在不同严重程度的登革热感染时,支持和抗炎细胞因子签名不同
Himani Prajapati1, Vivek Kumar1, Garima Mittal2
1Department of Microbiology, Himalayan School of Bio-sciences, Swami Rama Himalayan University Jolly Grant, Dehradun, Uttarakhand, India.
Journal of family medicine and primary care
|July 1, 2024
概括
干白素-6 (IL-6) 水平随着登革热的严重程度而显著增加,特别是在20岁以上的人群中. 这种细胞因子准确地预测严重的登革热,与血小板计数不同.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 生物标志物发现发现
背景情况:
- 登革热病的严重程度受宿主免疫反应的影响,细胞因子起着至关重要的作用.
- 支持和抗炎细胞因子是登革热病原发生的关键媒介.
研究的目的:
- 在登革热严重程度谱中调查促炎和抗炎细胞因子概况.
- 评估细胞因子作为预测严重登革热感染的潜在生物标志物.
主要方法:
- 一项对125名登革热阳性患者 (5-60岁) 的横截面研究.
- 使用ELISA测量IL-6,IL-10和TNF-α.
- 统计分析包括ANOVA,克鲁斯卡尔-瓦利斯和ROC曲线分析.
主要成果:
- 在34.4%的病例中观察到严重的登革热,40岁以上的人患病率更高.
- 在患者>20年 (P <0.01) 的登革热严重程度谱中,互白素-6 (IL-6) 水平显著增加.
- 在预测严重登革热方面,IL-6的准确率为74.4%,而血小板计数的准确率仅为16.2%.
结论:
- 升高的IL-6水平与20岁以上患者的登革热严重程度显著相关.
- IL-6作为严重登革热的有价值的预测生物标志物,准确度为74%,灵敏度为81.4%.
- 降低血小板数与登革热的严重程度相关,但不是可靠的预测指标.
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