摘要
目的 探讨WW结构域E3泛素蛋白连接酶1(WW domain-containing E3 ubiquitin protein ligase 1,WWP1)和核苷酸结合寡聚化结构域样受体蛋白3(nucleotide-binding oligomerization domain-like receptor protein 3,NLRP3)在射血分数保留心力衰竭(heart failure with preserved ejection fraction,HFpEF)患者血清中的表达水平及临床意义。方法选取华北医疗健康集团峰峰总医院2021年1月~2022年9月收治的153例HFpEF患者为观察组,并根据患者纽约心脏病协会(New York Heart Association,NYHA)心功能分级分为心功能分级Ⅰ~Ⅱ级组(n=64)和心功能分级Ⅲ~Ⅳ级组(n=89),另选取同期体检健康的148例志愿者为对照组。血清WWP1,NLRP3水平与患者心功能指标的相关性采用Pearson分析;受试者工作特征(receiver operating characteristic,ROC)曲线分析血清WWP1和NLRP3水平对HFpEF患者心衰严重程度的诊断价值。结果 与对照组比较,观察组血清WWP1(1.68±0.35 vs 1.04±0.19)和NLRP3(6.72±1.26 ng/ml vs 4.57±0.84 ng/ml)表达水平明显升高,差异具有统计学意义(t=19.623,17.359,均P <0.05);与心功能分级Ⅰ~Ⅱ级组比较,心功能分级Ⅲ~Ⅳ级组血清WWP1(1.87±0.39 vs 1.42±0.32)和NLRP3(7.53±1.40 ng/ml vs 5.59±1.18 ng/ml)表达水平明显升高,差异具有统计学意义(t=7.744,9.017,均P<0.05);心功能分级Ⅰ~Ⅱ级组与心功能分级Ⅲ~Ⅳ级组心率、左心房内径(left atrial diameter,LAD)、左心室舒张末期内径(left ventricular end-diastolic diameter,LVEDD)、左室舒张末期后壁厚度(left ventricular end-diastolic posterior wall thickness,LVPWT)、左心室射血分数(left ventricular ejection fraction,LVEF)、二尖瓣舒张早期流速峰值(peak mitral early diastolic velocity,E)/舒张晚期流速峰值(peak late diastolic velocity,A)以及心房颤动发生率比较差异均具有统计学意义(t/χ^(2)=2.757~7.069,均P <0.05);HFpEF患者血清WWP1水平与LAD,LVEDD,LVPWT呈正相关(r=0.547,0.471,0.536,均P <0.05),与LVEF和E/A呈负相关(r=-0.48
Objective To investigate the expression level and clinical significance of WW domain-containing E3 ubiquitin protein ligase 1(WWP1)and nucleotide-binding oligomerization domain-like receptor protein 3(NLRP3)in patients with heart failure with preserved ejection fraction(HFpEF).Methods A total of 153 patients with HFpEF admitted to Fengfeng General Hospital of North China Medical and Health Group from January 2021 to September 2022 were collected as the observation group.According to the New York Heart Association(NYHA)cardiac function grading of patients,they were grouped into cardiac function grading I~II group(n=64)and cardiac function grading III~IV group(n=89),while 148 healthy volunteers were collected as the control group.The correlation between serum WWP1 and NLRP3 levels and cardiac function indexes of patients was explored by Pearson analysis.The diagnostic value of serum WWP1 and NLRP3 levels on the severity of heart failure in HFpEF patients was analyzed by the receiver operating characteristic(ROC)curve.Results Compared with the control group,the expression levels of WWP1(1.68±0.35 vs 1.04±0.19)and NLRP3(6.72±1.26 ng/ml vs 4.57±0.84 ng/ml)in the observation group were significantly increased,and the differences were statistically significant(t=19.623,17.359,all P<0.05).Compared with grade I to II groups,WWP1(1.87±0.39 vs 1.42±0.32)and NLRP3(7.53±1.40 ng/ml vs 5.59±1.18 ng/ml)expression levels in grade III to IV groups were significantly increased and the differences were statistically significant(t=7.744,9.017,all P<0.05).The differences of heart rate,left atrial diameter(LAD),left ventricular end-diastolic diameter(LVEDD),left ventricular end-diastolic diameter(LVEDD),left atrial diameter(LAD),left ventricular end-diastolic diameter(LVEDD),left ventricular end-diastolic posterior wall thickness(LVPWT),left ventricular ejection fraction(LVPWT),left ventricular ejection fraction(LVEF),peak mitral early diastolic velocity(E)/peak late diastolic velocity(A)and the incidence of atrial fibrillation
作者
李强
邢慧敏
范海超
李玲
付静静
LI Qiang;XING Huimin;FAN Haichao;LI Ling(Department 1 of Cardiology,Fengfeng General Hospital of North China Medical and Health Group,Hebei Handan 056200,China)
出处
《现代检验医学杂志》
CAS
2024年第2期151-156,共6页
Journal of Modern Laboratory Medicine
基金
邯郸市科学技术研究与发展计划项目(编号:19422083012-13):血清高敏肌钙蛋白T,sST-2水平变化在射血分数保留心力衰竭患者预后评估中的价值。
关键词
射血分数保留心力衰竭
WW结构域E3泛素蛋白连接酶1
核苷酸结合寡聚化结构域样受体蛋白3
heart failure with preserved ejection fraction
WW domain-containing E3 ubiquitin protein ligase 1
nucleotidebinding oligomerization domain-like receptor protein 3
