在早期系统性硬化症中,严重的疲劳与肺功能下降和高加列-9水平有关
Charmaine van Eeden1, Maryam Rezaeifar2, Muhammad Elezzabi1
1Department of Medicine, University of Alberta, Edmonton, AB, Canada.
系统性硬化症患者的严重疲劳与更大的残疾和较差的肺功能有关. 这表明潜在的炎症和纤维化,加勒-9可能有助于患者分层.
科学领域:
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
- 肺部病理学 肺部病理学
背景情况:
- 肌痛性脑膜炎/慢性疲劳综合征 (ME/CFS) 类症状在类风湿性疾病中很常见.
- 人们对系统性硬化症 (SSc) 的疲劳频率和表现知之甚少.
研究的目的:
- 在早期系统性硬化症患者中调查严重疲劳与残疾,炎症和纤维化之间的关联.
- 在SSc.探索潜在的疲劳生物标志物.
主要方法:
- 51名SSc患者 (UofA队列) 的横截面研究和126名SSc患者 (CSRG队列) 的验证.
- 评估残疾,疾病标志物,炎症标志物和纤维化/血管并发症.
- 使用经过验证的疲劳问卷和ME/CFS标准.
主要成果:
- 严重疲劳的SSc患者表现出明显更高的残疾和减少的肺功能.
- 在疲劳的SSc患者中观察到高加列-9水平,与肺功能减弱和疾病损伤增加相关.
- 疾病进展的指标,如指甲毛细血管密度降低和VEGF,LTα和IL-16的升高,与严重疲劳有关.
结论:
- 在SSc中,严重的疲劳与增加的残疾,减少的肺功能和血管重塑有关.
- 在SSc中,ME/CFS类症状可能表明亚临床炎症和纤维化.
- 加勒-9可以作为生物标志物来分层SSc患者,特别是那些严重疲劳的患者.
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