吉兰-巴雷综合征患者脑脊液中S-100b、MBP的检测及意义Analysis of the significance on the levels of S-100b and MBP in CSF of patients with Guillain-Barre syndrome
葛继晖,冯树涛
摘要(Abstract):
目的研究吉兰-巴雷综合征(green-barre syndrome,GBS)患者脑脊液中S-100b和髓鞘碱性蛋白(MBP)的含量变化,探讨S-100b及MBP在GBS发病过程中的作用以及与病情严重程度的关系。方法采用酶联免疫吸附法(ELISA)测定32例不同临床分级的GBS患者(GBS组),30例其他神经系统疾病(OND组)和29例正常健康者对照(NC组)脑脊液中S-100b和MBP的含量,并进行比较。结果 GBS组患者脑脊液中S-100b和MBP的含量与病情程度呈正比关系(P<0.05),GBS组脑脊液中S-100b和MBP的含量均高于OND组、NC组(P<0.05),OND组与NC组比较,差异无统计学意义(P>0.05)。结论 S-100b,MBP含量在GBS患者脑脊液中明显升高,病情越重,含量越高。S-100b在GBS病程中促进炎症发展,MBP反应髓鞘损伤程度,二者在其发病机制中起重要作用。
关键词(KeyWords): 吉兰-巴雷综合征;S-100b;髓鞘碱性蛋白
基金项目(Foundation):
作者(Author): 葛继晖,冯树涛
参考文献(References):
- [1]Asbury AK,Cornblathd R.Assesment of current diagnosticcriteria for Guillain-Barre syndrome[J].AnnNeurol,1990,27(Suppl):S21.
- [2]Chofflon M.Mechanisms of action for treatments inmultiple sclerosis:Does a heterogeneous disease demand a mult-itargetedtherapeutic approach[J].Bio Drugs,2005,19(5):299-308.
- [3]吕志华等.炎性脱髓鞘疾病患者2100和的检测及其意义[J].郧阳医学院学报,2009,28(2):29-32.
- [4]Tian ZJ,Zhao XX,Li ZH,et al.Evaluation of myelin basic pro-tein levels with receiver operating characteristic curves for diag-nosis of multiple sclerosis[J].Nan Fang Yi Ke Da Xue XueBao,2009,29(2):250-252.