MLR对应于慢性淋巴细胞白血病中单细胞的功能状态
Wioleta Grzegorzewska1, Michał Zarobkiewicz1, Katarzyna Jastrzębska-Pawłowska1
1Department of Clinical Immunology, Medical University of Lublin, Lublin 20-093, Poland.
International journal of inflammation
|August 18, 2025
概括
单细胞/淋巴细胞比 (MLR) 可能表明慢性淋巴细胞白血病 (CLL) 的活性和进展. 在CLL患者中,较高的MLR与可能促进疾病负担的特定单细胞变化相关.
科学领域:
- 免疫学 免疫学 免疫学
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 炎症微环境在慢性淋巴细胞白血病 (CLL) 发病和进展中的作用尚不清楚.
- 评估周围血液中的炎症标志物是炎症的系统性指标.
- 需要对CLL患者循环炎症细胞进行详细的分析.
研究的目的:
- 评估单细胞/淋巴细胞比率 (MLR) 与CLL进展风险之间的关系.
- 分析CLL中的MLR是否表明循环单细胞子集的功能性免疫状态.
主要方法:
- 分析了54名未经治疗的CLL患者和20名健康志愿者的外周血液样本.
- 多参数流细胞计评估单细胞子群,包括表面标记物和细胞内细胞因子.
- 相对微RNA表达 (miR-21-3p,miR-150-5p,miR-106a-5p) 在FACS排序的单细胞子集中确定.
主要成果:
- 与健康志愿者相比,CLL患者的MLR值显著较低 (p < 0.0001).
- 在具有负预后因素 (增加ZAP-70和CD38表达) 的CLL患者中观察到较高的MLR.
- 高MLR的CLL患者显示中间单细胞增加和经典/非经典单细胞减少,中间单细胞显示较高的IL-10和较低的miR-150-5p.
结论:
- 该MLR指数可以作为CLL活动的标记,并间接反映单细胞亚群的变化.
- 较高的MLR可能表明中介单细胞的百分比增加,具有潜在的抗炎性质.
- 这些与MLR相关的单细胞变化可能会促进CLL的进展,并恶化预后.
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