29Issue(6):82-85,4.
解放军医药杂志2017,Vol.29Issue(6):82-85,4.DOI:10.3969/j.issn.2095-140X.2017.06.023

维生素D3水平与原发性干燥综合征的相关性研究

Correlation Study between Plasma Vitamin D3 Levels and Primary Sjogren's Syndrome

陈雄兵 1王永华 2万兰 2肖耀玲 1陈接强1

作者信息

  • 1. 443002湖北宜昌,三峡大学第三临床医学院葛洲坝集团中心医院内分泌科
  • 2. 443002湖北宜昌,三峡大学第三临床医学院葛洲坝集团中心医院感染性疾病科
  • 折叠

摘要

Abstract

Objective To study the correlation between plasma vitamin D3 levels and primary sjogren's syndrome.Methods A total of 84 patients with primary sjogren's syndrome admitted during February 2012 and February 2016 were selected as observation group,and 42 healthy people taking medical examination were selected as control group.According to the Sjogren's syndrome disease activity index (SSDAI) scores,the observation group were divided into active subgroup (SSDAI ≥ 5,n =42) and stable subgroup (SSDAI < 5,n =42).Expression levels of serum 1,25-two hydroxy vitamin D3 [1,25(OH)2D3],interleukin-6 (IL-6),tumor necrosis factor-α (TNF-α),IL-10 and IL-17 were detected by enzyme-linked immunosorbent assay (ELISA) method.Expression levels of CD27high and CD27+ memory B cells in peripheral blood were detected by flow cytometry.Results In observation group,1,25(OH)2D3 level was significantly lower than that in control group (P < 0.05).In active subgroup,1,25 (OH) 2 D3 level was significantly lower than those in stable subgroup and control group (P < 0.05).In observation group,levels of CD27high cells,CD27 + memory B cells and IL-10 were significantly lower (P < 0.05),while levels of TNF-α,IL-6 and IL-17 were significantly higher than those in control group (P < 0.05).Levels of CD27high cells,CD27+ memory B cells and IL-10 in active subgroup were significantly lower than those in stable subgroup and control group (P < 0.05),and the levels in stable subgroup were significantly lower than those in control group (P < 0.05).Levels of TNF-α,IL-6 and IL-17 in active subgroup were significantly higher than those in stable subgroup and control group (P < 0.05),and the levels in stable subgroup were significantly higher than those in control group (P < 0.05).The 1,25 (OH) 2 D3 was positively correlated with CD27high cells,CD27 + memory B cells and IL-10 levels (P < 0.05),and it negatively correlated with TNF-αt,IL-6 and IL-17 levels (P < 0.05).Conclusion Vitamin D3 expression may be involved in the pathogenesis of primary sjogren's syndrome,and it is related to severity of disease and immune function.

关键词

维生素D3/干燥综合征/细胞因子类

Key words

Vitamin D3/Sjogren's syndrome/Cytokines

分类

医药卫生

引用本文复制引用

陈雄兵,王永华,万兰,肖耀玲,陈接强..维生素D3水平与原发性干燥综合征的相关性研究[J].解放军医药杂志,2017,29(6):82-85,4.

基金项目

湖北省自然科学基金资助项目(2013CFB221) (2013CFB221)

解放军医药杂志

OACSTPCD

2095-140X

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