论著

抗collectin 11抗体在系统性红斑狼疮诊断中的意义

  • 邓晓莉 ,
  • 钟丽君 ,
  • 孙琳 ,
  • 李常虹 ,
  • 刘湘源
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  • (1. 北京大学第三医院风湿免疫科,北京100191;2. 北京大学医药卫生分析中心,北京100191)

网络出版日期: 2016-12-18

基金资助

国家自然科学基金项目(81501390)资助

Diagnostic significance of anti-collectin 11 in systemic lupus erythematosus

  • DENG Xiao-li ,
  • ZHONG Li-jun ,
  • SUN Lin ,
  • LI Chang-hong ,
  • LIU Xiang-yuan
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  • (1. Department of Rheumatolgoy and Immunology, Peking University Third Hospital, Beijing 100191, China; 2.Medical and Health Analytical Center, Peking University Health Science Center, Beijing 100191, China)

Online published: 2016-12-18

Supported by

Supported by the National Natural Science Foundation of China (81501390)

摘要

目的:评价抗collectin 11抗体在系统性红斑狼疮(systemic lupus erythematosus, SLE)的诊断和病情活动性判断中的作用。方法: 本研究为横断面研究,同时纳入SLE活动组、SLE缓解组、类风湿关节炎(rheumatoid arthritis,RA)组、原发性干燥综合征(Sj-gren syndrome,SS)组以及健康对照(healthy control,HC)组5组患者,应用ELISA方法检测血清抗collectin 11抗体水平,比较各组差异并进行受试者工作特征(receiver operating characteristic,ROC)曲线分析。结果: 5组各纳入30例患者,SLE活动组和SLE缓解组之间抗collectin 11抗体水平差异无统计学意义(88.8±16.8 vs. 89.7±24.7,P=0.896)。SLE组作为一个整体,其抗collectin 11抗体水平(89.1±19.4)显著高于RA组(49.1±22.0)、SS组(56.9±30.1)以及HC组(72.7±24.6)(P<0.001,P<0.001,P=0.007)。抗collectin 11抗体诊断SLE的ROC曲线下面积为0.806,提示具有一定的诊断价值,并且与其他SLE特异性自身抗体有一定的互补作用。结论: 血清抗collectin 11抗体在SLE组中显著高于RA组、SS组以及HC组,并具有一定的诊断价值,有可能成为SLE新的特异性自身抗体之一。

本文引用格式

邓晓莉 , 钟丽君 , 孙琳 , 李常虹 , 刘湘源 . 抗collectin 11抗体在系统性红斑狼疮诊断中的意义[J]. 北京大学学报(医学版), 2016 , 48(6) : 982 -986 . DOI: 10.3969/j.issn.1671-167X.2016.06.011

Abstract

Objective: To analyze the role of anti-collectin 11 in the diagnosis of systemic lupus erythematosus (SLE) and in the evaluation of disease activity. Methods: This was a cross-sectional study. Five groups of patients were enrolled: SLE active (SLE disease activity index-2000,SLEDAI-2000≥9), SLE remission (SLEDAI-2000≤4 and there was no organ involvement), rheumatoid arthritis (RA), primary Sj-gren Syndrome (SS) and healthy control (HC). Serum anticollectin 11 was detected in all the groups by ELISA. One-way ANOVA analysis and LSD-t test as post-hoc analysis were used to compare the levels of anticollectin 11 among all the groups. Receiver operating characteristic (ROC) curve and the area under curve (AUC) were used to analyze the value of anticollectin 11 in the diagnosis of SLE. Results: In the study, 30 patients were enrolled in each group, including 13 males and 137 females with an average age of (34±14) years (18-77 years). The age and gender of the other three groups were comparable to the two SLE groups. The difference of serum anti-collectin 11 between the SLE active group and SLE remission group was not statistically significant (88.8±16.8 vs. 89.7±24.7, P=0.896). The level of serum anti-collectin 11 was significantly higher in SLE group (as a whole) (89.1±19.4) than in RA group (49.1±22.0), SS group (56.9±30.1) and HC group (72.7±24.6) (P<0.001, P<0.001, P=0.007, respectively). The AUC was 0.806 for the diagnosis of SLE by serum anti-collectin 11. Further descriptive analysis showed that the positive rate of anti-collectin 11 was very high in the patients of SLE in whom both anti-double-stranded DNA (dsDNA) and Sm antibody were negative. The nervous system and gastrointestinal system involvement were the most common in the patients with positive anti-collectin 11. Conclusion: The level of serum anti-collectin 11 was significantly higher in SLE than in RA, SS and HC. Anti-collectin 11 antibody had a relatively high value in the diagnosis of SLE and it might have some complementary function in the diagnosis of SLE. It might be a relatively specific autoantibody for SLE.

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