尿液等离子素作为人类淋巴细胞疾病疾病进展的标记物
Marina de Cos1, Gohar Mosoyan1, Kinsuk Chauhan1
1Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
概括
尿液等离子素是一种有前途的生物标志物,用于预测球体疾病患者的末期病 (ESKD). 测量尿液等离子素可以帮助风险分层,并指导治疗决定对病进展.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 生物标志物发现发现
- 分子医学是分子医学.
背景情况:
- 淋巴细胞疾病呈现出可变的临床过程,需要生物标志物进行进展.
- 之前的研究已经确定了等离子素是受细胞损伤的原因.
研究的目的:
- 调查尿液等离子素和末期病 (ESKD) 之间的关联.
- 为了评估尿液等离子素作为质细胞疾病的预后生物标志物.
主要方法:
- 一项多中心队列研究,涉及1,010名活检证明的淋巴细胞疾病患者.
- 用一种新型的电化学发光免疫检测法测量尿液等离子素水平.
- 使用考克斯回归分析来评估与ESKD时间的关联.
主要成果:
- 调整的尿液等离子素 (Log2uPlasminogen/cr) 与ESKD显著相关 (HR为每倍 1.31).
- 包括尿液等离子素在内的模型与尿蛋白/cr (UPCR) 相比,显示出优异的预测性能.
- 测量/预期尿液等离子素的比例独立预测了ESKD风险.
结论:
- 尿液等离子素和其与预期水平的比率是球性疾病中ESKD的独立预测因素.
- 尿液等离子素显示出作为风险分层的预后生物标志物的潜力.
- 这种生物标志物可以为蛋白尿和球细胞疾病患者的治疗策略提供信息.
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