循环造血干细胞和COVID-19的长期结果
Benedetta Maria Bonora1,2, Marella Marassi1, Paola Fogar1
1Department of Medicine, University Hospital of Padova, Padua, Italy.
European journal of clinical investigation
|December 13, 2023
概括
在COVID-19患者入院时血造干细胞/原生细胞 (HSPC) 的较低水平预测死亡风险增加. HSPC水平没有预测长期COVID症状,这些症状与疾病严重程度有关.
科学领域:
- 血液学 血液学 血液学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- COVID-19急剧耗尽循环的造血干细胞/原生细胞 (HSPC),特别是在严重的病例中.
- 了解HSPC在COVID-19中的预后价值对于患者管理至关重要.
研究的目的:
- 调查医院入院时的HSPC水平是否预测COVID-19患者的1年死亡率.
- 为了确定HSPC水平是否预测长期COVID综合征的发展.
主要方法:
- 招募了100名住院患有COVID-19的患者.
- 使用流动细胞计量 (CD34和/或CD133表达) 来测量循环中的HSPC水平.
- 在12个月的随访中,通过医疗记录和登记册评估了死亡率和长期COVID症状.
主要成果:
- 较低的HSPC水平 (1-SD降低) 与1年死亡风险增加3至5倍相关.
- 多变量分析证实HSPC是死亡率的独立预测因素,即使考虑到混因素.
- 长期COVID症状与肺炎,葡萄糖皮质醇和康复性血有关;HSPC和并发症不能预测长期COVID.
结论:
- 在COVID-19入院时降低HSPC水平是1年死亡率的显著独立预测因素.
- COVID-19的严重程度,而不是HSPC水平,与长期COVID症状的发展有关.
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