Serum levels of periostin and their influencing factors in the beta-lactam antibiotic enterprise workers
10.3760/cma.j.issn.1001-9391.2017.04.005
- VernacularTitle: β-内酰胺类抗生素作业工人血清骨膜蛋白变化及影响因素
- Author:
Shanshan GAO
1
;
Zhanshuai SONG
;
Qiang JIA
;
Xia LI
;
Chenglin LI
;
Xiaowen CHEN
;
Chuanbin ZHENG
Author Information
1. School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Shandong Academy of Occupational Health and Occupational Medicine, Jinan 250062, China
- Publication Type:Case Reports
- Keywords:
7-aminocephalosporanic acid;
6-aminopenicillanic acid;
Periostin;
Eosinophil cationic protein;
Immunoglobulins
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2017;35(4):261-264
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe serum levels of periostin, ECP, IgE in the antibiotic enterprise workers, and study the role of periostin, ECP, IgE in the development of allergic inflammation.
Methods:90 cases with asthma or rhinitis were enrolled as disease group, another 117 workers exposed to 7-ACA、6-APA dust without suffering from allergic illness, are chosen as group of dust exposed, and 192 healthy workers who didn’t contact dust were chosen as control group. Questionnaires were used to learn their basic information.Lung function was determined with a portable spirometer.The expression levels of periostin、ECP and IgE in serum were measured by enzyme-linked immuno sorbent assay.
Results:The exposure group and disease group had significantly lower forced vital capacity (FVC) , forced expiratory volume in 1 second (FEVl.0) , and FEVl.0/FVC ratio than the control group (P<0.05) . The disease group had significantly higher eosinophil than the control group (P<0.05) . Compared with the control group, the exposure group, the disease group, asthma subgroup, rhinitis subgroup of serum periostin and IgE increased, the differences are statistically significant (P<0.05) . Serum levels of ECP in the workers of asthma subgroup were significantly higher than that in control group (P<0.05) . Serum expression levels of periostin were positively correlated with IgE, ECP in workers (P<0.001) , serum levels of periostin were negatively correlated with FEV1.0 in workers (P<0.05) . Multiple logistics regression analysis found that exposure to 7-ACA or 6-APA (OR=3.09, 95%CI: 1.83-5.21) , age>47years (OR=2.53, 95%CI: 1.22-5.26) , higher ECP (OR=1.04, 95%CI: 1.01-1.06) were risk factors for increased serum periostin level.
Conclusion:Occupational exposure to 7-ACA or 6-APA can result in higher serum periostin level, exposure to 7-ACA or 6-APA, age>47 years, higher ECP are risk factors for increased serum periostin level.
