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Citation: Hong-bo CHEN, Li-ping CHEN, Yong-ming JIN, Li-na WANG, Li-rui ZHU, Rong-qiong SHEN. Comparative Study of Neutrophil Elastase and Total Antioxidant Capacity in Serum of COPD Patients with Different HRCT Phenotypes[J]. Journal of Kunming Medical University, 2020, 41(12): 108-111. doi: 10.12259/j.issn.2095-610X.S20201229

Comparative Study of Neutrophil Elastase and Total Antioxidant Capacity in Serum of COPD Patients with Different HRCT Phenotypes

doi: 10.12259/j.issn.2095-610X.S20201229
  • Received Date: 2020-03-26
  • Publish Date: 2019-12-26
  •   Objective   To explore the neutrophil elastase(neutrophil elastase, NE), total antioxidant capacity(total antioxidative capability, T - AOC)in chronic obstructive pulmonary disease(chronic obstructive pulmonary diseases, COPD)high-resolution CT(high-resolution computed tomography, HRCT)in different HRCT phenotypes.   Methods   HRCT was used for typing 78 patients with out-patient COPD into phenotype A, phenotype M and phenotype E; NE and T-AOC of the three groups of patients were tested.   Results   The serum NE concentration of phenotype M in COPD patients was higher than that of control group, phenotype A and phenotype E(P < 0.05). The serum NE concentration of phenotype E was higher than that of control group and phenotype A( P < 0.05). There was no significant difference in T-AOC between the three groups and the control group( P > 0.05). The NE in serum was negatively correlated with FEV1 and FEV1% pred.( P < 0.05), and positively correlated with CAT score( P < 0.05).   Conclusion   The expression of NE in COPD patients with different HRCT phenotypes is up-regulated and correlated with lung function indicators, and NE may be involved in airway inflammation and airway remodeling in COPD and cause airflow obstruction.
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