牛皮增加了Sjögren综合征的风险:来自倾向得分匹配的队列研究和转录组分析的证据
Zijian Kang1, Yu Du1, Ran Cui1
1Department of Rheumatology and Immunology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
BMC medicine
|January 22, 2025
概括
牛皮患者患上Sjögren综合征 (SS) 的风险增加了50%,而牛皮关节炎 (PsA) 的风险进一步增加. 共享的免疫路径可能解释了这些自身免疫疾病之间的联系.
科学领域:
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
- 类风湿病学 类风湿病学
背景情况:
- 在牛皮和Sjögren综合征 (SS) 中都注意到免疫调节障碍.
- 牛皮和患SS的风险之间的特定关联仍然未得到充分研究.
研究的目的:
- 调查牛皮病对随后发展SS的风险的影响.
- 为了确定牛皮和SS之间的潜在共享免疫机制.
主要方法:
- 一项回顾性队列研究利用了TrinetX数据,比较了牛皮患者和对照者的SS发病率.
- 倾向性得分匹配,卡普兰-梅尔曲线和考克斯模型用于统计分析.
- 转录组数据分析确定了共享的差异表达基因和通路.
主要成果:
- 分析了293,905名牛皮患者和293,905名对照组的队列.
- 与对照组相比,牛皮患者患SS的风险增加了50% (HR1.50,95%CI1.42-1.58).
- 牛皮关节炎 (PsA) 和生物药物治疗进一步增加了SS风险;共同的途径包括免疫细胞招募和细胞因子分泌.
结论:
- 牛皮与患SS的风险增加有关.
- 牛皮关节炎 (PsA) 增加了这种风险.
- 叠加的免疫机制可能会导致牛皮和SS的同时发生.
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