细菌DNA转位与肝硬化患者的开放性肝脑病和死亡率有关
Kessarin Thanapirom1,2,3, Sirinporn Suksawatamnuay1,2,3, Salisa Wejnaruemarn1
1Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Clinical and translational gastroenterology
|March 15, 2024
概括
细菌DNA转位与肝硬化患者的明显肝脑病变 (HE) 有关. 这种转位,与IL-6一起,独立地预测这些患者的6个月死亡率.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 关于细菌转移,肝脏脑病 (HE) 和肝硬化死亡率的数据有限.
- 细菌DNA (bactDNA) 转位可能在炎症反应和与HE严重程度相关的氨水平中发挥作用.
研究的目的:
- 评估细菌DNA转位,炎症,氨和肝硬化中的HE严重程度之间的关联.
- 确定bactDNA转位是否预测肝硬化患者的死亡率.
主要方法:
- 预计将招募294名没有细菌感染的肝硬化患者.
- 他使用西黑文标准和心理测量肝脏脑病评分等级.
- 对细菌DNA转位,炎症标志物 (LBP,TNF-α,IL-6),氨和6个月死亡率的分析.
主要成果:
- 在36.1%的患者中检测到bactDNA转位.
- 过度的HE患者显示出更高的bactDNA转位,LBP,TNF-α,IL-6和氨水平.
- 细菌DNA转位,MELD得分,年龄和基线IL-6独立预测了6个月死亡率.
结论:
- 细菌DNA转位与明显的HE有关,独立于高氨血.
- 细菌DNA转位和IL-6是肝硬化6个月死亡率的独立预测因素.
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