CCLM:血浆中区肾上腺髓质素(MR-proADM)浓度及其参考人群中的生物决定因素?

2018-07-05 MedSci MedSci原创

中区肾上腺髓质素(MR-proADM)正逐渐成为检测多器官衰竭的预后生物标志物。因此,建立科学稳健的参考区间有助于解释实验室测试的结果。本研究的目的是(i)在表观健康的个体中使用商业化自动荧光免疫测定法建立血浆MR-proADM的可靠参考区间,并(ii)鉴定MR-proADM浓度的生物学决定因素。研究人员经问卷确定506个的健康成年人参加本项单中心横断面研究。在排除肥胖个体后选择最终参考组(n =

中区肾上腺髓质素(MR-proADM)正逐渐成为检测多器官衰竭的预后生物标志物。因此,建立科学稳健的参考区间有助于解释实验室测试的结果。本研究的目的是(i)在表观健康的个体中使用商业化自动荧光免疫测定法建立血浆MR-proADM的可靠参考区间,并(ii)鉴定MR-proADM浓度的生物学决定因素。
研究人员经问卷确定506个的健康成年人参加本项单中心横断面研究。在排除肥胖个体后选择最终参考组(n = 172),因为肥胖个体的实验室生物标志物值,包括提示无症状心肌损伤或功能障碍,持续炎症,糖尿病,血脂异常和肾功能障碍和异常值会增加。
结果发现,在参考组中MR-proADM值的第2.5和第97.5百分位数间隔(90%置信区间)分别为0.21(0.19-0.23)和0.57(0.55-0.59)nmol / L. 尽管在年龄较大组中发现,HbA 1c,C反应蛋白,B型利钠肽和体重指数的较高值,以及吸烟史和估计肾小球滤过率下降与两者中MR-proADM浓度增加显著相关。单变量和多变量分析表明这些关系的大小是适度的,并没有显著影响MR-proADM参考区间。本研究未检测到MR-proADM参考区间的性别依赖性差异[0.19(0.16-0.22)-0.56(0.54-0.60)nmol / L,女性为0.22(0.20-0.25),而男性为0.58(0.57-0.63)nmol / L]。
研究成功建立了血浆中MR-proADM浓度的稳健参考区间。考虑到潜在生物决定因素对血浆MR-proADM的影响可以忽略不计。
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    2018-07-06 sunylz
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    2018-07-05 wzb521zf

    一起学习学习

    0

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    2018-07-05 1ddf0692m34(暂无匿称)

    学习了.长知识

    0