河北医科大学学报

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氧化型低密度脂蛋白抗体与成人急性淋巴细胞性白血病相关性研究

  

  1. 1.河北医科大学第二医院特检科,河北 石家庄 050000;2. 河北医科大学第二医院检验科,河北 石家庄 050000;
    3.河北省人民医院检验科,河北 石家庄 050051
  • 出版日期:2019-05-25 发布日期:2019-05-22
  • 作者简介:李伟皓(1975-),男,河北石家庄人,河北医科大学第二医院副主任检验师,医学硕士,从事临床检验学研究。
  • 基金资助:
    河北医科大学第二医院科学研究基金项目(2h0200742)

Study on the relationship between oxidized low densitylipoprotein antibody and adult acute lymphoblastic leukemia

  1. 1.Department of Special Clinical Laboratory, the Second Hospital of Hebei Medical University,
    Shijiazhuang050000, China; 2.Department of Laboratory Medicine,  the Second Hospital of
    Hebei Medical University,Shijiazhuang 050000, China; 3.Department of Laboratory
    Medicine, Hebei General Hospital, Shijiazhuang 050051, China
  • Online:2019-05-25 Published:2019-05-22

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨氧化型低密度脂蛋白(oxidized low density lipoprotein,oxLDL)抗体与成人急性淋巴细胞白血病(acute lymphoblastic leukemia,ALL)发病的相关性。
〖HTH〗方法〖HTSS〗〖KG*2〗测定57例ALL患者及50例健康对照者血清总蛋白、白蛋白、胆固醇、三酰甘油、高密度脂蛋白、低密度脂蛋白、IgG、IgA、IgM 、oxLDL、oxLDLIgG抗体及oxLDLIgM抗体。
〖HTH〗结果〖HTSS〗〖KG*2〗ALL组血清总蛋白、白蛋白、胆固醇、低密度脂蛋白及oxLDLIgG抗体水平低于对照组,oxLDL、oxLDLIgM抗体高于对照组。ALL患者血清oxLDLIgG与总蛋白、胆固醇及低密度脂蛋白呈直线正相关,与oxLDL呈直线负相关;oxLDLIgM水平与总蛋白、胆固醇及低密度脂蛋白呈直线负相关。oxLDLIgG升高是成人ALL发病的保护因素,oxLDLIgM升高是成人ALL发病的危险因素。
〖HTH〗结论〖HTSS〗〖KG*2〗成人ALL患者可出现脂质代谢障碍及脂质过氧化作用增强,ALL的发生与oxLDLIgG降低及oxLDLIgM升高有关。

关键词: 白血病, 幼淋巴细胞, 脂蛋白类, LDL, 危险因素

Abstract: [Abstract] Objective〖HTSS〗〓To investigate the correlation between oxidized low density lipoprotein(oxLDL) antibody and adult acute lymphoblastic leukemia(ALL).
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 57 patients with adult ALL and 50 healthy controls were enrolled. Serum total protein, albumin, cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, IgG, IgA, IgM, oxLDL, oxLDLIgG and oxLDLIgM were measured at the time of diagnosis.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Serum total protein, albumin, cholesterol, LDL and oxLDLIgG were lower and oxLDL, oxLDLIgM were higher in ALL patients compared to controls. Serum oxLDLIgG in ALL patients was positively correlated with total protein, cholesterol and LDL, whereas negatively correlated with oxLDL. Total protein, cholesterol and LDL were negatively correlated with oxLDLIgM. According to binary logistic regression analyis, elevation of oxLDLIgG was shown to be a protective factor and elevation of oxLDLIgM to be a risk factor for the onset of adult ALL.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Dysregulated lipid metabolism and increased lipid peroxide levels could be observed in adult ALL patients and the occurrence of ALL was probably related to the decrease of oxLDLIgG and elevation of oxLDLIgM.

Key words: leukemia, prolymphocytic; lipoproteins, LDL, risk , factors