免疫球蛋白GN-糖化预测缺血性中风的长期风险:一个嵌套的病例控制研究
Shuyu Sun1,2, Jiheng Hao3, Chengxu Yu4
1School of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China.
Journal of translational medicine
|October 28, 2025
概括
免疫球蛋白G (IgG) 的化和银化降低与缺血性中风 (IS) 的发展有关. IgG N-glycan 档案可以作为预测长期IS风险的生物标志物.
科学领域:
- 生物化学 生物化学
- 免疫学 免疫学 免疫学
- 神经学 神经学
背景情况:
- 缺血性中风 (IS) 是全球成年人残疾和死亡的主要原因.
- 了解IS进展包括分析免疫球蛋白G (IgG) N-甘氨酸和炎症性细胞因子.
- 确定高IS风险个体的生物标志物对于早期干预至关重要.
研究的目的:
- 与IS进展相关的IgG N-甘氨酸指纹的特征.
- 为了识别与IS发展相关的循环炎性细胞因子.
- 选潜在的生物标志物来预测IS风险.
主要方法:
- 一项前性队列研究 (LCSRC) 追踪了1599名健康参与者,持续了9年.
- 血清IgG N-甘氨酸的概况使用水友相互作用染色学 (HILIC-UPLC) 来分析.
- 使用后勤回归来构建IS发生的预测模型.
主要成果:
- 在IS病例中,特定的IgG N-甘氨酸 (GP1-4,6-7,11,13,19,24) 升高,而其他病例 (GP5,8,14,18) 降低.
- 与对照组相比,IS患者的MMP-9,TNF-α和hs-CRP水平较高.
- 降低IgG的fucosylation,monogalactosylation和digalactosylation与降低IS风险显著相关;基于糖化基的模型实现了0.756.75的AUC.
结论:
- 降低IgG的fucosylation和galactosylation与IS的发展显著相关,可能是通过慢性炎症.
- IgG N-糖基化指纹显示为预测长期IS风险的生物标志物具有前途.
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