急性冠状动脉综合征患者血清可溶性E-选择素和白介素-10水平的变化及其与冠状动脉病变程度的相关性
Correlation between serum soluble E-selectin,interleukin-10 and the degree of coronary artery lesions in acute coronary syndrome
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摘要: 目的:探讨急性冠状动脉综合征(acute coronary syndrome,ACS)血清可溶性E-选择素(soluble E-selectin,SES)、白介素-10(interleukin-10,IL-10)水平变化及其与冠状动脉病变程度的相关关系。方法:选择冠状动脉造影患者94例,分为ACS组39例,稳定型心绞痛组(SAP)组23例,正常对照组32例,应用ELISA法测定患者血清SES、IL-10水平;免疫比浊法检测血清超敏C反应蛋白(high-sensitive creactive protein,hs-CRP)。结果:ACS组血清SES、IL-10和hs-CRP水平均明显高于SAP组和对照组(P<0.01)。SAP组SES和hs-CRP水平与对照组比较差异均无统计学意义(P>0.05)。SES、IL-10与冠状动脉病变数量及冠状动脉病变程度均无明显的相关关系(P>0.05)。结论:ACS患者血清SES和IL-10水平明显增高,提示其与斑块的不稳定性有关,而与冠状动脉病变程度无关。Abstract: Objective:To explore the correlation between the levels of soluble E-selectin (SES),interleukin-10 (IL-10) and the degree of coronary artery stenosis in acute coronary syndrome (ACS).Methods:Ninety-four patients receiving coronery artery angiography were divided into ACS group (39 cases),stable angina pectoris (SAP) group (23 cases) and control group (32 cases).The serum levels of SES and IL-10 were measured by ELISA,and the high-sensitive creactive protein (hs-CRP) was dertermined by immunoturbidimetry.Results:The serum levels of SES and hs-CRP in ACS group were significantly higher than those in SAP group and control group (P<0.01);the serum levels of SES and hs-CRP in SAP group had no significant difference compared with those of the control (P<0.05).SES and IL-10 had no obvious correlation with the count of coronary athey stenosis or the degree of coronary artery stenosis (P>0.05).Conclusions:Increased serum levels of SES and IL-10 may reflect the instability of atherosclerotic plaques but not the degree of coronary artery stenosis in acute coronary syndrome.