在慢性病中使用加勒-3
Ioannis Bellos1, Smaragdi Marinaki2, Pagona Lagiou3
1Department of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Medical School, Athens, Greece; Department of Nephrology and Renal Transplantation, Laiko General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
概括
高血清加列-3水平与非透析慢性病患者的死亡风险增加有关. 然而,它在预测心血管疾病或功能下降方面的作用仍然不清楚.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 生物标志物 生物标志物
- 预测医学是一种预测医学.
背景情况:
- 血清 galectin-3 的升高与透析患者的不良结果有关.
- 在慢性病 (CKD) 的早期阶段,加勒-3的预后意义尚不清楚.
研究的目的:
- 在非透析的慢性病患者中,系统地审查血清胆-3与生存,心血管疾病和病进展之间的关联.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,CENTRAL,Google Scholar) 进行了系统的文献搜索,直到2023年11月10日.
- 包括观察性研究,评估血清加勒-3在非透析CKD患者的预后作用.
主要成果:
- 分析了12项研究 (9,349名患者). 较高的血清加勒-3水平与增加的全因死亡风险有显著的相关性.
- 关于加勒-3与功能下降的关联的证据是不确定的,结果相互矛盾.
- 没有发现血清胆固醇-3与心力衰竭,心血管事件或心血管死亡之间存在一致的显著关联.
结论:
- 血清中加勒-3水平的升高似乎在非透析性CKD中起着预后作用,特别是在所有原因的死亡率方面.
- 目前的证据不支持血清加勒-3对预测心血管疾病或病进展的有用性.
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