脏移植中的唾液和血清细胞因子度:一项前性研究
Luciano Miziara1, Marcio Augusto de Oliveira2, Debora Macedo1
1Postgraduate Program in Dentistry, School of Dentistry, University of Santo Amaro, São Paulo, Brazil.
Oral diseases
|June 23, 2025
概括
唾液生物标志物,特别是TNF-α和IL-8,在监测移植接受者 (KTRs) 中显示出希望. 这些唾液细胞因子与特定条件相关,为KTR免疫状况的血液检测提供了一个不那么侵入性的替代方案.
科学领域:
- 免疫学 免疫学 免疫学
- 移植医学 移植医学
- 生物标志物发现发现
背景情况:
- 接受移植的接受者 (KTRs) 面临免疫调节风险,包括移植的拒绝.
- 血清细胞因子是已知的免疫标记物,但唾液生物标记物在KTR中仍未得到充分研究.
研究的目的:
- 为了研究KTRs的唾液和血清细胞因子水平.
- 为了将这些细胞因子水平与移植后的临床结果相关联.
主要方法:
- 在两个时间点 (T1: <6个月,T2: >6个月) 评估了38个KTR.
- 使用人类6个复合细胞因子组 (Luminex) 分析的样本.
- 收集临床数据并进行统计分析,包括威尔科克森测试和斯皮尔曼相关性.
主要成果:
- 血清细胞因子在心脏事件中显示了较低的干扰因子- (IFN-γ).
- 血清瘤坏死因子-α (TNF-α),互乐金-8 (IL-8) 和IL-10与细胞巨型病毒 (CMV),BK多瘤病毒 (BKPyV) 病毒病和贫血有关.
- 唾液细胞因子显示TNF-α在贫血和IL-8在腹中升高;在没有急性排斥的患者中观察到唾液IL-8降低.
结论:
- 唾液生物标志物,特别是TNF-α和IL-8,在KTR监测中显示出潜力.
- 这些唾液标记物可以补充传统的血液检测和侵入性监测方法.
- 这项研究强调了将血清和唾液细胞因子测量整合为全面的KTR评估的实用性.
相关概念视频
Kidney Transplant I: Introduction
65
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
65
Kidney Transplant III: Nursing Management
85
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
85
Kidney Transplant II: Surgical Procedure
78
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
78
Acute Kidney Injury IV: Diagnostic Studies and Prevention
64
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
64
Serum Studies: Renal Function Tests
53
Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
53
Chronic Kidney Disease II: Clinical Manifestations
107
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
107


