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TRAF-6、IRAK-1和NALP3炎症因子失调在痛风性关节炎患者体内的作用研究 被引量:11
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作者 谢敏 范晓利 +1 位作者 赵一璟 王昆 《海南医学院学报》 CAS 2020年第12期925-931,937,共8页
目的:探讨肿瘤坏死因子受体相关因子-6(TRAF-6)、白介素1受体关联激酶-1(IRAK-1)、嗜中性白细胞碱性磷酸酶-3(NALP3)等3种炎症因子失调在痛风性关节炎患者体内的作用。方法:选取本院收治的105例痛风性关节炎患者(急性发作期患者47例,缓... 目的:探讨肿瘤坏死因子受体相关因子-6(TRAF-6)、白介素1受体关联激酶-1(IRAK-1)、嗜中性白细胞碱性磷酸酶-3(NALP3)等3种炎症因子失调在痛风性关节炎患者体内的作用。方法:选取本院收治的105例痛风性关节炎患者(急性发作期患者47例,缓解期患者58例,即A、B组)进行回顾性实验,同时选健康志愿者61例进行对照,即C组,3组纳入时间均为2017年5月~2018年5月,所有受试者TRAF-6、IRAK-1和NALP3检测均采用实时荧光定量发法(RT-PCR)完成,并比较这3种炎性因子与痛风性关节炎的相关性。结果:(1)A、B组治疗后的ESR、BUA及总补体均高于C组,其中A组上述3项指标均高于B组(P<0.05),而CRP均低于C组,且A组上述两项指标均低于B组(P<0.05)。(2)A、B组治疗前TRAF-6 mRNA相对表达量比较无明显差异(P<0.05),且低于C组(P<0.05);A、B组治疗后的上述指标均有所提升,但A组依旧低于B组(P<0.05),且A组提升幅度同样低于C组(P<0.05),而B组提升幅度较C组无明显差异(P<0.05)。(3)A、B组治疗前的IRAK-1mRNA相对表达量相比无显著差异(P>0.05),但均低于C组(P<0.05),A、B组治疗后的IRAK-1mRNA相对表达量均有所提升,A组明显低于C组(P<0.05),B组较C组则无明显差异(P>0.05)。(4)A、B组治疗前的NALP-3 mRNA相对表达量相比无明显差异(P>0.05),且高于C组(P<0.05);A组治疗后的NALP-3 mRNA相对表达量下降均不明显(P<0.05),而B组治疗后则明显下降,与A、C组相比均有显著差异(P<0.05)。(5)TRAF-6与ESR、CRP及总补体均无相关性(P>0.05);IRAK-1与CRP、BUA及总补体呈负相关(P<0.05);NALP-3与ESR、CRP呈正相关(P<0.05)。结论:在痛风性关节炎患者的患病过程中,TRAF-6、IRAK-1及NALP-3均呈异常表达状态,是促进患者病情发生、发展和转归的重要参与者,应采取措施进行干预。 展开更多
关键词 肿瘤坏死因子受体相关因子-6 炎症因子失调 泛素连接酶 白介素1受体关联激酶-1 嗜中性白细胞碱性磷酸酶-3 痛风性关节炎
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Study on effect of imbalance of TRAF-6, IRAK-1 and NALP3 inflammatory factors in patients with gouty arthritis
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作者 Min Xie Xiao-Li Fan +1 位作者 Yi-Jing Zhao Kun Wang 《Journal of Hainan Medical University》 2020年第12期44-50,共7页
Objective:To explore the effect of imbalance of tumor necrosis factor receptor related factor-6(TRAF-6),interleukin 1 receptor associated kinase-1(IRAK-1)and neutrophil alkaline phosphatase-3(NALP3)in patients with go... Objective:To explore the effect of imbalance of tumor necrosis factor receptor related factor-6(TRAF-6),interleukin 1 receptor associated kinase-1(IRAK-1)and neutrophil alkaline phosphatase-3(NALP3)in patients with gouty arthritis.Methods:The retrospective experiment was conducted on 105 patients with gouty arthritis admitted to our hospital(47 patients with acute onset and 58 patients with remission,namely group A and group B);meanwhile,another 61 healthy volunteers were selected for control,namely group C.The enrolling of the three groups was dated from May 2017 to May 2018,and TRAF-6,IRAK-1 and NALP3 of all subjects were tested through real-time fluorescence quantification(RT-PCR),and the correlation between the three inflammatory factors and gouty arthritis was compared.Results:1)Through treatment,ESR,BUA and total addiment in group A and B were higher than those in group C,among which the three indicators in group A were higher than those in group B(P<0.05),while CRP was lower than that of group C,and the two indicators in group A were lower than those in group B(P<0.05).2)There was no significant difference in the relative expression of TRAF-6 mRNA between group A and group B before treatment(P>0.05),significantly lower than group C(P<0.05);the above indicators of group A and group B were improved to some extent after treatment,but group A was still lower than group B(P<0.05),and the degree of improvement of group A was also lower than that of group C(P<0.05),while the degree of improvement of group B was not significantly different from that of group C(P>0.05).3)The relative expression level of IRAK-1mRNA in group A and group B before treatment showed no significant difference(P>0.05),but was also lower than that in group C(P<0.05).The relative expression level of IRAK-1mRNA in group A and group B increased to some extent after treatment,with group A significantly lower than group C(P<0.05),and group B showed no significant difference compared with group C(P>0.05).4)The relative expression level of NALP-3 展开更多
关键词 Tumor necrosis factor receptor associated factor-6 inflammatory factor imbalance Ubiquitin ligase Interleukin-1 receptor associated kinase-1 Neutrophil alkaline phosphatase-3 Gouty arthritis
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