您的位置: 首页 > 2017年5月 第48卷 第3期 > 文字全文
2023年7月 第38卷 第7期11
目录

系统性红斑狼疮患者血清维生素D和白介素-17水平变化及其临床意义

Clinical significance of changes on serum levels of vitamin D and interleukin-17 in patients with systemic lupus erythematosus

来源期刊: 广州医药 | 12-16 发布时间:2021-12-01 收稿时间:2025/11/13 17:11:53 阅读量:25
作者:
关键词:
系统性红斑狼疮25-羟基维生素D白介素-17
Systemic lupus erythematosus25-OH-DInterleukin-17
DOI:
10.3969/j.issn.1000-8535.2017.03.003
收稿时间:
2017-01-12 
修订日期:
 
接收日期:
 
引用总数:
0  
目的 探讨系统性红斑狼疮(SLE)患者外周血中25-羟基维生素D(25-OH-D)和白介素-17(IL-17)水平的变化及其临床意义。方法 选取40例SLE患者作为研究对象, 20例健康体检人员为健康对照组。运用电化学发光法检测25-OH-D水平,酶联免疫吸附法检测IL-17水平。结果 SLE患者25-OH-D水平明显低于健康对照组(P<0.01),活动期SLE患者25-OH-D水平明显低于缓解期患者(P<0.01)。SLE患者IL-17水平明显升高(P<0.01)。低25-OH-D水平与肾损害(P<0.01)相关,与疾病活动度评分(SLEDAI评分)(r=-0.844,P<0.01)及IL-17水平(r=-0.596,P<0.01)负相关。结论 SLE患者25-OH-D水平降低,低25-OH-D水平与肾损害、病情活动及高IL-17水平相关,25-OH-D可能参与了SLE的炎症进程。
Objective To assess the 25-hydroxyvitamin D (25-OH-D) and interleukin-17(IL-17) status in patients with systemic lupus erythematosus(SLE) and its clinical significance. Methods 40 SLE patients along with 20 matched controls were collected. Chemilumineseent immunoassay (CLIA) was used to detect the levers of serum 25-OH-D. The levels of serum IL-17 were evaluated using enzyme-linked immunosorbent assay (ELISA). Results Serum 25-OH-D level in SLE patients was significantly lower than in healthy controls (P<0.01). Serum 25-OH-D level in active SLE patients was significantly lower than in inactive SLE patients (P<0.01). Lever of IL-17 was significantly higher in SLE patients than in healthy controls (P<0.01). Insufficiency of 25-OH-D was related to renal disorders. Serum 25-OH-D level was negatively correlated with systemic lupus erythematosus disease activity index (SLEDAI) scores(r=-0.844, P<0.01)and serum levels of IL-17(r=-0.596, P<0.01). Conclusion Insufficiency of 25-OH-D is prevalent in SLE patients. It is associated with nephritis, disease activity and high serum levels of IL-17, thus it may play an important part in the inflammatory process in SLE.
1、 DORIA A, ZEN M, CANOVA M, et al. SLE diagnosis and treatment: when early is early[J]. Autoimmun Rev, 2010, 10(1): 55-60. DORIA A, ZEN M, CANOVA M, et al. SLE diagnosis and treatment: when early is early[J]. Autoimmun Rev, 2010, 10(1): 55-60.
2、 ZHAO X F, PAN H F, YUAN H, et al. Increased serum interleukin 17 in patients with systemic lupus erythematosus[J]. Mol Biol Rep, 2010, 37(1): 81-85. ZHAO X F, PAN H F, YUAN H, et al. Increased serum interleukin 17 in patients with systemic lupus erythematosus[J]. Mol Biol Rep, 2010, 37(1): 81-85.
3、 APOSTOLIDIS S A, CRISPIN J C, TSOKOS G C. IL-17-producing T cells in lupus nephritis[J]. Lupus, 2011, 20(2): 120-124. APOSTOLIDIS S A, CRISPIN J C, TSOKOS G C. IL-17-producing T cells in lupus nephritis[J]. Lupus, 2011, 20(2): 120-124.
4、 CANTORNA M T. Why do T cells express the vitamin D receptor? [J]. Ann N Y Acad Sci, 2011,1217: 77-82. CANTORNA M T. Why do T cells express the vitamin D receptor? [J]. Ann N Y Acad Sci, 2011,1217: 77-82.
5、 BIKLE D D. Vitamin D metabolism, mechanism of action, and clinical applications[J]. Chem Biol, 2014, 21(3): 319-329. BIKLE D D. Vitamin D metabolism, mechanism of action, and clinical applications[J]. Chem Biol, 2014, 21(3): 319-329.
6、 WU P W, RHEW E Y, DYER A R, et al. 25-hydroxyvitamin D and cardiovascular risk factors in women with systemic lupus erythematosus[J]. Arthritis Rheum, 2009, 61(10): 1387-1395. WU P W, RHEW E Y, DYER A R, et al. 25-hydroxyvitamin D and cardiovascular risk factors in women with systemic lupus erythematosus[J]. Arthritis Rheum, 2009, 61(10): 1387-1395.
7、 DEAN G S, TYRRELL-PRICE J, CRAWLEY E, et al. Cytokines and systemic lupus erythematosus[J]. Ann Rheum Dis, 2000, 59(4): 243-251. DEAN G S, TYRRELL-PRICE J, CRAWLEY E, et al. Cytokines and systemic lupus erythematosus[J]. Ann Rheum Dis, 2000, 59(4): 243-251.
8、 BOGACZEWICZ J, SYSA-JEDRZEJOWSKA A, ARK-USZEWSKA C,et al. Vitamin D status in systemic lupus erythematosus patients and its association with selected clinical and laboratory parameters[J]. Lupus, 2012,21(5): 477-484. BOGACZEWICZ J, SYSA-JEDRZEJOWSKA A, ARK-USZEWSKA C,et al. Vitamin D status in systemic lupus erythematosus patients and its association with selected clinical and laboratory parameters[J]. Lupus, 2012,21(5): 477-484.
9、 MCGHIE T K, DECEULAER K, WALTERS C A, et al. Vitamin D levels in Jamaican patients with systemic lupus erythematosus[J]. Lupus, 2014, 23(10): 1092-1096. MCGHIE T K, DECEULAER K, WALTERS C A, et al. Vitamin D levels in Jamaican patients with systemic lupus erythematosus[J]. Lupus, 2014, 23(10): 1092-1096.
10、 SZODORAY P, TARR T, BAZSO A, et al. The immunopathological role of vitamin D in patients with SLE: data from a single centre registry in Hungary[J]. Scand J Rheumatol, 2011, 40(2): 122-126. SZODORAY P, TARR T, BAZSO A, et al. The immunopathological role of vitamin D in patients with SLE: data from a single centre registry in Hungary[J]. Scand J Rheumatol, 2011, 40(2): 122-126.
11、 ATTAR S M, SIDDIQUI A M. Vitamin d deficiency in patients with systemic lupus erythematosus[J]. Oman Med J, 2013, 28(1): 42-47. ATTAR S M, SIDDIQUI A M. Vitamin d deficiency in patients with systemic lupus erythematosus[J]. Oman Med J, 2013, 28(1): 42-47.
12、 GRAHAM D S C. Genome-wide association studies in systemic lupus erythematosus: a perspective[J]. Arthritis Res Ther, 2009, 11(4): 119. GRAHAM D S C. Genome-wide association studies in systemic lupus erythematosus: a perspective[J]. Arthritis Res Ther, 2009, 11(4): 119.
13、 HOCHBERG M C. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus[J]. Arthritis Rheum, 1997, 40(9): 1725. HOCHBERG M C. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus[J]. Arthritis Rheum, 1997, 40(9): 1725.
14、 ZHANG Z, KYTTARIS V C, TSOKOS G C. The role of IL-23/IL-17 axis in lupus nephritis [J]. J Immunol, 2009, 183(5): 3160-3169. ZHANG Z, KYTTARIS V C, TSOKOS G C. The role of IL-23/IL-17 axis in lupus nephritis [J]. J Immunol, 2009, 183(5): 3160-3169.
15、 IRURETAGOYENA M, HIRIGOYEN D, NAVES R, et al. Immune response modulation by vitamin D: Role in systemic lupus erythematosus [J]. Front Immunol, 2015, 6: 513. IRURETAGOYENA M, HIRIGOYEN D, NAVES R, et al. Immune response modulation by vitamin D: Role in systemic lupus erythematosus [J]. Front Immunol, 2015, 6: 513.
16、 HOLICK M F. Vitamin D deficiency [J]. N Engl J Med, 2007,357(3):266-281. HOLICK M F. Vitamin D deficiency [J]. N Engl J Med, 2007,357(3):266-281.
17、 LIPS P. Which circulating level of 25-hydroxyvitamin D is appropriate? [J]. J Steroid Biochem Mol Biol, 2004, 89-90(1-5): 611-614. LIPS P. Which circulating level of 25-hydroxyvitamin D is appropriate? [J]. J Steroid Biochem Mol Biol, 2004, 89-90(1-5): 611-614.
18、 BIKLE D D. Vitamin D metabolism, mechanism of action, and clinical applications[J]. Chem Biol, 2014, 21(3): 319-329. BIKLE D D. Vitamin D metabolism, mechanism of action, and clinical applications[J]. Chem Biol, 2014, 21(3): 319-329.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录