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Resistin in idiopathic inflammatory myopathies 英文参考文献
Filkováetal.ArthritisResearchTherapy2012,14:R111
/content/14/3/R111
RESEARCH ARTICLE
OpenAccess
Resistininidiopathicinflammatorymyopathies
MáriaFilková1,HanaHulejová1,KláraKuncová2,LenkaPle?tilová1,LucieAndrésCerezo1,He?manMann1,
MartinKlein1,JosefZáme?ník2,SteffenGay3,Ji?íVencovsky1andLadislav?enolt1*
Abstract
Introduction:Thepurposeofthisstudywastoevaluateandcomparetheserumlevelsandlocalexpressionof
resistininpatientswithidiopathicinflammatorymyopathiestocontrols,andtodeterminetherelationship
betweenresistinlevels,inflammationanddiseaseactivity.
Methods:Serumresistinlevelsweredeterminedin42patientswithinflammatorymyopathiesand27healthy
controls.Theassociationamongresistinlevels,inflammation,globaldiseaseactivityandmusclestrengthwas
examined.Theexpressionofresistininmuscletissuesfrompatientswithinflammatorymyopathiesandhealthy
controlswasevaluated.Geneexpressionandproteinreleasefromresistin-stimulatedmuscleandmononuclearcells
wereassessed.
Results:Inpatientswithinflammatorymyopathies,theserumlevelsofresistinweresignificantlyhigherthanthose
observedincontrols(8.53±6.84vs.4.54±1.08ng/ml,P0.0001)andcorrelatedwithC-reactiveprotein(CRP)
levels(r=0.328,P=0.044)andmyositisdiseaseactivityassessmentvisualanaloguescales(MYOACT)(r=0.382,P
=0.026).StrongerassociationwasobservedbetweenthelevelsofserumresistinandCRPlevels(r=0.717,P=
0.037)aswellasMYOACT(r=0.798,P=0.007),andtherewasatrendtowardscorrelationbetweenserumresistin
andmyoglobinlevels(r=0.650,P=0.067)inanti-Jo-1positivepatients.Furthermore,inpatientswith
dermatomyositis,serumresistinlevelssignificantlycorrelatedwithMYOACT(r=0.667,P=0.001),creatinekinase(r
=0.739,P=0.001)andmyoglobinlevels(r=0.791,P=0.0003)andshowedatrendtowardscorrelationwithCRP
levels(r=0.447,P=0.067).Resistinexpressioninmuscletissuewassignificantlyhigherinpatientswith
inflammatorymyopathiescomparedtocontrols,andresistininducedtheexpressionofinterleukins(IL)-1bandIL-6
andmonocytechemoattractantprotein(MCP)-1inmononuclearcellsbutnotinmyocytes.
Conclu
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