目的:研究循环游离DNA(cMNA)在多发性肌炎(PM)和皮肌炎(DM)中的作用。方法:使用PicoGreen试剂盒检测61例PM/DM患者、34例系统性红斑狼疮(SLE)患者和48例健康对照的血浆cfDNA浓度,并与患者的血清学指标做相关性分析。结果:cfDNA浓度在PM/DM组是247.1±61.09ng/ml,显著高于健康对照组(197.1±31.36ng/ml,P〈0.01),显著低于SLE组(281.9±82.21n±ml,P〈0.01)。cfDNA与血沉和血清球蛋白呈显著正相关(P〈0.01,P〈0.05),与C3呈显著负相关(P〈0.01)。结论:cfDNA可能与PM/DM疾病活动度相关。
Objective:To investigate concentration of plasma circulating cell-free DNA(cfDNA)in patients with polymyositis(PM)and dermatomyositis(DM).Methods:Sixty one patients with PM/DM ,34 patients with systemic lupus erythematosus (SLE)and 48 age-and sex-matched healthy controls were included in a retrospective, cross-sectional study.The efDNA concentration was measured with PicoGreen Kit.Correlation analysis were performed between cfDNA concentration and other serological markers.Results:efDNA in PM/DM group was 247.1±61.09ng/ml,significantly higher than that in healthy control group (197.1±31.36ng/ml,P〈0.01)and significantly lower than that in SLE group (281.9±82.21ng/ml,P〈0.01).cfDNA positively correlated with erythroeyte sedimentation rate (P〈0.01)and serum globulin (P〈0.05), and inversely correlated with C3 (P〈0.01).Conclusion : Elevated level of efDNA are involved in PM/DM and may correlate with PM/DM disease activity.