Clinica Chimica Acta:尿液线粒体DNA是评估抗中性粒细胞胞质抗体相关性血管炎肾脏损伤的有用的生物标志物

2020-04-12 MedSci原创 MedSci原创

本研究探讨尿液线粒体DNA (mtDNA)对抗中性粒细胞胞浆抗体(ANCA)相关性血管炎(AAV)肾脏损伤的评估价值。

本研究探讨尿液线粒体DNA (mtDNA)对抗中性粒细胞胞浆抗体(ANCA)相关性血管炎(AAV)肾脏损伤的评估价值。研究纳入39例经肾脏活检证实的髓过氧化物酶(MPO)-ANCA相关的AAV患者并分析。

研究结果显示,患者平均尿液mtDNA明显高于正常对照组(3372.74±1859.72 vs 474.90±123.59 copy/nmol肌酐,p < 0.001)。发病时需要透析的患者尿mtDNA最高(5072.23±1302.87拷贝/nmol肌酐)。尿mtDNA与尿中性粒细胞明胶酶相关脂calin呈正相关(R = 0.661, P < 0.001),与肾小球滤过率呈负相关(R = - 0.515, P = 0.001)。尿液mtDNA水平的新月级(4703.08±1744.31拷贝/nmol肌酐)高于混合级(3258.14±1158.99拷贝/nmol肌酐)和局灶级(2268.15±1897.63拷贝/nmol肌酐)。单变量相关分析显示,尿mtDNA与肾活检中的间质性中性粒细胞(R = 0.471,P = 0.048)和肾活检中的肾小球中性粒细胞(R = 0.673,P = 0.002)呈正相关。在发病时需要血液透析的13例患者中,10例肾功能恢复的患者中,有10例患者的尿mtDNA高于3例仍依赖透析的患者(5455.20±1174.64 vs. 3795.67±893.34拷贝/nmol肌酐,P = 0.047)。

研究结果表明,肾损伤后AAV患者尿中mtDNA增加,其水平与肾脏损伤严重程度及病理中性粒细胞浸润有关。

原始出处:

Si-jing Wu,Xia Yang,Urinary mitochondrial DNA is a useful biomarker for assessing kidney injury of antineutrophil cytoplasmic antibody -associated vasculitis

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  5. 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  6. 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  7. 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  8. 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