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Correlations between serum amyloid A, C-reactive protein and clinical indices of patients with acutely exacerbated chronic obstructive pulmonary disease.


ABSTRACT:

Background

To explore the correlations between SAA, CRP, and clinical indices of patients with acutely exacerbated chronic obstructive pulmonary disease (AECOPD).

Methods

A total of 120 patients with AECOPD and another 120 with remitted COPD were enrolled in an AECOPD group and a COPD remission group, respectively. Meanwhile, 120 healthy subjects were included as a control group. SAA, CRP, PCT, Fbg, IL-8, IL-6, TNF-?, and IP-10 levels were detected. FEV1 and FEV1 /FVC were measured.

Results

Compared with control group, the serum levels of SAA, CRP, PCT, Fbg, IL-8, IL-6, TNF-?, and IP-10 significantly increased in COPD remission group (P < 0.05). The levels of AECOPD group significantly exceeded those of COPD remission group (P < 0.05). The levels of AECOPD patients with different GOLD grades were significantly different (P < 0.05). AECOPD group had significantly lower FEV1 and FEV1 /FVC than those of COPD remission group (P < 0.05). The CAT score of AECOPD patients was (18.41 ± 2.55) points. The levels of SAA, CRP, PCT, Fbg, IL-8, IL-6, TNF-?, and IP-10 were negatively correlated with FEV1 and FEV1 /FVC, and positively correlated with CAT score. The area under receiver operating characteristic curve of SAA was largest (0.931). The cutoff values for SAA, CRP, PCT and Fbg were 18.68 mg/L, 14.70 mg/L, 0.39 ?g/L, 3.91 g/L, 0.46 ?g/L, 24.17 ?g/L, 7.18 mg/L, and 83.19 ng/L, respectively.

Conclusions

Serum levels of SAA, CRP, PCT, Fbg, IL-8, IL-6, TNF-?, and IP-10 in AECOPD patients were elevated, which may undermine pulmonary functions. SAA can be used as an effective index for AECOPD diagnosis and treatment.

SUBMITTER: Lin TL 

PROVIDER: S-EPMC6528583 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Publications

Correlations between serum amyloid A, C-reactive protein and clinical indices of patients with acutely exacerbated chronic obstructive pulmonary disease.

Lin Tian-Lai TL   Chen Wei-Wen WW   Ding Zhi-Rong ZR   Wei Si-Can SC   Huang Ming-Lian ML   Li Cai-Hui CH  

Journal of clinical laboratory analysis 20190121 4


<h4>Background</h4>To explore the correlations between SAA, CRP, and clinical indices of patients with acutely exacerbated chronic obstructive pulmonary disease (AECOPD).<h4>Methods</h4>A total of 120 patients with AECOPD and another 120 with remitted COPD were enrolled in an AECOPD group and a COPD remission group, respectively. Meanwhile, 120 healthy subjects were included as a control group. SAA, CRP, PCT, Fbg, IL-8, IL-6, TNF-α, and IP-10 levels were detected. FEV<sub>1</sub> and FEV<sub>1</  ...[more]

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