阿尔茨海默病患者血清IL-6、IL-1β、TNF-α、CRP、Cys-C水平与认知功能的相关性分析

Correlation analysis of serum levels of IL-6、IL-1β、TNF-α cognitive function in patients with Alzheimers disease

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

青海大学附属医院老年科 ;

摘要
摘要:目的:探讨阿尔茨海默病(AD)患者血清IL-6、IL-1β、TNF-α水平与认知功能的相关性分析。方法:选取2015年6月~2016年12月我院收治的阿尔茨海默病患者86例,另选取同期健康体检者113例为对照。收集两组的一般资料及疾病信息,并采用建议精神状态量表(MMSE)和临床痴呆评定量表(CDR)评估其认知功能及日常行为能力。采用ELISA法检测血清IL-6、IL-1β、TNF-α、CRP,及采用免疫比浊法检测Cys-C,并比较两组血清IL-6、IL-1β、TNF-α、CRP、Cys-C 水平的差异。采用非条件Logistic回归筛选AD可能的影响因素,以全部人群为研究对象,分析血清IL-6、IL-1β、TNF-α、CRP、Cys-C与MMSE评分的相关性;以AD为研究对象,分析患者血清IL-6、IL-1β、TNF-α、CRP、Cys-C与CDR评分的相关性。结果:AD组血清IL-6[(125.36±26.84)pg/ml vs(107.64±23.47)pg/ml]、IL-1β[(129.17±27.14)pg/ml vs(103.15±25.56)pg/ml]、CRP[(6.79±1.35)vs(5.58±1.43) ng/L]、Cys-C[(2.43±0.52)vs(1.26±0.63)mg/L]均较对照组高,差异有统计学意义(P<0.001);而AD组血清TNF-α[(116.26±17.65)pg/ml vs(114.73±15.38)pg/ml]与对照组相比,差异无统计学意义(P>0.05);整体人群中,血清IL-1β、Cys-C与MMSE评分呈负相关(r=-0.187,P=0.006;r=-0.524,P=0.000);AD患者血清IL-6、IL-1β、TNF-α、CRP水平与CDR评分无相关性,Cys-C与CDR呈负相关(r=-0.598,P=0.000)。结论:血清IL-6、IL-1β、TNF-α水平与整体人群的认知功能相关,但与AD患者痴呆严重程度无相关性。
Abstract
【Abstract】Objective: To investigate the correlation between serum levels of IL-6,IL-1β,TNF-α cognitive function in patients with Alzheimers disease (AD).Methods: 86 patients with Alzheimers disease were selected from June 2015 to 2016 in our hospital, and the other patients were selected as the control group.The general information and disease information of the two groups were collected, and the cognitive function and daily behavior were evaluated by the proposed mental state scale (MMSE) and the clinical dementia rating scale (CDR).Serum IL-6,IL-1β,TNF-α, CRP were detected by ELISA method, and Cys-C was detected by immune turbidimetry,and the differences of serum IL-6,IL-1β,TNF-α, CRP,Cys-C were compared between the two groups.Influence factors of using non conditional Logistic regression screening AD possible, with all the crowd as the research object, analysis of serum IL-6,IL-1β,TNF-α, CRP, Cys-C and MMSE score correlation.AD was used to analyze the correlation of serum IL-6,IL-1β,TNF-α,CRP, Cys-C and CDR score.Results:AD group of serum IL-6[(125.36±26.84) pg/ml vs (107.64±23.47) pg/ml], IL-1β[(129.17±27.14) pg/ml vs (103.15±25.56) pg/ml], CRP[(6.79±1.35)vs(5.58±1.43) ng/L],Cys-C[(2.43±0.52)vs(1.26±0.63)mg/L] is higher than the control group, the difference was statistically significant (P<0.001); group AD serum TNF-α[(116.26±17.65) pg/ml vs (114.73±15.38 pg/ml]) compared with the control group, the difference was not statistically significant (P>0.05); the whole crowd was negatively correlated with serum IL-1β, Cys-C and MMSE score (r=-0.187, P=0.006; r=-0.524,P=0.000); there was no correlation between serum IL-6, IL-1, TNF-α, CRP and CDR score in patients with AD, Cys-C and CDR were negatively correlated (r=-0.598, P=0.000).Conclusion:Serum levels of IL-6,IL-1β,TNF-αwere correlated with the cognitive function of the whole population, but no correlation with the severity of dementia in patients with AD.
关键词
关键词:阿尔茨海默病;认知功能障碍;白细胞介素类
KeyWord
【Keyword】Alzheimers disease;Cognitive dysfunction;Interleukin.
基金项目
页码 422-425
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刘军莉*,左小芹,许慧宁,代青湘,陈杨璞. 阿尔茨海默病患者血清IL-6、IL-1β、TNF-α、CRP、Cys-C水平与认知功能的相关性分析 [J]. 国际精神病学杂志. 2018; 45; (3). 422 - 425.

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