视黄醇结合蛋白4与冠心病的相关性探讨RELATIONSHIP BETWEEN RETIONL BINDING PROTEIN 4 AND CARDIOVASCULAR DISEASE
郭继芳;孔繁和;
摘要(Abstract):
目的:探讨研究视黄醇结合蛋4(RPB4)与冠心病(CHD)的相关性。方法:选择100例研究对象,其中冠心病组60例和对照组40例,均采用酶联免疫吸附法(ELISA)测定血浆RPB4水平,测量身高,体重,腰臀比值(WHR),血压等,并采集记录相应生化数据:FPG、糖化血红蛋白(HbA1c)、总胆固醇(TC)、三酯酰甘油(TG)、血清高密度脂蛋白胆固醇(HDL-C)、血清低密度脂蛋白胆固醇(LDL-C)、超敏C反应蛋白(hs-CRP),应用统计软件进行统计检验。结果:冠心病组血浆RPB4水平明显高于正常对照组[(44.82±15.88),(36.60±12.20),P<0.05]。相关分析显示冠心病患者血清RBP4水平与WHR,SBP,TG,hs-CRP,FPG,HOMA-IR呈正相关。结论:血清RBP4与冠心病存在一定的相关性,可能与斑块稳定性有关,可作为预测斑块稳定性的血清标志物。
关键词(KeyWords): 视黄醇结合蛋白4;冠心病;相关性
基金项目(Foundation):
作者(Authors): 郭继芳;孔繁和;
DOI: 10.13799/j.cnki.mdjyxyxb.2013.02.035
参考文献(References):
- 1 Trayhurn P,Wood IS.Signalling role of adipose tissue:adipokinesand inflammation in obesity[J].BiochemSoc Trans,2005,33(Pt5):1078-1081.
- 2 Yang Q,Craham TE,Mody N,et a.l Serum retinol binding protein 4contributes to insulin resistance in obesity and type 2 diabetes[J].Nature,2005,436:356-362.
- 3高璐,常志文,秦明照,等.视黄醇结合蛋白4与冠心病的关系[J].医药论坛杂志,2010,31(15):10-11.
- 4 Graham TE,Yang Q,Blather M,et al.Retinol blinding pretein 4and insulin resistance in lean,obsese and diabetic subjects[J].NEngl J Med,2006,354(24):2552-2563.
- 5 Solini A,Santini E,Madec S,et al.Retinol-binding protein 4 inwomen with untreated essential hypertension[J].Am J Hypertens,2009,22(9):1001-1006.
- 6 Ingelsson E,Sundstrom J,Melhus H,et al.Circulating retinol-binding protein 4,cardiovascular risk factors and prevalent cardiovas-cular disease in elderly[J].Atherosclerosis,2009,206(1):239-244.
- 7 ShinozakiK,NaritomH,ShimizuT,eta.l Role of insulin resistance as-sociated with compensatory hyper insilinemia in ischemic stroke[J].Stroke,1996,27:37-43.
- 8 Hamdy O.Life style modification and endothelial function in obesesubjects[J].ExpertRev Cardiovasc Ther,2005,3:231-241.
- 9梁松,任伟,张素华,等.2型糖尿病家系成员中糖调节受损一级亲属的血清高敏c反应蛋白与胰岛素抵抗的相关性[J].上海医学,2008,31:463-466.
- 10 Lee DC,Lee JW,Im JA.Association of serum retinol binding pro-tein 4 and insulin resistance in apparently healthy adolescents[J].Metabolism,2007,56(3):327-331.
- 11 Yao-borengasserA,Varma V.Retinol binding protein 4 expressionin humans:relationship to insulin resistance,inflammation,and re-sponse to pioglitazone[J].J Clin EndocrinolMetab,2007,92(7):2430-2432.
- 12 Park SE,Kim DH,Lee JH,et a.l Retinol binding protein 4 is associ-ated with endothelial dysfunction in adults with newly diagnosed type2 diabetes mellitus[J].Atherosclerosis,2009,20(1):23-25.
- 13 Eynatten M,Lepper PM,Liu D,et a1.Retinol-binding protein 4 isassociated with components of the metabolic syndrome,but not withinsulin resistance,in men with type 2 diabetes or coronary artery dis-ease.Diabetologia,2007,50:1930-1937.
- 14 Ziad M.Tabassome S,Joelle B,et a1.Retinol-binding protein4 andprediction of incident coronary events in healthy men and women.JClin Endocrinol Metab,2009,94:255-260.