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中性粒细胞活化与急性肾综合征出血热疾病严重程度的相关性

黄艳霞 王淑梅 万青 张伟 陈宏义 罗芳 窦龙姣 修松昌 饶建锋 王莉

广东医学2024,Vol.45Issue(5):610-614,5.
广东医学2024,Vol.45Issue(5):610-614,5.DOI:10.13820/j.cnki.gdyx.20232792

中性粒细胞活化与急性肾综合征出血热疾病严重程度的相关性

Correlation between neutrophil activation and severity of hemorrhagic fever with renal syndrome

黄艳霞 1王淑梅 1万青 1张伟 2陈宏义 1罗芳 3窦龙姣 1修松昌 1饶建锋 1王莉1

作者信息

  • 1. 南昌大学附属感染病医院,南昌市第九医院感染科(江西南昌 330002)
  • 2. 南昌大学附属感染病医院,南昌市第九医院重症医学科(江西南昌 330002)
  • 3. 南昌大学附属感染病医院,南昌市第九医院检验科(江西南昌 330002)
  • 折叠

摘要

Abstract

Objective To investigate the role of neutrophil activation in the pathogenesis of hemorrhagic fever with renal syndrome(HFRS).Methods Serum levels of neutrophil activation products,including myeloperoxidase(MPO),human neutrophil elastase(HNE),and neutrophil extracellular traps(NETs),were measured in 21 patients with HFRS and 18 healthy controls.Differences in expression levels were compared between the observed group and con-trol group,as well as between the mild/medium and severe/critical subgroups.Results In the severe/critical subgroup,neutrophil count,blood urea nitrogen,and serum creatinine(Scr)levels were significantly higher,while platelet count(PLT)was significantly lower compared to the mild/medium subgroup(all P<0.05).Serum levels of MPO,HNE,and NETs in the observed group were significantly higher than those in the control group(all P<0.05).Compared to the mild/medium subgroup,patients in the severe/critical subgroup had significantly higher serum levels of NETs,with statis-tical significance(P<0.05).Serum HNE levels in HFRS were positively correlated with Scr(r=0.472,P<0.05).Conclusion Neutrophil activation may be associated with the severity of HFRS,and inhibition of NETs formation may be a potential therapeutic target for future HFRS treatment.

关键词

肾综合征出血热/中性粒细胞/髓过氧化物酶/中性粒细胞弹性蛋白酶/中性粒细胞胞外陷阱网

Key words

hemorrhagic fever with renal syndrome/neutrophil/myeloperoxidase/neutrophil elastase/neutrophil extracellular traps

分类

医药卫生

引用本文复制引用

黄艳霞,王淑梅,万青,张伟,陈宏义,罗芳,窦龙姣,修松昌,饶建锋,王莉..中性粒细胞活化与急性肾综合征出血热疾病严重程度的相关性[J].广东医学,2024,45(5):610-614,5.

基金项目

江西省卫健委科技计划项目(202120070) (202120070)

广东医学

OACSTPCD

1001-9448

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