骨髓系衍生的抑制性细胞作为重症患者的预后标记:从实验性内毒性病和重症监护患者的见解
Irene T Schrijver1, Jacobus Herderschee1, Charlotte Théroude1
1Infectious Diseases Service, Department of Medicine, Lausanne University Hospital and University of Lausanne, 1011 Lausanne, Switzerland.
Cells
|February 23, 2024
概括
骨髓原抑制细胞 (MDSC) 可以预测重症监护室 (ICU) 患者的死亡率. 通过流细胞计量监测这些细胞可能有助于对针对性败血症治疗的患者进行分层.
科学领域:
- 免疫学 免疫学 免疫学
- 关键护理医学 关键护理医学
- 流动细胞计量 (Flow Cytometry) 是一种流动细胞计.
背景情况:
- 重症监护室 (ICU) 的患者经常患有感染和败血症.
- 骨髓衍生抑制细胞 (MDSCs),包括多态核细胞 (PMN-MDSCs) 和单细胞 (M-MDSCs) 亚型,影响传染病的发展.
- 危急病患者中MDSCs的预测价值在很大程度上仍未被探索.
研究的目的:
- 研究MDSC类细胞在重症患者中的作用.
- 评估MDSCs作为败血症和死亡率预测生物标志物的潜力.
- 评估流量细胞计,用于监测ICU设置中的MDSC.
主要方法:
- 使用无监督流细胞计量来量化MDSC类细胞.
- 分析包括内毒素挑战后的健康受试者和重症重症监护病房患者.
- 进行了表型表征和与死亡率的关联.
主要成果:
- 在健康受试者中,内毒素挑战增加了PMN-MDSC和M-MDSC类细胞.
- 在ICU患者入院时观察到MDSC样细胞的升高,在出院后正常化.
- 一个子集,CD15int M-MDSCs,以及高水平的PMN-MDSCs和CD15int M-MDSCs预测了患者死亡率 (AUC 0.70-0.86).
结论:
- 在ICU患者中,MDSCs显示出作为败血症的生物标志物具有前途.
- 对MDSCs的流细胞计监测可以帮助对ICU患者的风险分层进行分层.
- 这种方法可能会促进针对性治疗性干预的治疗性干预.
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