在患有缺血性中风的患者中,Citrullinated Histone H3和白质病变负担之间的关联
Xiaohao Zhang1, Yunzi Li2, Zhenqian Huang2
1Department of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210002, China.
Brain sciences
|July 29, 2023
概括
增加的素基素H3 (CitH3) 水平与缺血性中风患者的白质病变负担较高有关,这表明中性粒细胞外细胞陷有助于大脑损伤.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 病理生理学 病理生理学
背景情况:
- 中性细胞外细胞陷 (NETs) 涉及中风的病理生理学,与疾病严重程度和死亡率相关.
- 素基因素H3 (CitH3) 作为NET形成的生物标志物.
研究的目的:
- 为了研究CitH3水平与白质病变 (WML) 负担在缺血性中风患者之间的关联.
- 探索NETs在WMLs发展中的作用.
主要方法:
- 对322名缺血性中风患者进行前性观察队列研究.
- 血清CitH3水平通过ELISA测量后入院.
- 使用Fazekas尺度评估WML严重程度 (轻度:0-2,严重:3-6).
- 多变量回归模型分析了CitH3和WML负担之间的关系.
主要成果:
- 46.0%的患者患有严重的WML负担.
- 升高的CitH3水平独立地与增加的WML负担相关 (OR 3.311,P=0.011).
- 在CitH3水平和严重的WML之间观察到线性关联 (P=0.001).
结论:
- 血清CitH3水平升高与缺血性中风中广泛的WML正相关.
- 这些发现表明,NET形成有助于中风中WMLs的发病.
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