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白内障患者房水中淀粉样蛋白含量及其与年龄的相关性研究

李臻  张健  蒋慧中  卢艳   

  1. 100053 首都医科大学宣武医院眼科(李臻、张健、蒋慧中、卢艳);100038 首都医科大学附属北京世纪坛医院眼科(卢艳)
      
  • 收稿日期:2017-02-09 出版日期:2017-07-25 发布日期:2017-07-24
  • 通讯作者: 卢艳,Email:louiselu1964@163.com
  • 基金资助:

    北京市科委首都临床特色应用研究(Z141107002 514116)

Correlation between age and content of β-amyloid protein in aqueous humor of patients with cataract surgery at different ages 

LI Zhen1, ZHANG Jian1, JIANG Hui-zhong1, LU Yan1,2    

  1. 1.Department of Ophthalmology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China; 2.Department of Ophthalmology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
  • Received:2017-02-09 Online:2017-07-25 Published:2017-07-24

摘要:

 目的 探讨不同年龄白内障患者房水中淀粉样蛋白(β-amyloid protein,Aβ)含量及其与年龄的相关性。设计 实验研究。研究对象 行手术治疗的白内障患者210人,平均年龄(72.33±10.35)岁。方法 对所有受试者进行全身及眼科检查,在白内障手术开始前前房穿刺抽取房水,运用ELISA法检测样本中Aβ1-40、Aβ1-42含量。将所有受试者按年龄分为A组(<60岁)、B组(60~69岁)、C组(60~79岁)、D组(≥80岁)。比较各组房水Aβ1-40、Aβ1-42含量的差别及其与年龄的关系。主要指标 房水Aβ1-40和Aβ1-42含量。结果 房水中Aβ1-40蛋白含量在A、B、C、D四个组分别为(80.91±9.33)、 (85.81±8.97)、(85.46±11.22)、 (82.25±10.41) ng/ml(F=2.399,P=0.069);Aβ42蛋白含量分别为(41.98±7.26 )n、(42.46±5.75)、(43.57±5.27 )、(42.80±6.04 )ng/ml(F=0.719,P=0.543)。Aβ1-40/ Aβ1-42在A、B、C、D四个组分别为(1.97±0.34)、(2.04±0.23)、(1.98±0.27)、(1.95±0.33)(F=0.680,P=0.565)。结论 不同年龄白内障患者房水中Aβ1-40、Aβ1-42含量以及Aβ1-40/ Aβ1-42比值随年龄增长无明显改变。患者房水中上述淀粉样蛋白含量发生明显变化,则提示可能存在与淀粉样蛋白代谢障碍相关疾病。(眼科, 2017, 26: 282-285)

关键词: 房水, 淀粉样蛋白

Abstract:

 Objective To explore the correlation between age and β-amyloid protein (Aβ) content of aqueous humor in patients undergoing cataract surgery at different ages. Design Experimental study. Participants 210 patients with cataract treated by surgery, which mean age was 72.33±10.35 years old. Method All participants underwent systematic and ophthalmic examinations. When cataract surgery, the sample of aqueous humor was extracted with anterior chamber paracentesis. The contents of Aβ1-40, Aβ1-42 were detected with ELISA method. All the subjects were divided by age: group A (< 60 years), group B (60-69 years old), group C (60-79 years), group D (≥80 years). The differences of contents of Aβ1-40, Aβ1-42 in aqueous humor were compared among different age groups, the relationship between the contents of Aβ1-40, Aβ1-42 in aqueous humor and age was investigated. Main Outcome Measures The contents of Aβ1-40 and Aβ1-42 in aqueous humor. Results The content of Aβ1-40 in aqueous humor in group A, B, C, D was 80.91±9.33, 85.81±8.97, 85.46±11.22, 82.25±10.41 ng/ml respectively (F=2.399, P=0.069). The content of Aβ1-42 in aqueous humor in group A, B, C, D was 41.98±7.26, 42.46±5.75, 43.57±5.27, 42.80±6.04 ng/ml (F=0.719, P=0.543). Aβ1-40/Aβ1-42 ratio in group A, B, C, D was 1.97±0.34, 2.04±0.23, 1.98±0.27, 1.95±0.33 (F=0.680, P=0.565). Conclusions There were no significant difference of Aβ1-40, Aβ1-42 and Aβ1-40/Aβ1-42 ratio in aqueous humor of patients with cataract at different ages. The contents of Aβ-amyloid protein in aqueous humor have no obvious change with age. If the Aβ-amyloid protein content in the aqueous humor changes markedly, there may be a disease associated with impaired amyloid metabolism. (Ophthalmol CHN, 2017, 26: 282-285)

Key words: aqueous humor, β-amyloidprotein