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自身免疫性甲状腺炎血清蛋白质二硫化物异构酶A3抗体的表达

冯颜 潘秋亚 项阳 李静

中国医科大学学报2019,Vol.48Issue(1):12-16,5.
中国医科大学学报2019,Vol.48Issue(1):12-16,5.DOI:10.12007/j.issn.0258-4646.2019.01.003

自身免疫性甲状腺炎血清蛋白质二硫化物异构酶A3抗体的表达

Expression of Anti-Protein Disulfide Isomerase A3 Antibodies in Patients with Autoimmune Thyroiditis

冯颜 1潘秋亚 1项阳 1李静1

作者信息

  • 1. 中国医科大学附属第一医院内分泌与代谢病科, 中国医科大学内分泌研究所, 辽宁省内分泌疾病重点实验室, 沈阳 110001
  • 折叠

摘要

Abstract

Objective To evaluate the expression of the total serum IgG and IgG subclasses of anti-PDIA3 antibody (PDIA3 Ab) in patients with autoimmune thyroiditis (AIT) and discuss its association with thyroid peroxidase antibody (TPOAb), thyroglobulin antibody (TgAb), and thyroid function. Methods The PDIA3 Ab total serum IgG and IgG subtype levels were detected by ELISA and thyrotrophin (TSH), free triiodothyronine (FT3), free thyroxine (FT4), TPOAb, and TgAb serum levels were detected by electrochemiluminescence immunoassays. Results Levels of PDIA3 Ab total serum IgG, IgG1, and IgG3 in patients in the AIT group were significantly higher than those in the non-AIT group (P < 0.05). There were no significant differences in PDIA3 Ab total IgG and IgG subtype levels in the AIT with euthyroidism group and hypothyroidism group (P> 0.05). In the AIT with hypothyroidism group, PDIA3 Ab IgG1 subtype serum level was negatively correlated with that of TgAb (r =-0.679, P < 0.05), and positively correlated with that of TSH while controlling the variables of TPOAb and TgAb (r = 0.550, P < 0.05). No significant correlation was found among PDIA3 Ab total IgG and IgG3 subclass, TPOAb, TgAb, TSH, FT3, and FT4 in AIT (P> 0.05). Conclusion Apart from thyroid peroxidase and thyroglobulin, PDIA3 may be a non-classical autoantigen of AIT and may play an important role in thyroid-related injury.

关键词

蛋白质二硫化物异构酶A3/自身免疫/甲状腺炎

Key words

protein disulfide isomerase A3/autoimmunity/thyroiditis

分类

医药卫生

引用本文复制引用

冯颜,潘秋亚,项阳,李静..自身免疫性甲状腺炎血清蛋白质二硫化物异构酶A3抗体的表达[J].中国医科大学学报,2019,48(1):12-16,5.

基金项目

国家自然科学基金 (81273296, 81771741) (81273296, 81771741)

国家重点研发计划 (2017YFC0907403) (2017YFC0907403)

辽宁省教育厅第四批辽宁特聘教授人才项目 (2014-187) (2014-187)

辽宁省自然科学基金 (2015020526) (2015020526)

中国医科大学学报

OA北大核心CSCDCSTPCD

0258-4646

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