早期的Th1-Th2细胞因子失衡作为3个月后中风后抑郁症的预测因素
Huimin Zhao1, Wanying Li2, Qinrong Xu1
1Department of Neurology, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu 215000, PR China.
Journal of affective disorders
|June 11, 2025
概括
在急性缺血性中风 (AIS) 患者的早期Th1-Th2细胞因子失衡预测了中风后抑郁症 (PSD). TNF-α/IL-4比率是识别高风险个体的一个关键指标.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 临床医学 临床医学
背景情况:
- 在急性缺血性中风 (AIS) 之后,早期Th1-Th2细胞因子失衡和中风后抑郁症 (PSD) 之间的联系尚不清楚.
- 早期发现PSD对患者的治疗结果具有临床意义.
研究的目的:
- 调查AIS患者早期Th1-Th2细胞因子概况与PSD发展之间的关系.
- 在AIS患者中识别PSD的早期预测因素.
主要方法:
- 一项针对119名AIS患者的前性队列研究.
- 在入院24小时内测量Th1/Th2细胞因子 (TNF-α,IL-2,IFN-γ,IL-4,IL-6,IL-10).
- 在3个月后使用汉密尔顿抑郁评分表 (HAMD) 和后勤回归分析评估PSD.
主要成果:
- 患有PSD的患者具有更高的HAMD和修改的兰金尺度 (mRS) 评分.
- 在PSD组中观察到Th1细胞因子TNF-α升高和Th2细胞因子IL-4降低.
- 显著增加的TNF-α/IL-4比率 (AUC=0.741) 被确定为PSD的独立预测因子.
结论:
- 在AIS患者中早期的Th1-Th2细胞因子失衡是3个月后PSD的显著预测因素.
- 在AIS早期的免疫功能障碍可能有助于识别患PSD风险增加的患者.
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