Analysis of association between different HCV genotypes and serum interleukin-17, interleukin-6, and vitamin D in patients with HCV-related cirrhosis
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摘要:
目的探讨不同HCV基因分型与丙型肝炎肝硬化患者血清中白细胞介素(IL)17、IL-6及维生素D的关系。方法选取2012年1-12月解放军第三〇二医院收治的76例丙型肝炎肝硬化患者,根据基因型不同分为1b型47例和2a型29例。采用ELISA法检测患者血清中IL-17、IL-6及维生素D水平。计量资料组间比较采用t检验,计数资料组间比较采用χ2检验,采用Spearman分析血清中IL-17、IL-6及维生素D与基因分型的相关性。结果在Child-Pugh改良分级结果中,1b型患者中A级所占比例相对于2a型差异具有统计学意义(χ2=4.97,P<0.05);1b型患者的AFP、HCV RNA滴度、IL-17、IL-6、TNFα均高于2a型,差异均有统计学意义(t值分别为21.56、16.51、12.31、10.71、7.23,P值均<0.05),而IFNγ、25-OH-D、1,25(OH)2D低于2a型,差异均有统计学意义(t值分别为3.98、6.32、4.88,P值均<0.05);Spearman相关性分析发现,AFP、HCV RNA滴度、IL-6、IL-17与1b型、...
Abstract:Objective To investigate the association between different hepatitis C virus( HCV) genotypes and serum interleukin-17( IL-17),interleukin-6( IL-6),and vitamin D in patients with HCV-related cirrhosis. Methods Seventy-six patients with HCV-related cirrhosis,who were admitted to 302 Hospital of PLA from January to December,2012,were enrolled in the study,and they were divided into type 1b group( n = 47) and type 2a group( n = 29) according to the genotypes. The levels of serum IL-17,IL-6,and vitamin D were determined by enzyme-linked immunosorbent assay. Comparison between the two groups was made by t test,and Spearman correlation analysis was used to investigate the association between serum IL-17,IL-6,and vitamin D and genotypes. Results The findings in improved Child-Pugh classification showed that there were significant differences in the percentage of grade A patients between type 1b group and type 2a group( χ2= 4. 97,P < 0. 05); when compared with type 2a group,type 1b group showed significantly higher lentiviral titers of alpha-fetoprotein( AFP) and HCV RNA and levels of IL-17,IL-6,and tumor necrosis factor-α( TNFα)( t = 21. 56,16. 51,12. 31,10. 71,and 7. 23,respectively,all P < 0. 05),but significantly lower levels of interferon-γ( IFNγ),25( OH) D,and 1,25( OH)2D( t =3. 98,6. 32,and 4. 88,respectively; all P < 0. 05); Spearman correlation analysis showed that the lentiviral titers of AFP and HCV RNA and the levels of IL-17 and IL-6 were positively correlated with genotype 1b and genotype 2a( all P < 0. 05),while the levels of IFNγ,TNFα,and 25-OH-D were negatively correlated with genotype 1b and genotype 2a( all P < 0. 05). Conclusion Compared with those with genotype 2a,HCV-related cirrhosis patients with genotype 1b have higher serum levels of IL-17,IL-6,AFP,and HCV RNA,but a lower level of vitamin D; the results suggested that there are correlations between serum IL-17,IL-6,25-OH-D,AFP,and HCV RNA and genotype,but no significant correlation between 1,25( OH)2D and genotype.
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Key words:
- genotype /
- hepatitis C,chronic /
- liver cirrhosis /
- interleukin-17 /
- interleukin-6 /
- vitamin D
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