中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

Clinical features of primary biliary cholangitis patients with negative or positive anti-mitochondrial antibody: A comparative study

DOI: 10.12449/JCH240910
Research funding:

National Administration of Traditional Chinese Medicine High Level Key Discipline Construction Project of Traditional Chinese Medicine (zyyzdxk-2023005)

More Information
  • Corresponding author: ZHOU Guiqin, zhouguiqin@ccmu.edu.cn (ORCID: 0000-0002-1035-0181)
  • Received Date: 2023-12-10
  • Accepted Date: 2024-01-29
  • Published Date: 2024-09-25
  •   Objective  To investigate the differences in clinical features between the primary biliary cholangitis (PBC) patients with negative or positive anti-mitochondrial antibody (AMA) by analyzing related immune and biochemical parameters.  Methods  This study was conducted among the patients who attended Beijing Ditan Hospital, Capital Medical University, from January 2013 to December 2022 and were diagnosed with PBC, and they were divided into AMA negative group with 139 patients (24.5%) and AMA positive group with 428 patients (75.5%). Propensity score matching at a ratio of 1∶1 was performed with age and sex as matching factors and a matching tolerance of 0.06. Liver function, coagulation, and immune parameters on admission were analyzed, as well as the changes in liver function and other indicators after 6 months of treatment and the response to ursodeoxycholic acid (UDCA) at 6 and 12 months of treatment. The independent-samples t test was used for comparison of normally distributed continuous data between two groups, and the Mann-Whitney U rank sum test was used for comparison of non-normally distributed continuous data between two groups; the chi-square test was used for comparison of categorical data between two groups.  Results  There were 139 AMA-negative PBC patients and 139 AMA-positive PBC patients after propensity score matching. Compared with the AMA positive group on admission, the AMA negative group had significantly lower levels of direct bilirubin and globulin (Glo) and significantly higher levels of albumin, albumin/globulin ratio, prealbumin, and fibrinogen (all P<0.05). After 6 months of UDCA treatment, there were significant differences in Glo and prealbumin between the AMA negative group and the AMA positive group (P<0.05). Both the AMA negative group and the AMA positive group had an increase in prealbumin after 6 months of treatment, and the AMA negative group had a significantly greater increase than the AMA positive group (U=41.00, P=0.015). After UDCA treatment for 6 and 12 months, there was no significant difference in treatment response to UDCA between the AMA negative group and the AMA positive group (all P>0.05).  Conclusion  After matching for age and sex, compared with the AMA-positive PBC patients, the AMA-negative PBC patients tend to have a milder degree of liver inflammation and damage, significantly greater improvements in inflammation and liver synthesis ability after UDCA treatment, and better response to UDCA.

     

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    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 6.2 %其他: 6.2 %其他: 1.0 %其他: 1.0 %Central District: 0.2 %Central District: 0.2 %China: 0.1 %China: 0.1 %Konya: 0.1 %Konya: 0.1 %Richardson: 0.1 %Richardson: 0.1 %上海: 7.1 %上海: 7.1 %上饶: 0.2 %上饶: 0.2 %临汾: 0.2 %临汾: 0.2 %伊利诺伊州: 0.1 %伊利诺伊州: 0.1 %伊犁: 0.1 %伊犁: 0.1 %信阳: 0.3 %信阳: 0.3 %兰州: 0.1 %兰州: 0.1 %内江: 0.2 %内江: 0.2 %包头: 0.2 %包头: 0.2 %北京: 6.5 %北京: 6.5 %十堰: 0.1 %十堰: 0.1 %华盛顿州: 0.1 %华盛顿州: 0.1 %南京: 1.3 %南京: 1.3 %南宁: 0.3 %南宁: 0.3 %南平: 0.2 %南平: 0.2 %南昌: 0.2 %南昌: 0.2 %卡纳塔克: 0.1 %卡纳塔克: 0.1 %厦门: 0.3 %厦门: 0.3 %合肥: 0.2 %合肥: 0.2 %吉林: 0.7 %吉林: 0.7 %吉隆坡: 0.1 %吉隆坡: 0.1 %呼和浩特: 0.3 %呼和浩特: 0.3 %咸阳: 0.1 %咸阳: 0.1 %哈尔滨: 0.2 %哈尔滨: 0.2 %哥伦布: 0.1 %哥伦布: 0.1 %嘉兴: 0.1 %嘉兴: 0.1 %四平: 0.2 %四平: 0.2 %埃森: 0.2 %埃森: 0.2 %天津: 0.3 %天津: 0.3 %太原: 0.5 %太原: 0.5 %孝感: 0.6 %孝感: 0.6 %孟买: 0.2 %孟买: 0.2 %宁波: 0.2 %宁波: 0.2 %安康: 0.3 %安康: 0.3 %宣城: 0.5 %宣城: 0.5 %山景城: 0.2 %山景城: 0.2 %巴音郭楞: 0.2 %巴音郭楞: 0.2 %常州: 0.1 %常州: 0.1 %常德: 0.3 %常德: 0.3 %广安: 0.1 %广安: 0.1 %广州: 1.1 %广州: 1.1 %开封: 0.2 %开封: 0.2 %张家口: 1.0 %张家口: 1.0 %张家界: 0.2 %张家界: 0.2 %徐州: 0.2 %徐州: 0.2 %悉尼: 0.1 %悉尼: 0.1 %成都: 1.0 %成都: 1.0 %扬州: 0.2 %扬州: 0.2 %抚顺: 0.2 %抚顺: 0.2 %攀枝花: 0.1 %攀枝花: 0.1 %无锡: 0.3 %无锡: 0.3 %昆明: 3.0 %昆明: 3.0 %曲靖: 0.1 %曲靖: 0.1 %杭州: 2.3 %杭州: 2.3 %株洲: 0.2 %株洲: 0.2 %格兰特县: 0.1 %格兰特县: 0.1 %榆林: 0.2 %榆林: 0.2 %武汉: 1.2 %武汉: 1.2 %汕头: 0.2 %汕头: 0.2 %沈阳: 0.6 %沈阳: 0.6 %泉州: 0.1 %泉州: 0.1 %洛杉矶: 0.2 %洛杉矶: 0.2 %洛阳: 0.1 %洛阳: 0.1 %济南: 0.8 %济南: 0.8 %济宁: 0.1 %济宁: 0.1 %海得拉巴: 0.5 %海得拉巴: 0.5 %淮安: 0.1 %淮安: 0.1 %深圳: 0.7 %深圳: 0.7 %温州: 0.1 %温州: 0.1 %湖州: 0.1 %湖州: 0.1 %湘潭: 0.1 %湘潭: 0.1 %漯河: 0.3 %漯河: 0.3 %潍坊: 0.1 %潍坊: 0.1 %班加罗尔: 0.1 %班加罗尔: 0.1 %眉山: 0.3 %眉山: 0.3 %石家庄: 0.3 %石家庄: 0.3 %福州: 0.3 %福州: 0.3 %绍兴: 0.2 %绍兴: 0.2 %罗奥尔凯埃: 0.1 %罗奥尔凯埃: 0.1 %芒廷维尤: 27.9 %芒廷维尤: 27.9 %芝加哥: 2.0 %芝加哥: 2.0 %苏州: 0.5 %苏州: 0.5 %荆州: 0.1 %荆州: 0.1 %莫斯科: 0.9 %莫斯科: 0.9 %葫芦岛: 0.1 %葫芦岛: 0.1 %衡水: 0.1 %衡水: 0.1 %襄阳: 0.2 %襄阳: 0.2 %西宁: 6.4 %西宁: 6.4 %西安: 1.0 %西安: 1.0 %西雅图: 0.1 %西雅图: 0.1 %诺沃克: 0.8 %诺沃克: 0.8 %贵阳: 0.4 %贵阳: 0.4 %赣州: 0.1 %赣州: 0.1 %运城: 0.9 %运城: 0.9 %遵义: 0.1 %遵义: 0.1 %邯郸: 0.1 %邯郸: 0.1 %郑州: 0.4 %郑州: 0.4 %都柏林: 0.1 %都柏林: 0.1 %酒泉: 0.2 %酒泉: 0.2 %重庆: 0.8 %重庆: 0.8 %铜仁: 0.2 %铜仁: 0.2 %镇江: 0.2 %镇江: 0.2 %长春: 7.0 %长春: 7.0 %长沙: 1.2 %长沙: 1.2 %长治: 0.4 %长治: 0.4 %随州: 0.1 %随州: 0.1 %雷德蒙德: 0.1 %雷德蒙德: 0.1 %青岛: 0.4 %青岛: 0.4 %香港: 0.1 %香港: 0.1 %其他其他Central DistrictChinaKonyaRichardson上海上饶临汾伊利诺伊州伊犁信阳兰州内江包头北京十堰华盛顿州南京南宁南平南昌卡纳塔克厦门合肥吉林吉隆坡呼和浩特咸阳哈尔滨哥伦布嘉兴四平埃森天津太原孝感孟买宁波安康宣城山景城巴音郭楞常州常德广安广州开封张家口张家界徐州悉尼成都扬州抚顺攀枝花无锡昆明曲靖杭州株洲格兰特县榆林武汉汕头沈阳泉州洛杉矶洛阳济南济宁海得拉巴淮安深圳温州湖州湘潭漯河潍坊班加罗尔眉山石家庄福州绍兴罗奥尔凯埃芒廷维尤芝加哥苏州荆州莫斯科葫芦岛衡水襄阳西宁西安西雅图诺沃克贵阳赣州运城遵义邯郸郑州都柏林酒泉重庆铜仁镇江长春长沙长治随州雷德蒙德青岛香港

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