B细胞和双阴性B细胞 (CD27-IgD) 与急性胰腺炎的严重程度有关
Filipa Malheiro1,2, Miguel Ângelo-Dias2,3, Teresa Lopes2,3
1Internal Medicine Department, LUZ SAÚDE, Hospital da Luz Lisboa, 1500-650 Lisboa, Portugal.
Diseases (Basel, Switzerland)
|January 22, 2024
概括
急性胰腺炎 (AP) 涉及炎症,在患者中观察到较高的中性粒细胞/淋巴细胞比率和B细胞百分比. 这些因素,以及BISAP得分,预测住院时间,有助于早期严重性评估.
科学领域:
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
背景情况:
- 急性胰腺炎 (AP) 是一种普遍的炎症性疾病.
- 了解AP中的免疫细胞动态对于预测结果至关重要.
研究的目的:
- 在AP患者中调查B和T细胞亚群.
- 为了确定AP严重程度和住院时间的早期免疫学标志物.
主要方法:
- 在50名AP患者和15名健康对照 (HC) 中,分析了B和T细胞亚群的外周血液样本.
- 评估中性粒细胞/淋巴细胞 (N/L) 比率,B细胞百分比 (包括CD27-IgD-子集),急性胰腺炎 (BISAP) 严重程度的床边指数得分和住院时间.
主要成果:
- 与HC相比,AP患者的N/L比率和B细胞百分比较高.
- 中度/重度AP患者的B细胞总百分比比轻度AP患者高.
- 较高的BISAP分数与较低的淋巴细胞百分比相关,但CD27-IgD-B细胞较高.
- 更高的BISAP分数,N/L比率和外周血液B细胞水平预测了更长的住院时间.
结论:
- 在AP患者中,N/L比率和循环B细胞水平升高.
- 早期评估BISAP得分,N/L比率和B细胞水平可以预测AP患者住院时间.
- 这些标志物为AP的早期疾病严重程度评估提供了宝贵的见解.
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