分子T2喘表型是稳定的,但异质的: periostin在内型化中的有用性
Irina Bobolea1, Daniela Guillén-Vera2, Natividad De Las Cuevas-Moreno2
1Department of Allergy, Hospital Clinic Barcelona-Institute for Health Research (IdiBAPS), Barcelona, Spain.
Frontiers in allergy
|September 25, 2023
概括
喘T2表型随着时间的推移而稳定,但血清环素水平不能区分T2和非T2喘. 然而,氏素可能有助于根据喘内型来个性化T2向治疗.
科学领域:
- 肺部病理学 肺部病理学
- 免疫学 免疫学 免疫学
- 生物标志物 生物标志物
背景情况:
- 分子T2 /非T2喘表型的稳定性尚未得到充分证实.
- 了解表型稳定性对于有效的喘管理至关重要.
- 血清环素与喘表型/内型之间的关系需要进一步研究.
研究的目的:
- 评估T2和非T2喘表型的长期稳定性.
- 为了确定血清内素水平与T2/非T2喘表型之间的相关性.
- 探索血清皮质素与不同喘内型之间的关联.
主要方法:
- 将中度至重度喘患者分为T2或非T2表型的分类,基于血液中氨酸友和血清IgE.
- 对喘内型的评估.
- 在至少1年的随访后评估T2表型和内型稳定性.
- 测量血清质素水平的测量.
主要成果:
- 在随访期间,T2和非T2喘表型表现出稳定性.
- 在T2和非T2表型 (P=0.063) 之间,血清环素水平没有显著差异.
- 血清环素水平与喘内型有显著的相关性 (P=0.001),在过敏性喘,阿司匹林加重的呼吸道疾病,晚发性酸性喘和非酸性喘之间有显著的差异.
结论:
- 使用可访问的临床标志物识别的T2和非T2喘表型随着时间的推移而稳定.
- 血清环素不是区分T2和非T2喘表型的可靠生物标志物.
- 血清内素与特定喘内型的相关性表明其在指导个性化T2向治疗方面具有潜在的实用性.
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