在Plasmodium感染中对皮质醇水平的系统审查和元分析
Kwuntida Uthaisar Kotepui1, Frederick Ramirez Masangkay2, Kinley Wangdi3,4
1Medical Technology Program, Faculty of Science, Nakhon Phanom University, Nakhon Phanom, 48000, Thailand.
Scientific reports
|August 6, 2024
概括
疟疾感染显著提高皮质醇水平,表明患者的应激反应加剧. 这一系统性审查和元分析证实了这一关联,表明皮质醇.
科学领域:
- 内分泌学和寄生虫学:研究神经内分泌对传染病的反应.
背景情况:
- 皮质醇是主要的压力激素,在感染期间经常失调.
- 疟疾对宿主内分泌功能的影响,特别是皮质醇水平,需要澄清.
研究的目的:
- 系统地审查和元分析Plasmodium感染和皮质醇水平之间的关系.
- 了解疟疾寄生虫与宿主内分泌系统之间的相互作用.
主要方法:
- 在Embase,PubMed,Scopus和Medline进行系统的文献搜索.
- 感染者与未感染者之间的皮质醇差异的定性合成.
- 使用随机效应模型进行元分析的定量合成 (PROSPERO注册:CRD42024496578).
主要成果:
- 包括20项研究,主要来自非洲,亚洲和南美洲.
- 65%的研究报告说,疟疾感染患者的皮质醇水平较高.
- 分析证实,感染个体的皮质醇水平显著更高 (SMD: 1.354,P < 0.0001),具有很高的异质性 (I2: 88.3%).
结论:
- 疟原虫感染与皮质醇水平升高密切相关,反映出显著的应激反应.
- 皮质醇可以作为一个有价值的补充生物标志物来评估疟疾的病理生理影响.
- 结果为未来的研究和疟疾流行地区的疾病管理策略提供信息.
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