J Periodontal Res: 血清NT-proBNP水平与牙周炎的关系

2018-07-22 MedSci MedSci原创

N-末端脑利尿钠肽(NT-proBNP)在炎症期间表达并被认为是心血管疾病(CVD)的生物标志物。在过去十年中,有证据表明牙周炎与心血管疾病有关。然而,NT-proBNP在牙周病中的潜在作用鲜为人知。本研究的目的是检查牙周组织中NT-proBNP的水平是否增加,以及是否与牙周炎的严重程度有关。

N-末端脑利尿钠肽(NT-proBNP)在炎症期间表达并被认为是心血管疾病(CVD)的生物标志物。在过去十年中,有证据表明牙周炎与心血管疾病有关。然而,NT-proBNP在牙周病中的潜在作用鲜为人知。本研究的目的是检查牙周组织中NT-proBNP的水平是否增加,以及是否与牙周炎的严重程度有关。

进行病例对照研究,从40名牙周炎患者和40名非牙周炎患者中收集血清样本。在所有受试者中进行全口牙周检查。还记录了人口统计学信息,某些疾病的临床参数和病史。在实验室中进行血清NT-proBNP和高灵敏度C-反应蛋白浓度的测定。

结果:与对照组相比,牙周炎患者血清中NT-proBNP水平显着升高(87.9 pg / mL vs 29.9 pg / mL,P <.0001)。此外,随着牙周病的发展,NT-proBNP水平升高。多变量回归分析显示,牙周炎症面积(牙周炎症和疾病活动的量度)是唯一与血清中NT-proBNP浓度升高显着相关的牙周参数(R2 = .777,P <.0001)。

在牙周炎样本中观察到血清NT-proBNP水平升高。此外,牙周破坏程度越大,血清中NT-proBNP的水平越高。

原始出处:

Y. Leira, et al. Brain natriuretic peptide serum levels in periodontitis. Journal of Periodontal Research. 2018 August. doi: 10.1111/jre.12546

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    2018-10-31 feather89
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    2018-07-24 huiwelcome
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    2018-07-24 mjldent
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    2018-07-24 仁医06
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    2018-07-24 sunylz
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    2018-07-24 jihuaijun1112

    学习学习学习

    0

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    2018-07-23 liumin1987

    BNP与牙周炎有关。学习了。

    0

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    2018-07-23 飛歌

    厉害了我的妹

    0

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    2018-07-22 天地飞扬

    了解一下,谢谢分享!

    0

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同是心衰指标,BNP与NT-proBNP到底有何区别?

脑钠肽(Brain Natriuretic Peptide ,BNP)又称B型利钠肽(B-type Natriuretic Peptide)、脑利钠肽,因首先是从猪脑分离出来因而得名,实际上它主要来源于心室。BNP利钠肽的主要生理作用包括:增加尿钠排出量和尿量,扩张血管,抗细胞增殖,对抗内皮素和肾素血管紧张素醛固酮系统等。

JAHA:BMI对急性心力衰竭患者NT-proBNP与发病率和死亡率之间关系的影响!

由此可见,在急性心衰患者中,BMI无法调节NT-proBNP的预后价值。即使在肥胖患者中,NT-proBNP仍然是急性心力衰竭患者长期死亡率一个有用的预后指标。

JACC:瑞典学者建立"ABC-CHD"模型 NT-proBNP和 hs-cTnT 预测冠心病预后价值更优

瑞典乌普萨拉大学临床研究中心学者在JACC上发表文章称,基于常用的生物标记物和临床特征建立了一个可预测稳定型冠心病 (CHD) 预后的模型,即"ABC-CHD"模型,该预测模型纳入年龄(A)、生物标志物 (B)包括NT-proBNP、hs-cTnT、低密度脂蛋白胆固醇(LDL-C),以及临床变量(C)包括吸烟、糖尿病和外周动脉疾病。

JAHA:心脏手术前新型心脏生物标志物ST2、半乳凝素-3和NT-ProBNP的预测能力

由此可见,该研究显示冠状动脉旁路移植术患者院内死亡术前预测能力有显著改善,并表明生物标志物可用于识别风险较高的患者。

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由此可见,在不同时间点的连续NT-proBNP测量(递增或递减)与不良事件风险的调节有关,因此,即使在心脏手术后,NT-proBNP也是监测疾病演变的重要指标。

SCI REP:术前B型钠尿肽前体N末端浓度和脑肿瘤患者的预后相关性分析!

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