循环的细胞与血栓并发症和COVID-19的临床结果有关
Ander Dorken-Gallastegi1, Yao Lee2, Guansheng Li3
1Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Boston, MA 02114, USA.
iScience
|July 24, 2023
概括
循环细胞群 (CCC),包括血小板-白细胞聚合物 (PLA) 和血小板-红细胞聚合物 (PEA),在COVID-19患者中升高. 这些,特别是循环白细胞 (CLCs),与严重的结果和微循环阻塞有关.
科学领域:
- 免疫学 免疫学 免疫学
- 血液学 血液学 血液学
- 病理生理学 病理生理学
背景情况:
- COVID-19 与一种免疫血栓状况有关.
- 循环细胞群 (CCC),如循环白细胞群 (CLC),血小板-白细胞聚合物 (PLA) 和血小板-红细胞聚合物 (PEA) 可能起到作用.
研究的目的:
- 调查CCCs在COVID-19免疫血栓状态中的作用.
- 为了将CCC水平与临床结果相关联,并探索它们对微循环阻塞的潜力.
主要方法:
- 使用成像流动细胞计量对37名COVID-19患者和12名健康对照者的46个血液样本进行分析.
- 对CCC水平和临床参数之间的相关性分析.
- 在模拟中预测微循环阻塞.
主要成果:
- 与对照组相比,COVID-19患者的PEAs和PLA水平显著更高.
- CLC与血栓性并发症相关,需要血管压缩剂,急性损伤和肺炎.
- PEA与阳性细菌培养有关.
- 在模型中表明,CLCs可以在低流速和更高的分支角度引起微循环阻塞.
结论:
- 循环细胞集群,特别是CLC,PLA和PEA,与严重的COVID-19病理生理学有关.
- 这些集群可以作为潜在的生物标志物,用于不良结果和治疗目标在与炎症相关的血栓形成.
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