sFGL2作为一种潜在的免疫抑制生物标志物,与脏移植接受者的COVID-19严重性有关
Yufei Zhang1,2, Min Yang1,2, Kai Liu1,2
1Transplantation Center, The Third Xiangya Hospital, Central South University, Changsha, China.
Immunity, inflammation and disease
|October 28, 2025
概括
可溶性纤维素样蛋白2 (sFGL2) 在COVID-19的移植受体中升高,与疾病严重程度和免疫抑制相关. 降低sFGL2水平和恢复的淋巴细胞数量表明临床改善.
科学领域:
- 免疫学 免疫学 免疫学
- 移植医学 移植医学
- 病毒学 病毒学
背景情况:
- 感染SARS-CoV-2可能会导致长时间的免疫抑制.
- 可溶性纤维素样蛋白2 (sFGL2) 是一个新兴的免疫调节剂.
- 在移植接受者 (KTRs) 中,sFGL2在SARS-CoV-2诱导的免疫抑制中的作用尚不清楚.
研究的目的:
- 调查sFGL2水平与KTRs中SARS-CoV-2诱导的免疫抑制之间的相关性.
- 评估sFGL2作为疾病严重程度和预后的潜在生物标志物.
主要方法:
- 测量了sFGL2水平和周围血液淋巴细胞亚群 (PBLSs) 在50名COVID-19的KTR和15名没有COVID-19的稳定KTR中.
- 与酶相关的免疫吸收试验 (ELISA) 用于sFGL2量化.
- 使用流细胞计量分析PBLS,包括CD3+和CD8+T细胞计数.
主要成果:
- 与对照组相比,患有COVID-19的KTR表现出明显更高的sFGL2水平.
- 在COVID-19患者中,高的sFGL2水平与肺炎和疾病严重程度有关.
- sFGL2水平与CD3+和CD8+T细胞计数负相关,表明免疫抑制.
- sFGL2水平下降,PBLS数量恢复,临床改善.
结论:
- sFGL2与免疫抑制,疾病严重程度和COVID-19的KTRs的预后有关.
- sFGL2可能作为一种新的生物标志物,用于在COVID-19后的KTR中监测免疫状态.
- 这些发现凸显了sFGL2作为移植受体预测工具的潜力.
相关概念视频
Kidney Transplant I: Introduction
333
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...
333
Kidney Transplant III: Nursing Management
307
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...
307
Chronic Kidney Disease II: Clinical Manifestations
543
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...
543
Kidney Transplant II: Surgical Procedure
298
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...
298
Acute Kidney Injury IV: Diagnostic Studies and Prevention
256
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...
256
Acute Kidney Injury II: Pathophysiology
870
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
870


