绝经后骨质疏松症女性血清IL-31和腰椎、股骨颈骨密度相关性研究
Correlation between serum IL-31 and bone mineral density of the lumbar spine and femoral neck in postmenopausal women with osteoporosis
  
DOI:10.3969/j.issn.1006-7108.2021.02.015
中文关键词:  白细胞介素31  绝经后骨质疏松症  骨密度  骨转换指标
英文关键词:interleukin 31  postmenopausal osteoporosis  bone mineral density  bone turnover markers
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张晓越1* 王小红2 王长平1 1.甘肃省庆阳市人民医院甘肃 庆阳 745000 2.甘肃省庆阳市第二人民医院甘肃 庆阳 745000 
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中文摘要:
      目的 探索绝经后骨质疏松症(postmenopausal osteoporosis,PMOP)患者血清白介素31(IL-31)水平与骨密度(bone mineral density,BMD)相关性。方法 采用双能X线吸收法对80例OP患者(50~75岁)和90例健康对照者(50~75岁)进行腰椎和股骨颈BMD检测。血清IL-31、BAP、BGP和TRACP-5b水平通过酶联免疫吸附法检测。使用自动电化学发光系统测量血清I型胶原交联N-末端肽(NTX-1)和25-羟基维生素D[25(OH)D]水平。结果 OP妇女的IL-31水平明显高于健康对照组(45.12±6.65 μg/L vs 27.58±5.09 μg/L,P=0.002)。绝经后骨质疏松患者血清IL-31水平与年龄、BMI、BAP、BGP、TRACP-5b、NTX和25(OH)D呈正相关。腰椎和股骨颈骨密度与年龄、IL-31、BAP、TRACP-5b 和NTX之间有显著的负相关。在偏相关分析中调整年龄和BMI后,IL-31和腰椎和股骨颈骨密度之间存在显著负相关。结论 绝经后骨质疏松症患者血清IL-31水平升高,与BMD呈负相关。
英文摘要:
      Objective To investigate the correlation between serum Interleukin 31 (IL-31) levels and bone mineral density (BMD) and bone turnover markers in patients with postmenopausal osteoporosis (OP). Methods BMD of the lumbar spine and femoral neck was measured using dual-energy X-ray absorptiometry in 80 OP patients (aged from 50 to 75) and 90 healthy controls (aged from 50 to 75). Serum levels of IL-31, BAP, BGP, and TRACP-5b were measured with enzyme linked immunosorbent assay. Serum levels of cross linked N-telopeptides of type I (NTX) and 25-hydroxyvitamin D (25(OH)D) were measured using automated electrochemiluminescence system. Results The levels of IL-31 in OP women were significantly higher than those in healthy controls (45.12 ± 6.65 μg/L vs 27.58 ± 5.09 μg/L, P=0.002). Serum IL-31 levels were positively correlated with age, BMI, BAP, BGP, TRACP-5b, NTX, and 25 (OH) D in postmenopausal osteoporosis patients. There was a significant negative correlation between BMD of the lumbar spine and femoral neck and age, IL-31, BAP, TRACP-5b, and NTX. After adjusting for age and BMI in the partial correlation analysis, there was a significant negative correlation between IL-31 and BMD of the lumbar and femoral neck. Conclusion The levels of serum IL-31 in patients with postmenopausal osteoporosis increase, and are negatively correlated with BMD of lumbar vertebrae and femoral neck.
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