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HMGB1与炎性因子在脊髓损伤患者血清中的表达及临床意义

王良勇 李建刚 张春 张俊 杜红军 崔操 陈森

重庆医学2017,Vol.46Issue(31):4339-4341,3.
重庆医学2017,Vol.46Issue(31):4339-4341,3.DOI:10.3969/j.issn.1671-8348.2017.31.006

HMGB1与炎性因子在脊髓损伤患者血清中的表达及临床意义

Expression and clinical significance of serum HMGB1 and inflammatory factors in patients with spinal cord injury

王良勇 1李建刚 1张春 1张俊 1杜红军 1崔操 2陈森3

作者信息

  • 1. 新疆维吾尔自治区阿克苏市兵团第一师医院创伤骨科,新疆阿克苏843000
  • 2. 湖北省十堰市太和医院骨科 442000
  • 3. 湖北医药学院附属东风医院骨科,湖北十堰442000
  • 折叠

摘要

Abstract

Objective To investigate the expression and clinical significance of serum high-mobility group box 1 (HMGB1) in the patients with spinal cord injury (SCI).Methods A total of 87 cases of acute SCI treated in the Aksu Corps First Division Hospital from January 2007 to January 2014 were collected as the SCI group.The SCI severity was evaluated according to the damage grade by the American Spinal Cord Injury Association(ASIA).Venous blood was collected on 1,3,7 d after SCI.Other 87 healthy adults served as the control group.The expression levels of serum HMGB1,inter1eukin-6 (IL-6),IL-1β and tumor necrosis factor alpha (TNF-a) in the two groups were measured by ELISA.Then the correlation between the HMGB1 expression level with IL-1β,IL-6 and TNF-α and the relation between HMGB1 with SCI severity were analyzed.Results The HMGB1,IL-6,IL-1 and TNF-α levels on 1,3,7 d after SCI in the SCI group were higher.The expression levels of serum HMGB1 and IL-6 on 1 d after SCI in the SCI patients were significantly increased,and reached the peak value on 3 d;the levels of IL-1β and TNF-α on 1 d after SCI were highest,and gradually decreased on 3,5 d.The correlation analysis showed that the expression levels of HMGB1 on 1,3 d after SCI were positively correlated with the IL-6,IL-1β and TNF-α expression levels(P<0.05).The serum HMGB1 expression level on 1,3 d after SCI was closely correlated with the SCI severity (P<0.05).The severe the SCI severity,the higher the serum HMGB1 expression level.Conclusion The expression level of serum HMGB1 in the patients with early SCI is significantly increased,and can be used as one of indicators for assessing the severity of early SCI.

关键词

HMGB1蛋白质/白细胞介素6/肿瘤坏死因子α/脊髓/脊髓损伤

Key words

high-mobility group box 1/interleukin-6/tumor necrosis factor-alpha/spinal cord/spinal cord injury

分类

医药卫生

引用本文复制引用

王良勇,李建刚,张春,张俊,杜红军,崔操,陈森..HMGB1与炎性因子在脊髓损伤患者血清中的表达及临床意义[J].重庆医学,2017,46(31):4339-4341,3.

基金项目

湖北省教育厅课题(B20112106). (B20112106)

重庆医学

1671-8348

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