帕萨纳托斯类型编程细胞死亡和败血病患者死亡率
Leonardo Lorente1, María M Martín2, Raquel Ortiz-López3
1Intensive Care Unit, Hospital Universitario de Canarias, Tenerife, Spain.
Medicina intensiva
|June 2, 2023
概括
细胞死亡途径Parthanatos与败血症患者的死亡率有关. 血清亡诱导因子 (AIF) 水平升高表明败血症死亡风险较高.
科学领域:
- 细胞生物学 细胞生物学
- 免疫学 免疫学 免疫学
- 关键护理医学 关键护理医学
背景情况:
- 帕尔塔纳托斯是一种被调节的细胞死亡途径,由亡诱导因子 (AIF) 调节.
- 有限的数据存在于败血症患者的甲状腺炎.
- 败血症是一种危及生命的疾病,死亡率高.
研究的目的:
- 为了研究患有败血症的患者中产卵炎和死亡率之间的关联.
- 为了确定血清AIF水平是否可以预测败血症患者的死亡率.
主要方法:
- 2017年在西班牙三个ICU进行了一项观察性前性研究.
- 包括195名被诊断患有败血症的患者 (败血症-3标准).
- 血清 AIF 度是在毒症诊断时测量的.
主要成果:
- 与幸存者 (n=123) 相比,未幸存者 (n=72) 的血清AIF水平,乳酸和APACHE-II评分显著更高.
- 后勤回归显示,血清AIF水平>55.6 ng/mL与3.29倍的死亡风险增加有关 (p=0.002),不论年龄,SOFA和乳酸.
- 这些发现突显了AIF在败血症的预后价值.
结论:
- 帕尔塔纳托斯与败血症患者的死亡率有关.
- 血清AIF水平可以作为败血症死亡率的预测生物标志物.
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