空间和生态因素调节抗NMDAR脑炎的发生率-系统性审查
Agustí Alentorn1,2, Giulia Berzero1,2, Harry Alexopoulos3
1Department of Neurology 2 Mazarin, Hôpitaux Universitaires La Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris, APHP, 75013 Paris, France.
Biomedicines
|June 28, 2023
概括
地理和气候因素,如度和温度影响抗N-甲基-D-酸盐受体 (anti-NMDAR) 脑炎的风险. 在距离赤道更远的地区和更温暖的月份观察到更高的发病率,这表明环境与这种自身免疫神经系统疾病的联系.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 环境科学 环境科学
背景情况:
- 抗N-甲基-D-酸盐受体 (anti-NMDAR) 脑炎是一种具有已知的抗原触发因子的自身免疫性疾病.
- 地理,气候和环境因素对抗NMDAR脑炎风险的影响仍然未被探索.
研究的目的:
- 调查地理,气候因素与抗NMDAR脑炎发病率之间的关联.
- 根据地理位置和温度分析疾病发病率的空间变化.
主要方法:
- 系统审查和对已发表的反NMDAR脑炎发病率数据的元分析.
- 多变量空间自相关性分析和季节性分析.
- 暴露-延迟-反应建模以评估温度影响.
主要成果:
- 发病率在全球范围内有所不同,与欧洲和北美相比,大洋洲和南美的发病率更高.
- 在发病率和度之间发现了强烈的负相关性 (皮尔森的R = -0.88,p < 0.00001).
- 较高的发病率与更温暖的月份,更高的平均年温度和增加的紫外线暴露相关.
结论:
- 地理和气候因素,包括度,年平均温度和紫外线暴露,可能会改变抗NMDAR脑炎的风险.
- 这项研究提供了第一个证据,将环境因素与抗NMDAR脑炎风险联系起来.
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