找出感染性早产的炎症生物标志物的优先级和集群:系统性审查
Jiayi Li1, Jianrong Ge1, Na Ran1
1School of Medicine, Shaoxing University, Shaoxing, Zhejiang, 312000, China.
Journal of inflammation (London, England)
|July 24, 2023
概括
预测传染性早产 (PTB) 是至关重要的. 这项研究确定了关键的炎症生物标志物和集群,如sTNFR2和TNF/NGF,以根据妊娠年龄准确预测PTB.
科学领域:
- 产科和妇科 产科和妇科
- 免疫学 免疫学 免疫学
- 围产儿医学 围产儿医学
背景情况:
- 传染性早产 (PTB) 是围产死亡的主要原因.
- 缺乏准确的妊娠周特定生物标志物来预测传染性PTB.
- 免疫失衡通常伴随着传染性PTB,需要对炎症标志物的研究.
研究的目的:
- 系统地识别和优先考虑炎症生物标志物用于传染性PTB预测.
- 发现新的炎症生物标志物集群,用于预测传染性PTB.
- 根据妊娠年龄建立可靠的传染性PTB预测指标.
主要方法:
- 对有关炎症集群和传染性PTB的研究进行系统审查和网络元分析.
- 使用了人口,干预,比较,结果和研究设计 (PICOS) 框架.
- 遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 感染性PTB预测的炎症因素的优先考虑:可溶性瘤缩因子受体2 (sTNFR2) >瘤缩因子α (TNFα) >互白素-10 (IL-10) >互白素-6 (IL-6) >C反应蛋白 (CRP) >互白素-1β (IL-1β).
- 确定了潜在的预测生物标志物集群:CRP/IL-1β/IL-6 (怀孕27-34周) 和TNF/NGF家族 (怀孕25-33周).
- 证明母亲的炎症集群可以预测特定妊娠周的传染性PTB.
结论:
- 建立了一个清晰的炎症生物标志物等级来预测传染性PTB.
- 提供了对母体炎症集群在预测传染性PTB的疗效的证据.
- 强调在精确的妊娠年龄考虑多种炎症因素对于PTB预测的重要性.
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