免疫调控因子与骨密度评价绝经后骨质疏松症疗效的研究
Evaluation of the curative effect of postmenopausal osteoporosis with immunomodulatory factors and bone mineral density
  
DOI:10.3969/j.issn.1006-7108.2023.02.006
中文关键词:  绝经后骨质疏松症  白细胞介素 17  肿瘤坏死因子-α  转化生长因子-β  骨密度
英文关键词:postmenopausal osteoporosis  interleukin 17  tumor necrosis factor-α  transforming growth factor-β  bone mineral density
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作者单位
尹纪伟* 毛未贤 马倩倩 高远 吉林省一汽总医院吉林 长春 130011 
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中文摘要:
      目的 观察绝经后骨质疏松症(postmenopausal osteoporosis, PMOP)患者经治疗后其免疫调控因子转化生长因子-β( TGF-β)、白细胞介素 17 ( interleukin-17,IL-17)和肿瘤坏死因子-α( tumor necrosis factor-α,TNF-α)及骨密度(bone mineral density, BMD)的变化,探讨免疫调控因子与骨密度的相关性。方法 选取2019年5月至2020年6月在吉林省一汽总医院就诊的PMOP患者88例,收集一般信息,包括年龄、身高、体重、绝经年龄,治疗前及治疗1年后测量的BMD、IL-17、TNF-α和TGF-β1。结果 治疗1年后受试者腰椎和股骨颈BMD升高,差异有统计学意义(P<0.05),全髋BMD轻度升高,差异无统计学意义(P>0.05);IL-17、TNF-α均较治疗前下降,差异有统计学意义(P<0.05)。TGF-β1较治疗前升高,差异有统计学意义(P<0.05)。IL-17、TNF-α与BMD呈负相关(分别r= – 0.608,r= – 0.494),TGF-β1与BMD呈正相关(r=0.474),均有统计学意义(P<0.05)。结论 本研究结果显示免疫调控因子与BMD有相关性,提示临床中可考虑联合应用免疫调控因子与BMD观察PMOP患者治疗效果。
英文摘要:
      Objective To observe the changing level of immune regulating factor transforming growth factor-β ( TGF- β), interleukin 17 (IL-17) , tumor necrosis factor-α(TNF-α) and bone mineral density (BMD), study the correlation between immune regulatory factors and bone mineral density. Methods 163 PMOP patients visited in our hospital from May 2019 to June 2020 were selected to collect general information, including age, height, weight and menopausal age. All patients were measured the levels of BMD, TGF- β1, IL-17, and TNF- α before and after treatment。Results After one year of treatment, BMD of lumbar vertebrae and the neck?of femur were all increased, and the difference was statistically significant (P<0.05), while BMD of total hip elevated slightly and had no statistic significance (P>0.05). The levels of IL-17and TNF- α were decreased, and there were statistically significant difference(P<0.05). The level of TGF-β1 was higher than that before treatment (P<0.05). IL-17 and TNF-α were negatively correlated with BMD(r= – 0.608, r= – 0.494 respectively), and TGF- β 1 was positivelycorrelated with BMD(r=0.474). There are all statistically significant (P<0.05). Conclusion The results of this study show that there was a correlation between immune regulatory factors and BMD, suggesting that the clinical application of immune regulatory factors and BMD could be considered to observe the therapeutic effect of PMOP patients.
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