目的探讨血清中B细胞刺激因子(BAFF)和增殖诱导配体(APRIL)水平与原发性胆汁性肝硬化(PBC)的关系。方法选择PBC、慢性乙型肝炎(CHB)患者和健康献血者(HC)各12例,采用ELISA法检测血清中BAFF和APRIL的表达水平。结果PBC组血清BAFF水平明显高于CHB组(P=0.008)和HC组(P=0.012),但ARPIL水平在三组间差异无统计学意义。血清BAFF水平与谷草转氨酶呈正相关(r=0.391,P=0.020),与血清白蛋白呈负相关(r=-0.434,P=0.017);血清APRIL水平与患者年龄呈正相关(r=0.551,P=0.002),与血清白蛋白呈负相关(r=-0.424,P=0.039)。结论PBC患者血清BAFF水平明显升高,并与肝脏损害程度相关。
Objective To investigate the relationship between the serum levels of B-cell activation factor(BAFF) or a proliferation-inducing ligand (APRIL) and the disease severity of primary biliary cirrhosis (PBC). Methods The clinical data were collected from 12 cases of PBC, chronic hepatitis B (CHB) , healthy control (HC) , respectively. The serum levels of BAFF and APRIL were assayed by ELISA. Results The serum levels of BAFF in patients with PBC were signifi- cantly higher than those in patients with CHB( P = 0. 008) and HC controls (P = 0.012 ). While there was no significant difference among the three groups on the profile of APRIL levels. There was a significant correlation between serum BAFF levels and AST (r =0.391 ,P =0.020) or ALB (r= -0.434, P=0.017), and the APRIL levels correlated with ages (r = 0.551 ,P = 0.002) or ALB (r = - 0.424,P = 0.039). Conclusions The serum levels of BAFF significantly elevate in patients whith PBC and associate with the severity of liver injury.