外周血内皮祖细胞及血清AngⅡ、Ang17与血管性痴呆的相关性研究
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国家自然科学基金青年基金(81400986);湛江市科技攻关计划项目(2017B01044)


Correlation between peripheral blood circulating endothelial progenitor cells, serum AngII, serum Ang17 and vascular dementia
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    摘要:

    【摘要】 目的 探讨血管性痴呆(VaD)患者循环外周血内皮祖细胞(EPCs)数目及血清AngⅡ、Ang17水平与认知功能的相关性。方法 选取2015年~2017年在广东医科大学附属医院就诊的患者100例将其分为两组:VaD组(55例),认知正常组(45例)。采集临床资料;颈动脉超声检测颈动脉内膜中层厚度(IMT);流式细胞仪检测外周血EPCs数目;ELISA检测血清AngⅡ、Ang17水平;MMSE量表评定认知功能。结果 VaD组外周血EPCs数目、血清Ang17水平、MMSE评分较认知正常组减少,血清AngⅡ水平较认知正常组增加(P<005)。VaD组外周血EPCs数目与血清Ang17水平呈正相关(P<005);与血清AngⅡ水平呈负相关(P<005)。VaD组MMSE评分与外周血EPCs数目呈正相关(P<005),与血清Ang17水平呈正相关(P<005),与血清AngⅡ水平呈负相关(P<005)。结论 VaD患者的认知功能与外周血EPCs数目及血清AngⅡ、Ang17水平有关。

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    【Abstract】 Objective Investigate the correlation between circulating endothelial progenitor cells (EPCs) , serum AngII levels, serum Ang17 levels and cognitive function of patients with vascular dementia (VaD).Methods Subjects were divided into VaD group (n= 55) and cognitive normal group (n= 45).The clinical data of subjects were collected. Carotid artery intimamedia thickness (IMT) was measured by carotid ultrasound. The peripheral blood EPCs were detected by flow cytometry. The levels of serum AngII and Ang17 were detected by ELISA. The cognitive function were measured by MMSE scale.Results The numbers of circulating EPCs, serum Ang17 levels and MMSE scores in VaD group were lower than those in normal cognitive group. The levels of serum AngII were higher than those in normal cognitive group. The differences were statistically significant (P<005). The numbers of circulating EPCs in VaD group were positively correlated with serum Ang17 levels (P<005), and were negatively correlated with serum AngII levels (P<005). MMSE scores in VaD group were positively correlated with the numbers of circulating EPCs (P<005), and were positively correlated with serum Ang17 levels (P<005), and were negatively correlated with serum AngII levels (P<005).Conclusion The cognitive function of VaD patients may be related to the numbers of circulating EPCs ,the levels of serum AngII and serum Ang17.

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  • 在线发布日期: 2018-08-01
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