靠近管管多在球性疾病中的临床影响
Bohye Kim1,2, Boram Weon3, Evonne Kim1,4
1Department of Biochemistry and Molecular Biology, Seoul National University College of Medicine, Seoul, South Korea.
Heliyon
|February 24, 2025
概括
邻管中的多细胞 (MCC) 与球性疾病的较差结果有关. 较高的MCC比率表明末期病和死亡风险增加,这表明MCC是预后标志物.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 细胞生物学 细胞生物学
- 病理学 病理学 病理学
背景情况:
- 多细胞 (MCC) 存在于脏近端管道中,但其临床意义尚不清楚.
- 之前的研究没有确定MCC和病预后之间的联系.
研究的目的:
- 调查MCC与球细胞疾病患者的临床结果之间的关联.
- 确定MCC量化是否可以作为病进展的预后标记.
主要方法:
- 免疫组织化学被用来计算134名患者 (126名质细胞疾病患者,8名对照患者) 中MCC与总近接管状细胞的比例.
- 分析了MCC比率与临床特征之间的关系,包括年龄,蛋白尿和估计的淋巴细胞过率 (eGFR).
主要成果:
- 仅在淋巴细胞疾病患者中检测到MCC,糖尿病病和ANCA相关的淋巴细胞炎的比例更高.
- 增加的MCC比率与年龄较大,蛋白尿尿较高,eGFR较低以及末期病 (ESKD) 和复合结局 (死亡) 的风险显著增加相关.
- 多变量分析证实MCC比率是增加ESKD风险 (HR 1.413) 和复合结果 (HR 1.401) 的重要预测因素.
结论:
- 靠近管道中MCC比率较高与球体疾病患者的预后较差有关.
- 对MCC的量化表明,它有可能成为病进展的有价值的临床预后标志物.
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