炎症负担指数与类风湿性关节炎及其全因死亡率之间的关联:来自NHANES 1999-2018年的数据
Jiali Zhai1,2, Bo Yuan2, Tiebing Liu3
1Department of Biochemistry and Molecular Biology, Institute of Molecular and Translational Medicine (IMTM), Xi'an Jiaotong University Health Science Center, Xi'an, China.
Frontiers in medicine
|September 5, 2024
概括
炎症负担指数 (IBI) 显示,在RA患者中,与类风湿性关节炎 (RA) 风险和全因死亡率存在正相关性. 较低的炎症可能会降低RA患病率和死亡风险.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 类风湿性关节炎 (RA) 是一种由系统性炎症驱动的慢性自身免疫性疾病.
- 炎症负担指数 (IBI) 是评估炎症的新型指标.
- IBI,RA患病率和RA相关死亡率之间的关联尚未得到充分证实.
研究的目的:
- 调查炎症负担指数 (IBI) 和类风湿性关节炎 (RA) 患病率之间的相关性.
- 分析IBI和RA患者全因死亡率之间的关联.
主要方法:
- 从国家健康和营养检查调查 (NHANES) (1999-2018) 中对成人数据的分析.
- 使用公式计算IBI:CRP * 中性粒细胞/淋巴细胞.
- 应用回归模型,受限立方线,分层分析和相互作用测试来检查关系.
主要成果:
- 在IBI和RA患病率之间发现了积极的非线性相关性.
- 在RA患者中,在IBI和全因死亡率之间观察到一个积极的,非线性,J形关联.
- 这些关联在各个子组中保持一致,并且不受共变量显著影响.
结论:
- 炎症负担指数 (IBI) 与RA患病率和全因死亡率正相关.
- 根据IBI的指示,较低的全身炎症可能与降低RA风险和死亡率有关.
- 需要进一步的研究来阐明潜在的机制.
相关概念视频
Inflammation
53.2K
Overview
53.2K
The JAK-STAT Signaling Pathway
8.7K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
8.7K
Psychoneuroimmunology: Cardiovascular Disease
27
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
27
Inflammatory Bowel Disease II: Crohn's Disease
205
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
205
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
68
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
68


