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Vitamin D deficiency: Correlation to interleukin-17, interleukin-23 and PⅢNP in hepatitis C virus genotype 4 被引量:12
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作者 Mona F Schaalan Waleed A Mohamed Hesham H Amin 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第28期3738-3744,共7页
AIM: To assess vitamin D (Vit D) abnormalities in hepatitis C infected patients and their relationship with interleukin (IL)-17, IL-23 and N-terminal propeptide of type Ⅲ pro-collagen (PⅢNP) as immune response media... AIM: To assess vitamin D (Vit D) abnormalities in hepatitis C infected patients and their relationship with interleukin (IL)-17, IL-23 and N-terminal propeptide of type Ⅲ pro-collagen (PⅢNP) as immune response mediators. METHODS: The study was conducted on 50 Egyptian patients (36 male, 14 female) with hepatitis C virus (HCV) infection, who visited the Hepatology Outpatient Clinic in the Endemic Disease Hospital at Cairo University. Patients were compared with 25 ageand sexmatched healthy individuals. Inclusion criteria were based on a history of liver disease with HCV genotype 4 (HCV-4) infection (as new patients or under followup). Based on ultrasonography, patients were classified into four subgroups; 14 with bright hepatomegaly; 11 with perihepatic fibrosis; 11 with hepatic cirrhosis; and 14 with cirrhosis and hepatocellular carcinoma (HCC).Total Vit D (i.e., 25-OH-Vit D) and active Vit D [i.e., 1,25-(OH) 2 -Vit D] assays were carried out using commercial kits. IL-17, IL-23 and PⅢNP levels were assayed using enzyme linked immunosorbent assay kits, while HCV virus was measured by quantitative and qualitative polymerase chain reaction. RESULTS: Levels of Vit D and its active form were significantly lower in advanced liver disease (hepatic cirrhosis and/or carcinoma) patients, compared to those with bright hepatomegaly and perihepatic fibrosis. IL-17, IL-23 and PⅢNP levels were markedly increased in HCV patients and correlated with the progression of hepatic damage. The decrease in Vit D and active Vit D was concomitant with an increase in viral load, as well as levels of IL-17, IL-23 and PⅢNP among all subgroups of HCV-infected patients, compared to normal healthy controls. A significant negative correlation was evident between active Vit D and each of IL-17, IL-23 and PⅢNP (r = -0.679, -0.801 and -0.920 at P < 0.001, respectively). HCV-infected men and women showed no differences with respect to Vit D levels. The viral load was negatively correlated with Vit D and active Vit D (r = -0.084 and -0.846 at P < 0.001, respectively), and positively correlated with IL-17, IL-23 and PⅢNP (r = 0.951, 0.922 and 0.94 at P < 0.001, respectively). Whether the deficiency in Vit D was related to HCVinduced chronic liver disease or was a predisposing factor for a higher viral load remains to be elucidated. CONCLUSION: The negative correlations between Vit D and IL-17, IL-23 and PⅢNP highlight their involvement in the immune response in patients with HCV-4related liver diseases in Egypt. 展开更多
关键词 Vitamin D interleukin-17 interleukin-23 N-terminal propeptide of type pro-collagen Hepatitis genotype 4
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Effect of interleukin-23 on inflammation response and oxidative stress in rats with myocardial ischemia reperfusion injury
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作者 Kai Zhang Wei-Pan Xu +2 位作者 Dao-Qun Jin Zhi-Qiang Chen Xiao-Rong Hu 《Journal of Hainan Medical University》 2017年第19期1-6,共6页
Objective: To investigate the effect of interleukin-23 (IL-23) on myocardial ischemia-reperfusion (I/R) injury.Methods: Male Sprague-Dawley rats were randomly assigned into sham operated control (SO) group, ischemia a... Objective: To investigate the effect of interleukin-23 (IL-23) on myocardial ischemia-reperfusion (I/R) injury.Methods: Male Sprague-Dawley rats were randomly assigned into sham operated control (SO) group, ischemia and reperfusion (I/R) group, (IL-23 + I/R) group and (anti-IL-23 + I/R) group. At 4 h after reperfusion, the serum concentration of lactate dehydrogenase (LDH), creatine kinase (CK) and the tissue MDA concentration and SOD activity were measured. The infarcte size was measured by TTC staining. Apoptosis in heart sections were measured by TUNEL staining. The expression of HMGB1 and IL-17A were detected by Western Blotting and the expression of TNF-α and IL-6 were detected by Elisa. Results: After 4 h reperfusion, compared with the I/R group, IL-23 significantly increased the infarct size, the apoptosis of cardiomyocytes and the levels of LDH and CK. Meanwhile, IL-23 significantly increased the expression of eIL-17A, TNF-α and IL-6 and enhanced both the increase of the MDA level and the decrease of the SOD level induced by I/R. IL-23 had no effect on the expression of HMGB1. All these effects were abolished by anti-IL-23 administration. Conclusion: The present study suggested that IL-23 may promote myocardial I/R injury by increasing the inflammatory responses and oxidative stress reaction. 展开更多
关键词 interleukin-23 INFLAMMATORY responses OXIDATIVE stress MYOCARDIAL ISCHEMIA and REPERFUSION
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The Expression of Interleukin-23 (p19/p40) and Inteleukin-12 (p35/p40) in Psoriasis Skin 被引量:3
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作者 陈旭娥 谭志建 +3 位作者 岳青 刘厚君 刘志香 李家文 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2006年第6期750-752,共3页
In order to investigate the mRNA expression and function of interleukin-23 (p 19/p40) and interleukin-12 (p35/p40) in the psoriatic lesion, no-lesion and normal human skin, reverse transcriptase-polymerase chain r... In order to investigate the mRNA expression and function of interleukin-23 (p 19/p40) and interleukin-12 (p35/p40) in the psoriatic lesion, no-lesion and normal human skin, reverse transcriptase-polymerase chain reaction (RT-PCR) was used to detect the expression of IL-23 (p19/p40) and IL-12 (p35/p40). The results showed that the expression of IL-23p19 mRNA and p40 (IL-12/IL-23) mRNA were higher in psoriatic lesion than those of non-lesional skin and normal skin. The levels of IL-23p19 mRNA and p40 (IL-12/IL-23) mRNA were higher in psoriatic non-lesional skin than normal skin. However, no significant difference was found in the level of IL-12p35 mRNA among the psoriatic lesional skin, nonesional skin and normal skin. It was suggested that IL-23 might be more important in the pathogenesis of psoriasis than IL- 12. 展开更多
关键词 PSORIASIS IL-23p19 IL-23/IL-12p40 IL-12p35
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北京“23·7”洪水管涵漫水桥水毁情况探析
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作者 周雷 尚常清 +3 位作者 刘林 邵睿男 杨磊 赵月 《水利技术监督》 2026年第1期270-273,共4页
为解决北方管涵漫水桥结构易损毁问题,文章通过实地调查北京“23·7”特大洪水中昌平区高崖口沟与关沟管涵漫水桥水毁状况,从管涵平面和竖向布置、防护措施等方面进行比较分析,得出管涵漫水桥水毁与结构竖向布置和上下游防护关系较... 为解决北方管涵漫水桥结构易损毁问题,文章通过实地调查北京“23·7”特大洪水中昌平区高崖口沟与关沟管涵漫水桥水毁状况,从管涵平面和竖向布置、防护措施等方面进行比较分析,得出管涵漫水桥水毁与结构竖向布置和上下游防护关系较大,与平面布置关联较小,为北方季节性河道既有管涵桥修复及新建工程提供防灾设计范式。 展开更多
关键词 管涵漫水桥 水毁 壅水冲刷 23·7”洪水 北京
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血清IL-16、IL-17、IL-23与寻常型银屑病患者并发心血管事件的关联性分析
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作者 程露 徐继鹏 陈盼 《淮海医药》 2026年第1期21-25,共5页
目的:探讨血清白细胞介素-16(IL-16)、IL-17、IL-23与寻常型银屑病患者并发心血管事件的关联性。方法:选取2019年5月—2022年12月某院就诊的165例寻常型银屑病患者为研究对象,实施常规治疗,随访并统计心血管事件发生情况;根据患者是否... 目的:探讨血清白细胞介素-16(IL-16)、IL-17、IL-23与寻常型银屑病患者并发心血管事件的关联性。方法:选取2019年5月—2022年12月某院就诊的165例寻常型银屑病患者为研究对象,实施常规治疗,随访并统计心血管事件发生情况;根据患者是否发生心血管事件分为发生组和未发生组。采用多因素Logistic回归模型分析寻常型银屑病患者并发心血管事件的影响因素;绘制受试者工作特征(ROC)曲线分析血清IL-16、IL-17、IL-23水平对寻常型银屑病患者并发心血管事件的预测价值。结果:随访时间10~52个月,中位数为35个月,失访16例,失访率为9.70%(16/165);149例患者完成随访,共计21例发生心血管事件,发生率为14.09%(21/149)。多因素Logistic回归分析显示,年龄(OR=1.053)、BMI(OR=1.055)、吸烟史(OR=1.057)、病程(OR=1.132)、高血压(OR=1.053)、糖尿病(OR=1.066)、高脂血症(OR=1.055)、高尿酸血症(OR=1.092)、抑郁(OR=1.044)、睡眠障碍(OR=1.048)、血清IL-16(OR=1.063)、IL-17(OR=1.067)、IL-23(OR=1.103)、使用生物制剂治疗(OR=0.935)均为寻常型银屑病患者并发心血管事件的影响因素(P<0.05)。ROC分析显示,血清IL-16、IL-17、IL-23预测寻常型银屑病患者并发心血管事件的AUC分别为0.733、0.755、0.661,联合预测的AUC为0.886,特异度为95.31%,灵敏度为76.19%。结论:血清IL-16、IL-17、IL-23水平以及年龄、BMI、吸烟史、病程、高血压、糖尿病、高脂血症、高尿酸血症、抑郁、睡眠障碍、使用生物制剂治疗均为寻常型银屑病患者并发心血管事件的影响因素,血清IL-16、IL-17、IL-23联合检测有较高的预测价值。 展开更多
关键词 寻常型银屑病 白细胞介素-16 白细胞介素-17 白细胞介素-23 心血管事件 影响因素
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长期耐力运动对自然衰老小鼠kl/FGF23轴及钙磷代谢的影响
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作者 彭团辉 宋洪明 +2 位作者 杨玲 丁小歌 蒙鹏骏 《中国组织工程研究》 北大核心 2026年第5期1089-1095,共7页
背景:研究表明矿物质代谢紊乱可能是导致早衰的原因,而kl/FGF23轴在矿物质代谢过程中发挥重要的作用。目的:探究长期耐力运动对自然衰老小鼠kl/FGF23轴的影响,观察长期耐力运动对钙磷代谢的影响,从而为长期耐力运动对自然衰老的影响提... 背景:研究表明矿物质代谢紊乱可能是导致早衰的原因,而kl/FGF23轴在矿物质代谢过程中发挥重要的作用。目的:探究长期耐力运动对自然衰老小鼠kl/FGF23轴的影响,观察长期耐力运动对钙磷代谢的影响,从而为长期耐力运动对自然衰老的影响提供参考。方法:5周龄SPF级雄性balb/c小鼠22只,随机分为3组:年轻安静对照组,自然衰老安静组和自然衰老运动组。随后将年轻安静对照组小鼠立即处死取材;自然衰老安静组小鼠正常饲养,直至60周龄取材;自然衰老运动组小鼠进行1周适应性运动后,进行最大跑速测试,根据最大跑速的70%设定正式运动速度,每周一,三,五进行运动,每次50 min。每隔8周重新进行一次最大跑速测试,调整正式运动速度,直至60周龄取材。检测小鼠血清和骨钙磷浓度;Western Blot法测肾脏Klotho蛋白表达。酶联免疫法检测股骨成纤维细胞生长因子23水平、肾脏成纤维细胞生长因子受体1、1α-羟化酶水平及血清1,25(OH)_(2)D_(3)水平。结果与结论:①与年轻安静对照组相比,自然衰老安静组小鼠血钙磷浓度无明显变化(P>0.05),但骨钙磷浓度出现显著降低(P<0.01);与自然衰老安静组相比,自然衰老运动组小鼠血磷浓度明显降低(P<0.05),血钙浓度无明显变化(P>0.05),同时骨钙磷浓度明显增加(P<0.05)。②与年轻安静对照组相比,自然衰老安静组股骨成纤维细胞生长因子23的质量浓度明显增加(P<0.05);与自然衰老安静组相比,自然衰老运动组小鼠虽然股骨成纤维细胞生长因子23质量浓度有所降低,但差异无显著性意义(P>0.05)。③与年轻安静对照组相比,自然衰老安静组小鼠肾脏Klotho蛋白表达量、肾脏成纤维细胞生长因子受体1、1α-羟化酶质量浓度及血清1,25(OH)_(2)D_(3)质量浓度显著降低(P<0.05,P<0.01);与自然衰老安静组相比,自然衰老运动组小鼠上述4项指标水平显著增加(P<0.05,P<0.01)。④结论:长期耐力运动可以通过kl/FGF23轴,对Klotho蛋白和成纤维细胞生长因子23进行调节,从而影响1α-羟化酶的表达及1,25(OH)_(2)D_(3)的水平,进而调节机体的钙磷代谢,尤其是磷酸盐代谢,表明长期耐力运动可以通过kl/FGF23轴延缓机体自然衰老。 展开更多
关键词 自然衰老小鼠 肾脏Klotho 成纤维细胞生长因子23 kl/FGF23 钙磷代谢
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2型糖尿病合并慢性牙周炎患者血清FGF23、IL-33水平及临床意义
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作者 王思叡 袁雪敏 +1 位作者 王玉佳 张盼 《国际检验医学杂志》 2026年第2期214-218,共5页
目的探究2型糖尿病(T2DM)合并慢性牙周炎(CP)患者血清成纤维细胞生长因子23(FGF23)、白细胞介素(IL)-33水平及临床意义。方法选取2023年1月至2024年12月宝鸡市口腔医院收治的T2DM合并CP患者112例作为合并组,另选取同时期在宝鸡市口腔医... 目的探究2型糖尿病(T2DM)合并慢性牙周炎(CP)患者血清成纤维细胞生长因子23(FGF23)、白细胞介素(IL)-33水平及临床意义。方法选取2023年1月至2024年12月宝鸡市口腔医院收治的T2DM合并CP患者112例作为合并组,另选取同时期在宝鸡市口腔医院就诊的单纯CP患者及单纯T2DM患者各110例分别作为CP组和T2DM组;采用酶联免疫吸附试验检测待测样本中血清FGF23、IL-33水平;通过牙周探针对受试者牙周相关病理指标进行检测,主要包括附着丧失(AL)、牙龈出血指数(BI)、牙周探诊深度(PD)。以品红(碱性)染色结果评定菌斑指数(PLI)。采用Pearson法分析血清FGF23、IL-33水平与牙周相关病理指标的相关性;采用Logistic回归分析合并组患者发生C级牙周病变的影响因素;采用受试者工作特征曲线分析血清FGF23、IL-33水平对合并组患者发生C级牙周病变的诊断效能。结果CP组、T2DM组与合并组总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FPG)、AL、PD、BI、FGF23、IL-33水平比较差异均有统计学意义(P<0.05);AL、PD、BI、FGF23、IL-33水平在A级组、B级组、C级组中依次升高(P<0.05)。合并组FGF23、IL-33水平与其AL、PD、BI均呈正相关(P<0.05);高水平血清FGF23、IL-33及AL是合并组患者发生C级牙周病变的风险因素(P<0.05);血清FGF23、IL-33水平及联合诊断合并组患者发生C级牙周病变的曲线下面积分别为0.692、0.685、0.877,联合诊断效能优于单一指标诊断(Z_(FGF23-联合诊断)=2.973、Z_(IL-33-联合诊断)=2.675,P=0.003、0.007)。结论相较于单纯T2DM或单纯CP患者,T2DM合并CP患者血清FGF23、IL-33水平升高,且二者水平变化会随牙周病变程度增加而升高,通过检测血清FGF23、IL-33水平可有效诊断T2DM合并CP患者牙周病变程度。 展开更多
关键词 2型糖尿病合并慢性牙周炎 成纤维细胞生长因子23 白细胞介素-33
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高效液相色谱法检测丹田降脂丸中23-乙酰泽泻醇B等3种成分含量方法的建立
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作者 王敬敬 张春和 +1 位作者 孙志洪 王磊 《分析仪器》 2026年第1期38-42,共5页
实验建立了高效液相色谱法检测丹田降脂丸中23-乙酰泽泻醇B等3种成分含量的测定方法。Capcell Pak UG C_(18)色谱柱分离;检测波长:葡糖苷、23-乙酰泽泻醇B和淫羊藿苷检测波长分别设定为319nm、208nm和271nm;柱温:28℃;进样体积:10μL;... 实验建立了高效液相色谱法检测丹田降脂丸中23-乙酰泽泻醇B等3种成分含量的测定方法。Capcell Pak UG C_(18)色谱柱分离;检测波长:葡糖苷、23-乙酰泽泻醇B和淫羊藿苷检测波长分别设定为319nm、208nm和271nm;柱温:28℃;进样体积:10μL;以乙腈为流动相A,1.0%磷酸溶液为流动相B,梯度洗脱,洗脱方法:0~5min 13%A,5~15min 13%~45%A,15~24min 45%~86%A,24~30min 86%A,30~31min 13%A,30~35min 13%A;外标法定量检测。结果表明,葡糖苷、23-乙酰泽泻醇B和淫羊藿苷在0.1896~18.96、0.0983~9.83和0.0981~9.81μg/mL范围内线性良好;平均回收率分别为99.83%、99.46%和99.14%;精密度和重复性RSD(n=6)均在5.0%以内;供试品溶液在24h内稳定。该方法检测时间短、操作简单,可以用于丹田降脂丸的质量控制。 展开更多
关键词 高效液相色谱法 丹田降脂丸 葡糖苷 23-乙酰泽泻醇B 淫羊藿苷
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Interleukin-17 family in health and immune diseases:From origin to clinical implications
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作者 Guozhen Deng Mengdi Guo +3 位作者 Jiahui Fan Weiyan Wang Mei-Ling Jiang Cun-Jin Zhang 《Neural Regeneration Research》 2026年第5期1809-1833,共25页
The interleukin-17 family is the key group of cytokines and displays a broad spectrum of biological functions,including regulating the inflammatory cascade in various autoimmune and inflammatory diseases,such as multi... The interleukin-17 family is the key group of cytokines and displays a broad spectrum of biological functions,including regulating the inflammatory cascade in various autoimmune and inflammatory diseases,such as multiple sclerosis,neuromyelitis optica spectrum disorder,myasthenia gravis,Guillain–Barre syndrome,acute disseminated encephalomyelitis,diabetes,inflammatory skin diseases,joint inflammation,and cancer.Although the function of the interleukin-17 family has attracted increasing research attention over many years,the expression,function,and regulation mechanisms of different interleukin-17 members are complicated and still only partially understood.Currently,the interleukin-17A pathway is considered a critical therapeutic target for numerous immune and chronic inflammatory diseases,with several monoclonal antibodies against interleukin-17A having been successfully used in clinical practice.Whether other interleukin-17 members have the potential to be targeted in other diseases is still debated.This review first summarizes the recent advancements in understanding the physicochemical properties,physiological functions,cellular origins,and downstream signaling pathways of different members and corresponding receptors of the interleukin-17 family.Subsequently,the function of interleukin-17 in various immune diseases is discussed,and the important role of interleukin-17 in the pathological process of immune diseases is demonstrated from multiple perspectives.Then,the current status of targeted interleukin-17 therapy is summarized,and the effectiveness and safety of targeted interleukin-17 therapy are analyzed.Finally,the clinical application prospects of targeting the interleukin-17 pathway are discussed. 展开更多
关键词 antibody therapy autoimmune disease cellular source clinical applications interleukin-17 interleukin-17 receptor inflammatory diseases physiological responses signaling pathway therapeutic strategy
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Association between Polymorphism of Interleukin-23 Receptor and Hashimoto's Thyroiditis in Chinese Han Population of Shandong 被引量:5
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作者 Zhi-Hua Li Jie Han +4 位作者 Yu-Fei Wang Jun Dai Hui Zhang Chun-Xia Li Qun Ma 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第15期2050-2053,共4页
Objective:The interleukin-23 receptor (IL-23R) has been shown to be associated with autoimmune diseases in many different populations.This study aimed to investigate the association between IL-23R gene polymorphism... Objective:The interleukin-23 receptor (IL-23R) has been shown to be associated with autoimmune diseases in many different populations.This study aimed to investigate the association between IL-23R gene polymorphism and susceptibility to Hashimoto's thyroiditis (HT) in Chinese Han population of Shandong.Methods:A case-control cohort study was performed in 145 HT patients from First People's Hospital of Jining between February 2010 to October 2013 and 150 healthy controls.Two single nucleotide polymorphisms located in the promoter region ofIL-23R gene (rs 17375018 and rs7517847) were examined by polymerase chain reaction-restriction fragment length polymorphism analysis.Hardy-Weinberg equilibrium was performed using the Chi-square test.Genotype frequencies were estimated by direct counting,and allele and genotype frequencies between patients and controls were analyzed by the Chi-square test.Results:The rs 17375018 GG genotype and the G allele were significantly increased in HT patients compared with healthy controls (P =0.034 and P =0.013,respectively).No association was identified between HT patients and healthy controls in rs7517847.Conclusion:The study demonstrated that polymorphism of IL-23R gene rs17375018 is highly associated with HT in Chinese Han population of Shandong,suggesting that IL-23R gene polymorphism (rs 17375018 G) may play a critical role in susceptibility to HT. 展开更多
关键词 GENOTYPE Hashimoto's Thyroiditis interleukin-23 Receptor POLYMORPHISM
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Increased interleukin-23 is associated with increased disease activity in patients with rheumatoid arthritis 被引量:4
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作者 GUO Ying-ying WANG Nai-zhi ZHAO Shuai HOU Lin-xin XU Yan-bing ZHANG Ning 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第5期850-854,共5页
Background Interleukin-23 (IL-23) is a pro-inflammatory cytokine that is thought to be central to the development of autoimmune diseases. This study was conducted to determine whether or not the serum concentration ... Background Interleukin-23 (IL-23) is a pro-inflammatory cytokine that is thought to be central to the development of autoimmune diseases. This study was conducted to determine whether or not the serum concentration of IL-23 is elevated in patients with rheumatoid arthritis (RA), and to determine the relationship between the IL-23 level and disease activity in RA patients. Methods Serum samples were obtained from 59 patients with RA and 30 healthy controls. The clinical parameters of disease activity were determined, including the 28-joint disease activity score (DAS28), C-reactive protein (CRP), rheumatoid factor (RF) levels, and the degree of bony erosions based on X-rays. The levels of IL-23 and IL-17 were determined by enzyme-linked immunosorbent assay (ELISA). The correlations between the serum levels of IL-23 and disease activity parameters of patients with RA were determined. Results The serum IL-23 level was significantly elevated in patients with RA compared to healthy controls. The serum IL-23 levels in the RA patients correlated with IL-17 and CRP levels, and the DAS28. The levels of IL-23 based on X-ray classification phase I, II, III, and IV were gradually elevated in RA patients. Conclusions The levels of serum IL-23 in RA patients were higher than in healthy controls. Thus, elevated serum IL-23 levels may be useful markers to detect active RA. In addition, IL-23 is involved in disease progression and bony erosions in patients with RA. 展开更多
关键词 rheumatoid arthritis interleukin-23 interleukin-17 C-reactive protein
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基于FGF23/FKN/IL-18的老年T2DM动脉粥样硬化性心血管病预测模型构建
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作者 朱丽晔 张程昌 +2 位作者 王雷 黄玉婷 杨芬 《分子诊断与治疗杂志》 2026年第1期92-95,共4页
目的基于成纤维细胞生长因子23(FGF23)、趋化因子(FKN)及白介素-18(IL-18)构建老年2型糖尿病(T2DM)动脉粥样硬化性心血管病(ASCVD)预测模型。方法选取2023年3月至2025年2月南京市溧水区人民医院196例老年T2DM患者,以是否并发ASCVD分为... 目的基于成纤维细胞生长因子23(FGF23)、趋化因子(FKN)及白介素-18(IL-18)构建老年2型糖尿病(T2DM)动脉粥样硬化性心血管病(ASCVD)预测模型。方法选取2023年3月至2025年2月南京市溧水区人民医院196例老年T2DM患者,以是否并发ASCVD分为并发组(52例)与未并发组(144例)。比较相关因子水平,经回归分析确定危险因素,构建列线图模型并评估。结果并发组FGF23、FKN及IL-18水平高于未并发组,差异有统计学意义(均P<0.001)。FGF23、FKN、IL-18、T2DM病程、空腹血糖为独立危险因素(均P<0.05)。模型ROC AUC 0.889,95%CI 0.840~0.938(P<0.001),灵敏度0.885,特异度0.729;校正过拟合的预测曲线趋于理想曲线,一致性指数0.778;决策曲线在阈值概率(0.02~0.93)内正净收益明显。结论该模型对老年T2DM患者并发ASCVD预测价值高。 展开更多
关键词 成纤维细胞生长因子23 趋化因子 白介素-18 2型糖尿病 动脉粥样硬化性心血管病 预测模型 生物标志物
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Long noncoding RNA GAS5 acts as a competitive endogenous RNA to regulate GSK-3β and PTEN expression by sponging miR-23b-3p in Alzheimer's disease
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作者 Li Zeng Kaiyue Zhao +5 位作者 Jianghong Liu Mimin Liu Zhongdi Cai Ting Sun Zhuorong Li Rui Liu 《Neural Regeneration Research》 2026年第1期392-405,共14页
Long noncoding RNA and microRNA are regulatory noncoding RNAs that are implicated in Alzheimer's disease, but the role of long noncoding RNA-associated competitive endogenous RNA has not been fully elucidated. The... Long noncoding RNA and microRNA are regulatory noncoding RNAs that are implicated in Alzheimer's disease, but the role of long noncoding RNA-associated competitive endogenous RNA has not been fully elucidated. The long noncoding RNA growth arrest-specific 5(GAS5) is a member of the 5′-terminal oligopyrimidine gene family that may be involved in neurological disorders, but its role in Alzheimer's disease remains unclear. This study aimed to investigate the function of GAS5 and construct a GAS5-associated competitive endogenous RNA network comprising potential targets. RNA sequencing results showed that GAS5 was upregulated in five familial Alzheimer's disease(5×FAD) mice, APPswe/PSEN1dE9(APP/PS1) mice, Alzheimer's disease-related APPswe cells, and serum from patients with Alzheimer's disease. Functional experiments with targeted overexpression and silencing demonstrated that GAS5 played a role in cognitive dysfunction and multiple Alzheimer's disease-associated pathologies, including tau hyperphosphorylation, amyloid-beta accumulation, and neuronal apoptosis. Mechanistic studies indicated that GAS5 acted as an endogenous sponge by competing for microRNA-23b-3p(miR-23b-3p) binding to regulate its targets glycogen synthase kinase 3beta(GSK-3β) and phosphatase and tensin homologue deleted on chromosome 10(PTEN) expression in an Argonaute 2-induced RNA silencing complex(RISC)-dependent manner. GAS5 inhibited miR-23b-3p-mediated GSK-3β and PTEN cascades with a feedforward PTEN/protein kinase B(Akt)/GSK-3β linkage. Furthermore, recovery of GAS5/miR-23b-3p/GSK-3β/PTEN pathways relieved Alzheimer's disease-like symptoms in vivo, indicated by the amelioration of spatial cognition, neuronal degeneration, amyloid-beta load, and tau phosphorylation. Together, these findings suggest that GAS5 promotes Alzheimer's disease pathogenesis. This study establishes the functional convergence of the GAS5/miR-23b-3p/GSK-3β/PTEN pathway on multiple pathologies, suggesting a candidate therapeutic target in Alzheimer's disease. 展开更多
关键词 Alzheimer's disease amyloid-beta peptide accumulation cognitive dysfunction competitive endogenous RNA glycogen synthase kinase 3beta lncRNA growth arrest-specific 5 microRNA-23b-3p neuronal apoptosis phosphatase and tensin homologue deleted on chromosome 10 tau phosphorylation
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Immunotherapeutic effects on murine pancreatic carcinoma by β-elemene combined with dendritic cells modified with genes encoding interleukin-23 被引量:1
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作者 TAN Guang WANG Zhongyu +1 位作者 CHE Luanqing YIN Shuo 《Frontiers of Medicine》 SCIE CSCD 2007年第1期41-45,共5页
The dendritic cell vaccine is a treatment vaccine with potent clinical applications.Functional cytokines can enhance dendritic cell anti-tumor immune responses.This experiment was conducted to study the effects of bon... The dendritic cell vaccine is a treatment vaccine with potent clinical applications.Functional cytokines can enhance dendritic cell anti-tumor immune responses.This experiment was conducted to study the effects of bone marrow-derived dendritic cells(BM-DCs)modified with genes encoding murine interleukin-23(IL-23)on murine pancreatic carcinoma,and effects of the treatment of pancreatic carcinoma with β-elemene combined with IL-23-modified dendritic cell vaccine.The murine IL-23 cDNA was sub-cloned into a dual-expression vector.DCs were pulsed with tumor cell lysate after being modified wth IL-23.Mice were divided into groups which were injected with IL-23-transduced DC vaccine,non-transduced DC vaccine and sodium respectively.The preventive immune and immunotherapeutic effects of DC vaccines on mice and cytokine release in vivo were then assessed.Results showed inhibitory effects on tumor cells and increased survival time in the experimental group treated with the vaccine combined with β-elemene.The IL-23 protein apparently increases the antigen presenting ability of DCs.After injection with DC vaccines,IFN-γ production in the treatment group was significantly increased as compared with that in the control group(P<0.01),and IL-4 production was decreased as compared with that in the control group(P<0.05).Tumor size was obviously reduced,and survival time clearly prolonged in the group with β-elemene combined with DC vaccine,in comparison to the other treatment groups and the control(P<0.01).IL-23-modified dendritic cell vaccines enhance specific Th1-type and cytotoxic T lymphocyte(CTL)responses against pancreatic carcinoma cells,and induce not only auto-immune ability but also preventive immunity against pancreatic carcinoma implanted in mice.β-elemene has great anti-tumor collaborative functions. 展开更多
关键词 interleukin-23 dendritic cell pancreatic carcinoma immune response Β-ELEMENE
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肺炎支原体耐药性与23S rRNA耐药基因位点突变研究 被引量:5
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作者 孙晓旭 董玉琼 +3 位作者 赵永旺 袁业红 吕晶晶 侯伦 《中国病原生物学杂志》 北大核心 2025年第1期52-56,共5页
目的探析肺炎支原体肺炎(Mycoplasma pneumoniae pneumonia,MPP)患儿肺炎支原体(Mycoplasma pneumoniae,MP)耐药性及23S rRNA耐药基因位点突变情况,以期为临床治疗提供依据。方法对比分析本院2022年1月~2023年12月收治的MPP患儿临床资料... 目的探析肺炎支原体肺炎(Mycoplasma pneumoniae pneumonia,MPP)患儿肺炎支原体(Mycoplasma pneumoniae,MP)耐药性及23S rRNA耐药基因位点突变情况,以期为临床治疗提供依据。方法对比分析本院2022年1月~2023年12月收治的MPP患儿临床资料,采用PCR技术检测23S rRNA耐药基因位点突变情况,结合药敏试验结果,探讨耐药性与基因突变间的关联。结果共分离出78株MP菌株。这些菌株对乙酰螺旋霉素、红霉素、克拉霉素和罗红霉素的耐药性超过50%,耐药率分别为75.64%、73.08%、51.28%和76.92%;对左氧氟沙星、环丙沙星和莫西沙星的耐药率低于10%,分别为3.85%、3.85%和1.28%。对78株MP菌株进行测序分析显示,23S rRNA耐药基因位点突变率为76.92%(60/78)。其中,47株为A2063G位点发生突变(78.33%,47/60),9株为A2064G位点发生突变(15%,9/60),4株为A2063C位点发生突变(6.67%,4/60)。47株A2063G位点突变MP菌株对罗红霉素、乙酰螺旋霉素完全耐药,对红霉素、克拉霉素、阿奇霉素、交沙霉素、左氧氟沙星、环丙沙星和莫西沙星的耐药率分别为95.74%、63.83%、44.68%、17.02%、6.38%、6.38%和2.13%。9株A2064G位点突变MP菌株对罗红霉素完全耐药,对乙酰螺旋霉素、红霉素、克拉霉素、阿奇霉素、交沙霉素的耐药率分别为88.89%、88.89%、77.78%、33.33%和22.22%,未对左氧氟沙星、环丙沙星、莫西沙星产生耐药性。4株A2063C位点突变MP菌株对罗红霉素、乙酰螺旋霉素、红霉素完全耐药,对克拉霉素耐药率为75%,对阿奇霉素、交沙霉素耐药率为25%,未对左氧氟沙星、环丙沙星、莫西沙星产生耐药性。不同突变位点MP菌株对常用抗菌药物耐药率差异无统计学意义(P>0.05)。在基因突变组患者中,咳嗽、发热、气促、寒战、呼吸音减弱、肺外感染和重症肺炎的发生率分别为100%、88.33%、66.67%、31.67%、71.67%、40%和63.33%。而在基因未突变组中,这些症状的发生率分别为94.44%、77.78%、44.44%、22.22%、27.78%、5.56%和33.33%。两组患者在咳嗽、发热、气促、寒战方面的差异无统计学意义(P<0.05),但在呼吸音减弱、肺外感染、重症肺炎方面的差异有统计学意义(P>0.05)。在基因突变组中,14例合并混合感染,感染率为23.34%,其中4例合并细菌感染,包括铜绿假单胞菌2例,肺炎克雷伯菌1例,鲍曼不动杆菌1例;10例合并病毒感染,包括腺病毒5例,流感病毒4例,合胞病毒1例。基因未突变组中,6例合并混合感染,感染率为33.34%,其中3例合并细菌感染,包括铜绿假单胞菌1例,肺炎克雷伯菌1例,肺炎链球菌1例;3例合并病毒感染,包括腺病毒2例,呼吸道合胞病毒1例。两组混合感染率差异无统计学意义。结论本院MP菌株对大环内酯类抗生素的耐药率较高,而对氟喹诺酮类抗生素的耐药率较低。23S rRNA耐药基因位点突变与MP菌株的耐药性密切相关,其中A2063G位点突变与高耐药率显著相关。 展开更多
关键词 肺炎支原体 耐药性 23S rRNA 耐药基因位点突变
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IL-23、IL-17水平与糖尿病性黄斑水肿患者雷珠单抗应答性的相关性及预测意义 被引量:1
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作者 秦玖刚 王洪亮 徐阳 《眼科新进展》 北大核心 2025年第5期387-392,共6页
目的探究白细胞介素(IL)-23、IL-17水平与糖尿病性黄斑水肿(DME)患者雷珠单抗应答性的相关性及其预测意义。方法选取2021年9月至2023年6月南阳医学高等专科学校第一附属医院收治的249例249眼DME患者资料,根据雷珠单抗治疗应答分为敏感组... 目的探究白细胞介素(IL)-23、IL-17水平与糖尿病性黄斑水肿(DME)患者雷珠单抗应答性的相关性及其预测意义。方法选取2021年9月至2023年6月南阳医学高等专科学校第一附属医院收治的249例249眼DME患者资料,根据雷珠单抗治疗应答分为敏感组(72例72眼)、非敏感组(177例177眼)。比较两组患者基线糖化血红蛋白(HbA1c)、最佳矫正视力(BCVA)、黄斑中心凹视网膜厚度(CMT)等资料,以及治疗前、治疗后1个月、治疗后3个月IL-23、IL-17水平。分析治疗后1个月、3个月IL-23、IL-17水平降低率与雷珠单抗应答性的相关性,分析治疗后1个月IL-23、IL-17水平降低率对雷珠单抗应答性的影响及预测价值。结果非敏感组患者基线HbA1c、BCVA均高于敏感组,基线CMT低于敏感组(均为P<0.05)。治疗后1个月、3个月,两组患者IL-23、IL-17水平均低于治疗前,非敏感组患者IL-23、IL-17水平均高于敏感组,治疗后1个月和3个月非敏感组IL-23、IL-17水平降低率均低于敏感组(均为P<0.05)。治疗后1个月、3个月,IL-23、IL-17水平降低率与治疗应答均呈正相关(均为P<0.05)。校正前Logistic回归分析显示,基线HbA1c、基线CMT、基线BCVA、治疗后1个月IL-23和IL-17水平降低率与DME患者雷珠单抗应答性均相关(均为P<0.05)。校正后Logistic回归分析显示,治疗后1个月,IL-23水平降低率和IL-17水平降低率仍与DME患者雷珠单抗应答性均相关(均为P<0.05)。治疗后1个月,IL-23水平降低率、IL-17水平降低率单独及联合预测DME患者雷珠单抗应答性的AUC分别为0.776、0.755、0.930,二者联合预测价值较高。结论DME患者对雷珠单抗的应答性与IL-23、IL-17水平有关,治疗后1个月血清IL-23、IL-17水平降低率联合预测DME患者雷珠单抗应答性的价值较高。 展开更多
关键词 白细胞介素-23 白细胞介素-17 糖尿病性黄斑水肿 雷珠单抗 治疗应答性
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咳喘镇定汤在小儿咳嗽变异性哮喘治疗中的作用及对EOS、IL-23/Th17轴的影响 被引量:3
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作者 韩亭亭 王哲哲 +1 位作者 高萌 李得志 《中华中医药学刊》 北大核心 2025年第6期204-208,共5页
目的观察咳喘镇定汤在小儿咳嗽变异性哮喘治疗中的作用及对患儿嗜酸性粒细胞计数(eosinophil count,EOS)、白介素-23(interleukin-23,IL-23)/辅助性T细胞17(helper T cells17,Th17)轴的影响。方法选取2020年8月—2023年2月收治的小儿咳... 目的观察咳喘镇定汤在小儿咳嗽变异性哮喘治疗中的作用及对患儿嗜酸性粒细胞计数(eosinophil count,EOS)、白介素-23(interleukin-23,IL-23)/辅助性T细胞17(helper T cells17,Th17)轴的影响。方法选取2020年8月—2023年2月收治的小儿咳嗽变异性哮喘患儿104例,将患儿采用简单随机法分为两组。常规组给予止咳化痰、抗炎、平喘等常规治疗,咳喘镇定汤组在常规组基础上采用咳喘镇定汤辅助治疗。检测组间及组内T淋巴亚群、EOS、巨噬细胞炎症蛋白-1α(macrophage inflammatory protein-1α,MIP-1α)、Clara细胞分泌蛋白16(clara cell secreted protein 16,CC-16)、嗜酸细胞活化趋化因子(Eotaxin)、IL-23/Th17轴、小气道功能水平。评估组间及组内咳嗽症状评分、中医证候评分差异。统计组间疗效和不良反应。结果治疗前T淋巴亚群、CC-16、Eotaxin等差异无统计学意义(P>0.05)。两组治疗后CD_(8)^(+)、EOS、MIP-1α、Eotaxin降低,CC-16、CD_(4)^(+)、CD_(4)^(+)/CD_(8)^(+)升高,咳喘镇定汤组治疗后CD_(8)^(+)、EOS、MIP-1α、Eotaxin低于常规组,CC-16、CD_(4)^(+)、CD_(4)^(+)/CD_(8)^(+)高于常规组(P<0.05)。治疗前比较IL-23/Th17轴差异无统计学意义(P>0.05)。两组治疗后IL-23、Th17、白介素-17(interleukin-17,IL-17)降低,咳喘镇定汤组治疗后IL-23/Th17轴低于常规组(P<0.05)。治疗前相关评分无差异(P>0.05)。两组治疗后咳嗽症状评分、中医证候评分降低,咳喘镇定汤组治疗后咳嗽症状评分、中医症候评分低于常规组(P<0.05)。治疗前小气道功能无差异(P>0.05)。两组治疗后小气道功能升高,咳喘镇定汤组治疗后小气道功能高于常规组(P<0.05)。咳喘镇定汤组治愈13例,显效和有效共35例,总有效率92.31%高于常规组,差异有统计学意义(P<0.05)。结论咳喘镇定汤可通过调控小儿咳嗽变异性哮喘患儿IL-23/Th17轴,改善T淋巴亚群和小气道功能,减轻咳嗽症状,提高疗效。 展开更多
关键词 咳喘镇定汤 小儿咳嗽变异性哮喘 IL-23/Th17轴 小气道功能 疗效 咳嗽 T淋巴亚群
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基于血管内皮指标、IL-23、IL-17分析速效救心丸联合新活素对PCI后AMI患者的治疗效果 被引量:1
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作者 汤勇 帅文欢 邓翠东 《检验医学与临床》 2025年第1期100-106,共7页
目的 基于血管内皮指标、白细胞介素-23(IL-23)、白细胞介素-17(IL-17)分析速效救心丸联合新活素对经皮冠状动脉介入术(PCI)后急性心肌梗死(AMI)患者的治疗效果。方法 选取2021年1月至2022年10月该院收治的104例AMI患者作为研究对象,根... 目的 基于血管内皮指标、白细胞介素-23(IL-23)、白细胞介素-17(IL-17)分析速效救心丸联合新活素对经皮冠状动脉介入术(PCI)后急性心肌梗死(AMI)患者的治疗效果。方法 选取2021年1月至2022年10月该院收治的104例AMI患者作为研究对象,根据随机数字表法分为对照组和观察组,各52例。两组均进行PCI,对照组术后采用新活素治疗,观察组术后采用新活素+速效救心丸治疗。比较两组疗效、不良反应、主要不良心血管事件(MACE)发生情况及治疗期间中医证候积分、心功能指标、血管内皮指标、血清IL-23、IL-17水平。结果 观察组总有效率高于对照组(P<0.05)。重复测量方差分析显示,两组治疗期间的中医证候积分、左心室射血分数(LVEF)、心脏指数(CI)、N末端脑钠肽前体(NT-proBNP)及血清IL-23、IL-17、血管内皮生长因子B(VEGF-B)、血管性假血友病因子(vWF)、生长分化因子-15(GDF-15)水平变化有交互效应(F=13.455、10.336、7.513、17.011、23.468、25.178、14.556、13.182、18.712,P<0.001),故进一步做单独效应分析。两组不同时间血清IL-23、IL-17、GDF-15、vWF水平及中医证候积分、NT-proBNP水平比较结果显示,治疗6个月后<治疗3个月后<治疗前,任意两两比较,差异均有统计学意义(P<0.05)。两组不同时间血清VEGF-B水平、LVEF、CI比较结果显示,治疗6个月后>治疗3个月后>治疗前,任意两两比较,差异均有统计学意义(P<0.05)。多变量方差分析结果显示,观察组治疗3个月后、6个月后血清IL-23、IL-17、vWF、GDF-15、NT-proBNP水平及中医证候积分低于对照组,血清VEGF-B水平及LVEF、CI均高于对照组,差异均有统计学意义(P<0.05)。两组治疗期间不良反应、MACE发生情况比较,差异无统计学意义(P>0.05)。结论 新活素联合速效救心丸应用于PCI后AMI患者的治疗,有助于下调患者血清IL-23、IL-17水平,改善治疗效果。 展开更多
关键词 新活素 速效救心丸 急性心肌梗死 经皮冠状动脉介入术 白细胞介素-23 白细胞介素-17
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肥胖与非肥胖型多囊卵巢综合征患者EDA、IL-23、HSP70表达差异性及其对促排卵后妊娠结局的影响
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作者 刘春喜 张喜红 +1 位作者 姜秋慧 马莉 《海南医学》 2025年第21期3102-3107,共6页
目的探讨肥胖与非肥胖型多囊卵巢综合征(PCOS)患者白介素-23(IL-23)、外异蛋白A(EDA)、热休克蛋白70(HSP70)表达的差异性及其对患者促排卵后妊娠结局的影响。方法按照1:1选取2021年4月至2024年5月郑州人民医院收治的185例非肥胖型PCOS患... 目的探讨肥胖与非肥胖型多囊卵巢综合征(PCOS)患者白介素-23(IL-23)、外异蛋白A(EDA)、热休克蛋白70(HSP70)表达的差异性及其对患者促排卵后妊娠结局的影响。方法按照1:1选取2021年4月至2024年5月郑州人民医院收治的185例非肥胖型PCOS患者(非肥胖组)及185例肥胖型PCOS患者(肥胖组)作为研究对象进行前瞻性研究。比较两组患者的EDA、IL-23、HSP70表达以及胰岛素抵抗指数(HOMA-IR)和体质量指数(BMI),Pearson相关性分析EDA、IL-23、HSP70与BMI、HOMA-IR的相关性,比较肥胖型与非肥胖型PCOS不同妊娠结局患者的基线资料和EDA、IL-23、HSP70表达,Logistic回归分析EDA、IL-23、HSP70对肥胖型PCOS促排卵后妊娠结局的影响。结果肥胖型PCOS患者EDA、IL-23、HSP70、HOMA-IR、BMI分别为(288.45±50.33)pg/mL、(81.32±25.70)pg/mL、(330.10±55.73)ng/L、4.85±1.12、(29.10±0.34)kg/m2,非肥胖型患者指标分别为(222.25±47.56)pg/mL、(61.96±20.44)pg/mL、(270.08±49.68)ng/L、3.31±1.00、(24.00±0.61)kg/m2,肥胖型PCOS患者上述指标明显高于非肥胖型PCOS患者,差异均有统计学意义(P<0.05);肥胖型PCOS患者EDA、IL-23、HSP70与BMI、HOMA-IR呈正相关(r=0.749、0.764、0.766、0.741、0.731、0.782,P<0.05);非肥胖型PCOS中,未妊娠组患者基线资料、EDA、IL-23、HSP70与妊娠组比较差异均无统计学意义(P>0.05);肥胖型PCOS中,未妊娠组患者EDA、IL-23、HSP70表达高于妊娠组,差异均有统计学意义(P<0.05);Logistic回归分析结果显示,EDA升高、IL-23升高、HSP70升高均是肥胖型PCOS促排卵后妊娠结局的独立相关影响因素(P<0.05)。结论肥胖型与非肥胖PCOS患者EDA、IL-23、HSP70表达、BMI、HOMA-IR存在差异性,且EDA、IL-23、HSP70是肥胖型PCOS促排卵后妊娠结局的影响因素。 展开更多
关键词 肥胖 多囊卵巢综合征 外异蛋白A 白介素-23 热休克蛋白70 妊娠结局
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