牛皮关节炎中的VEGF:系统审查和元分析
Biagio Di Lorenzo1, Stefano Zoroddu2, Arduino A Mangoni3
1Department of Biomedical Sciences, University of Sassari, Sassari, Italy; Department of Medicine and Surgery, LUM University, Casamassima, Italy.
Clinica chimica acta; international journal of clinical chemistry
|December 9, 2024
概括
血管内皮生长因子 (VEGF) 在牛皮关节炎 (PsA) 患者中升高,表明其作为生物标志物的潜力. 需要进一步的前性研究来确认其在监测疾病活动和治疗反应方面的作用.
科学领域:
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
- 血管生物学 血管生物学
背景情况:
- 牛皮关节炎 (PsA) 是一种慢性自身免疫性疾病,与异常的血管发育有关.
- 血管内皮生长因子 (VEGF) 参与了PsA中观察到的内皮细胞增殖和迁移.
- 肺炎表现为皮肤和关节症状,伴随着血管变化.
研究的目的:
- 系统地审查和元分析VEGF在牛皮关节炎中的作用.
- 为了研究与健康对照组相比,PSA患者的VEGF水平.
- 探索VEGF与疾病活性和治疗反应的关联.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括12项研究在PsA中检查VEGF.
- 进行了子组和元回归分析.
主要成果:
- 与健康对照人群相比,PsA患者的VEGF水平显著更高 (SMD = 0.544,p < 0.001).
- 展望性进行的研究显示VEGF水平高于回顾性研究 (p = 0.005).
- 甲托雷克萨特或硫沙治疗没有改变VEGF水平;然而,VEGF在不活跃疾病或服用疾病修饰剂的患者中较低.
结论:
- VEGF是牛皮关节炎的潜在生物标志物.
- VEGF水平与疾病活性和治疗相关.
- 需要进一步的前性研究来验证VEGF在监测PsA中的实用性.
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