在毛囊前肺高血压中循环阿佩林,IL22RA2和VEGF
Györgyi Csósza1, Gergő Szűcs1, Zsolt Rozgonyi2
11Department of Pulmonology, Semmelweis University, Budapest, Hungary.
Physiology international
|November 17, 2023
概括
循环阿佩林是一种新型的毛囊前肺高血压 (PH) 生物标志物. 阿佩林和IL22RA2水平与PH患者的右心室功能相关,提供了新的诊断见解.
科学领域:
- 心血管医学 心血管医学
- 肺部医学 肺部医学
- 生物标志物发现发现
背景情况:
- 细胞因子影响血管重塑和右心室适应在肺高血压 (PH).
- 关于PH患者循环中细胞因子水平的数据有限.
研究的目的:
- 为了研究在未经治疗的毛囊前PH患者中循环中的细胞因子度.
- 为了确定PH诊断和严重程度的潜在细胞因子生物标志物.
主要方法:
- 与酶相关的免疫测试用于测量血液中细胞因子度.
- 研究了39名以前没有接受过治疗的PH患者 (肺动脉高血压,慢性血栓栓塞PH,肺部疾病导致的PH) 和12名对照患者.
主要成果:
- 阿佩林水平>1,261 ng/mL显示66%的灵敏度和82%的PH的特异性.
- 阿佩林与肺动脉压,右心房压,心脏指数和右心室中风工作指数相关.
- IL22RA2与肺动脉平均压力和N-终端亲B型尿素相关.
- 在一小部分患者中,VEGF随着临床改善而增加.
结论:
- 循环阿佩林是一种新的毛细血管前PH的生物标志物.
- 阿佩林和IL22RA2水平与PH的右心室功能有关.
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