帕金森病患者幽门螺杆菌感染凝血功能和血小板线粒体ComplexⅠ活性的研究

Coagulation function and platelet mitochondrial Complex Ⅰ activity of Helicobacter pylori infection in patients with Parkinson’s disease

  • 摘要: 目的 探讨幽门螺杆菌(Helicobacter pylori,Hp)感染对帕金森病患者凝血功能和血小板线粒体呼吸链复合体I(Complex I)活性的影响。方法 选择2016年12月-2018年12月华中科技大学同济医学院附属武汉中心医院收治的帕金森病患者103例为研究对象,根据是否合并Hp感染分为感染组79例与未感染组24例。测定所有患者凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血酶时间(APTT)和纤维蛋白原(Fib);采用分光光度法测定血小板线粒体Complex I活性。结果 两组患者PT差异无统计学意义(P=0.496);感染组TT和APTT分别为(15.89±0.46)s和(26.32±0.89)s低于未感染组,且Fib为(3.98±0.24)g/L高于未感染组(P均<0.001)。感染组血小板线粒体Complex I活性为(1.23±0.28)U/ml低于未感染组(P<0.001)。感染组UPDRS III评分和UPDRS IV评分分别为(28.40±1.79)分和(3.41±0.37)分高于未感染组;而两组Hoehn-Yahr分级差异无统计学意义(P=0.619)。结论 Hp感染导致的凝血功能异常及线粒体功能损伤可能参与了帕金森病的发生,具有一定的临床价值。

     

    Abstract: OBJECTIVE To investigate the effect of Helicobacter pylori infection(HP) on coagulation function and platelet mitochondrial Complex I activity in patients with Parkinson’s disease. METHODS Totally 103 patients with Parkinson’s disease admitted to Wuhan Central Hospital Affiliated to Tongji Medical College from Dec. 2016 to Dec. 2018 were selected as the study subjects, and divided into 79 cases of infection group and 24 cases of non-infection group according to whether they were infected with HP or not. The prothrombin time(PT), thrombin time(TT), activated partial thrombin time(APTT) and fibrinogen(Fib) were measured by SysmexCA 2500 automatic coagulation instrument and matching kit, and the activity of platelet mitochondrial Complex I was determined by spectrophotometry. RESULTS There was no significant difference of PT between the two groups(P=0.496). The TT and APTT of the infection group were(15.89±0.46)s and(26.32±0.89)s, respectively, significantly lower than those of the non-infection group, and the Fib(3.98±0.24 g/L) was significantly higher than that of non-infection group(P<0.05). The mitochondrial Complex I activity of the infection group was(1.23±0.28) U/ml, significantly lower than that of the non-infection group(P<0.05). The UPDRS III score and the UPDRS IV score of the infection group were(28.40±1.79) points and(3.41±0.37) points, respectively, higher than those of non-infection group. There was no significant difference of the Hoehn-Yahr classification between the two groups(P=0.619). CONCLUSION Abnormal coagulation function and mitochondrial dysfunction caused by HP infection may be involved in the occurrence of Parkinson’s disease, which is worthy of clinical reference.

     

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