淋巴系统功能障碍 在 髓 寡干细胞 葡萄糖蛋白 免疫球蛋白 G 抗体相关疾病:与临床残疾相关联
Akifumi Hagiwara1, Yuji Tomizawa2, Yasunobu Hoshino2
1From the Department of Radiology (A.H., K.K., T.S, K.T., M.N., T.M., T.A., A.W., S.A.), Juntendo University School of Medicine, Tokyo, Japan a-hagiwara@juntendo.ac.jp.
AJNR. American journal of neuroradiology
|December 20, 2023
概括
患有髓寡干细胞糖蛋白抗体障碍 (MOGAD) 的患者表现出淋巴功能受损,由周围血管空间 (ALPS) 指数沿线扩散率较低表明. 这种减少的大脑液体运输与患者残疾增加有关.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 放射学 放射学是一门学科.
背景情况:
- 淋巴系统功能障碍与多发性硬化症和AQP4-IgG阳性NMOSD有关.
- 髓寡核细胞糖蛋白抗体疾病 (MOGAD) 是另一种非髓化疾病,其中淋巴功能尚不清楚.
研究的目的:
- 在MOGAD患者中调查大脑间歇性流体动力学.
- 在MOGAD中使用周血管空间 (ALPS) 上的扩散率指数来评估淋巴功能.
主要方法:
- 一项前性研究涉及16名缓解的MOGAD患者和22名健康对照.
- 用3T扫描仪进行MRI成像,以计算ALPS指数.
- ALPS指数和灰质体积的比较,与扩展残疾状况量表 (EDSS) 相关联.
主要成果:
- 与健康对照组相比,MOGAD患者的平均ALPS指数显著低于健康对照组 (P=.02).
- 较低的ALPS指数与较高的EDSS分数有显著的相关性 (P=.03).
- 两组之间没有发现皮质或深灰质体积的显著差异,也没有与EDSS相关.
结论:
- MOGAD患者可能会出现淋巴功能受损,这是ALPS指数降低的证据.
- 在MOGAD中,淋巴功能受损与临床残疾有关.
- 需要对更大的队列进行进一步的研究来证实这些发现.
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