文章摘要
子宫内膜异位症患者腹腔液中TNF-α IL-1β和ATG9A的表达水平及其相关性分析
Expressions of TNF-α IL-1β ATG9A in endometriosis patients' peritoneal fluid and its correlation
投稿时间:2020-11-05  
DOI:10.3969/j.issn.1000-0399.2021.06.003
中文关键词: 子宫内膜异位症  腹腔液  肿瘤坏死因子-α  白细胞介素-1β  自噬相关蛋白9A
英文关键词: Endometriosis  Peritoneal fluid  Tumor necrosis factor-α  Interleukin-1β  Autophagy related protein 9a
基金项目:国家青年自然基金项目(项目编号:81802586)
作者单位E-mail
李青 230601 合肥 安徽医科大学第二附属医院妇产科  
卫兵 230601 合肥 安徽医科大学第二附属医院妇产科 weibing1965@163.com 
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中文摘要:
      目的 探讨子宫内膜异位症(EMS)患者腹腔液中肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)和自噬相关蛋白9A(ATG9A)的表达水平及3者间的相关性方法 选取2017年1月至2019年12月于安徽医科大学第二附属医院妇科收治且经术后组织病理学诊断为EMS的患者85例为观察组,同期另选取非EMS的妇科患者80例为对照组,其中85例EMS患者依据修正EMS分期分为Ⅰ~Ⅱ期20例和Ⅲ~Ⅳ期65例。采用酶联免疫吸附法(ELISA)检测两组研究对象及不同分期EMS患者腹腔液中TNF-α、IL-1β及ATG9A水平,通过Person相关分析TNF-α、IL-1β与ATG9A的相关性结果 观察组腹腔液中TNF-α、IL-1β水平高于对照组,ATG9水平低于对照组,差异均有统计学意义(t=17.818、12.861、9.992,P<0.001);Ⅲ~Ⅳ期EMS患者腹腔液中TNF-α、IL-1β水平高于Ⅰ~Ⅱ期EMS患者,ATG9A水平低于Ⅰ~Ⅱ期EMS患者,差异均有统计学意义(t=131.691、210.807、59.443,P<0.001)。Person相关分析结果显示,TNF-α、IL-1β水平与ATG9呈负相关(r=-0.568、-0.597,P<0.001)结论 TNF-α、IL-1β及ATG9水平与EMS患者疾病严重程度相关。
英文摘要:
      Objective To explore the expressions of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), and autophagy related protein 9A (ATG9A) in endometriosis (EMS) patients' peritoneal fluid,and to explore the correlation among the three factors.Methods A total of 85 EMS patients confirmed by postoperative histopathology who were admitted to the Second Hospital of Anhui Medical University from January 2017 to December 2019 were enrolled and served as the observation group. Meanwhile, a total of 80 no-EMS women were served as control group. According to the modified EMS staging, 85 patients were divided into stage Ⅰ~Ⅱ (20 cases) and stage Ⅲ~Ⅳ (65 cases).The expressions of TNF-α, IL-1β, and ATG9A in two groups were detectedby enzyme linked immunosorbent assay (ELISA), and the correlation between TNF-α, IL-1β and ATG9A was assessedby Pearson analyse. Results The levels of TNF-α and IL-1β in the peritoneal fluid of the observation group were higher than those of the control group, while the level of ATG9A was lower than that of the control group, bothwith statistical significance(t=17.818,12.861,9.92, P<0.001). The levels of TNF-α and IL-1β in peritonal fluid of patients with Ⅲ~Ⅳ period were higher than those of patients with Ⅰ~Ⅱ period, and the level of ATG9A was lower than that of patients with Ⅰ~Ⅱ period,with statistical significance (t=131.691, 210.807,59.443, P<0.001).Person correlation analysis showed that the levels of TNF-α and IL-1β were negatively correlated with the level of ATG9A(r=-0.568,-0.597, P<0.001).Conclusions The levels of TNF-α, IL-1β and ATG9A arecorrelated with the severity of EMS.
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