在长期COVID患者中,补充免疫与脑雾的相关性
Hideharu Hagiya1, Kazuki Tokumasu2, Yuki Otsuka2
1Department of Infectious Diseases, Okayama University Hospital, Okayama, 700-8558, Japan.
概括
高50%的血液溶解补充活性 (CH50) 在长期COVID患者中很常见,并且与大脑雾有关. 需要进一步的研究来了解补充免疫在长期COVID发展中的作用.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 长期COVID (冠状病毒疾病2019) 呈现出各种不同的临床表现.
- 补体系统激活的作用,特别是长期COVID中50%的血液溶解补体活性 (CH50) 的作用尚不清楚.
研究的目的:
- 为了确定长期COVID患者中高CH50水平的患病率.
- 调查该人群中高CH50水平的临床特征和潜在关联.
主要方法:
- 在大阪大学医院对478名长期COVID患者进行了回顾性观察研究 (2021年2月至2023年3月).
- 通过脂质体免疫测定测量CH50水平;高CH50定义为≥59U/mL.
- 单变量和逻辑回归分析比较了正常和高CH50组之间的临床因素.
主要成果:
- 59.4%的患者表现出高CH50水平.
- 高CH50显着与度差 (aOR,2.70) 和脑雾 (aOR,1.66) 有关.
- 两组之间没有观察到其他常见的长期COVID症状的显著差异.
结论:
- 高CH50水平在长期COVID患者中普遍存在,并且与特定的神经症状如脑雾相关.
- 这些发现表明,补充系统失调在长期COVID的病理生理学中可能发挥作用.
- 需要进一步调查补充免疫和长期COVID之间的因果关系.
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