儿童原发性肾病综合征血清酰化刺激蛋白及补体C3水平的变化

王建军,黄越,吴春,许玉霞,魏钰书,赵耀

中国当代儿科杂志 ›› 2011, Vol. 13 ›› Issue (10) : 817-819.

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中国当代儿科杂志 ›› 2011, Vol. 13 ›› Issue (10) : 817-819.
论著·临床研究

儿童原发性肾病综合征血清酰化刺激蛋白及补体C3水平的变化

  • 王建军,黄越,吴春,许玉霞,魏钰书,赵耀
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Levels of serum acylation-stimulating protein and C3 in children with primary nephrotic syndrome

  • WANG Jian-Jun, HUANG Yue, WU Chun, XU Yu-Xia, WEI Yu-Shu, ZHAO Yao
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摘要

目的:观察原发性肾病综合征(PNS)患儿血清酰化刺激蛋白(ASP)、补体C3水平的变化以及与血脂的关系。方法:分别检测35例未经治疗的PNS患儿(蛋白尿组)和25例缓解期PNS患儿(缓解组)空腹血清ASP、C3、白蛋白及血脂水平,并与35例体重指数相匹配的正常儿童(对照组)进行比较。结果:蛋白尿组血清ASP水平(101±22 nmol/L)高于缓解组(32±8 nmol/L)及对照组(33± 8 nmol/L)(P<0.01),而血清C3水平在3组之间差异无统计学意义。蛋白尿组血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、载脂蛋白B(apoB)水平明显升高,血清白蛋白(ALB)水平明显降低,与缓解组和对照组比较,差异有统计学意义(P0.05)。结论:PNS患儿血清ASP水平升高,推测与机体对抗高脂血症有关。

Abstract

OBJECTIVE: To study serum acylation-stimulating protein (ASP) and complement 3 (C3) levels and their relationship with blood lipids in children with primary nephrotic syndrome (PNS). METHODS: Blood samples were obtained from 35 PNS children with proteinuria, 25 children with PNS at remission and 35 body mass index-matched healthy children (control group). Fasting serum ASP, C3, albumin and blood lipids were measured. RESULTS: The serum ASP levels in the proteinuria group (101±22 nmol/L) were significantly higher than those in the remission group (32±8 nmol/L) and the control group (33± 8 nmol/L) (P0.05). CONCLUSIONS: The increased serum ASP level may be associated with a complemental mechanism against hyperlipidemia in children with PNS.

关键词

酰化刺激蛋白 / 补体3 / 血脂 / 原发性肾病综合征 / 儿童

Key words

Acylation-stimulating protein / Complement 3 / Blood lipid / Primary nephrotic syndrome / Child

引用本文

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王建军,黄越,吴春,许玉霞,魏钰书,赵耀. 儿童原发性肾病综合征血清酰化刺激蛋白及补体C3水平的变化[J]. 中国当代儿科杂志. 2011, 13(10): 817-819
WANG Jian-Jun, HUANG Yue, WU Chun, XU Yu-Xia, WEI Yu-Shu, ZHAO Yao. Levels of serum acylation-stimulating protein and C3 in children with primary nephrotic syndrome[J]. Chinese Journal of Contemporary Pediatrics. 2011, 13(10): 817-819
中图分类号: R692   

参考文献

[1]Warwick GL, Packard CJ. Pathogenesis of lipid abnormalities in patients with nephrotic syndrome/proteinuria: clinical implications[J]. Miner Electrolyte Metab, 1993, 19(3): 115-126.

[2]王建军, 杨锡强, 魏钰书, 赵耀, 罗晓菊, 李睿. 瘦素及可溶性瘦素受体在原发性肾病综合征患儿血脂升高中的作用[J]. 实用儿科临床杂志, 2005, 20(11): 1098-1100.

[3]姚勇, 杨霁云, 陈述枚, 丁洁. 中华医学会儿科学分会肾脏学组.小儿肾小球疾病的分类、诊断及治疗[J]. 中华儿科杂志, 2001, 39(12): 746-749.

[4]Hogg RJ, Portman RJ, Milliner D, Lemley KV, Eddy A, Ingelfinger J. Evaluation and management of proteinuria and nephrotic syndrome in children: recommendations from a pediatric nephrology panel established at the National Kidney Foundation conference on proteinuria, albuminuria, risk, assessment, detection, and elimination (PARADE)[J]. Pediatrics, 2000, 105(6): 1242-1249.

[5]Chan MK, Persaud JW, Ramdial L, Varghese Z, Sweny P, Moorhead JF. Hyperlipidaemia in untreated nephritic syndrome, increased production or decreased removal?[J]. Clin Chim Acta, 1981, 117(3): 317-323.

[6]Hu P, Lu L, Hu B, Du PF. Characteristics of lipid metabolism under different urinary protein excretion in children with primary nephritic syndrome[J]. Scand J Clin Lab Invest, 2009, 69(6): 680-686.

[7]Zoccali C, Mallamaci F, Tripepi G, Benedetto FA, Cutrupi S, Parlongo S, et al. Adiponectin, metabolic risk factors, and cardiovascular events among patients with end-stage renal disease[J]. J Am Soc Nephrol, 2002, 13(1): 134-141.

[8]王道昉, 康玉梅, 战美丽, 李萍, 田春莉. 血脂动态监测在肾病综合征中的诊断价值[J]. 中国当代儿科杂志, 2001, 3(2): 181-182.

[9]Cianflone K, Maslowska M, Snideman AD. Acylation stimulating protein (ASP), an adipocyte autocrine: new directions[J]. Semin Cell Dev Biol, 1999, 10(1): 31-41.

[10]Cianflone K, Xia Z, Chen LY. Critical review of acylation-stimulating protein physiology in humans and rodents[J]. Biochim Biophys Acta, 2003, 1609(2): 127-143.

[11]Ozata M, Oktenli C, Gulec M, Ozgurtas T, Bulucu F, Caglar K, et al. Increased fasting plasma acylation-stimulating protein concentrations in nephritic syndrome[J]. J Clin Endocrinol Metab, 2002, 87(2): 853-858.

[12]Tang JH, Wen Y, Wu F, Zhao XY, Zhang MX, Mi J, et al. Increased plasma acylation-stimulating protein in pediatric proteinuric renal disease[J]. Pediatr Nephrol, 2008, 23(6): 959-964.

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