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EOS、IL⁃5、IL⁃5Ra及鼻窦CT评分预测CRSw NP患者术后复发的可行性 被引量:5
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作者 李文杰 王亮 马庆林 《分子诊断与治疗杂志》 2023年第5期813-816,821,共5页
目的探讨鼻息肉组织中的嗜酸性粒细胞(EOS)、白细胞介素⁃5(IL⁃5)、白介素5受体a(IL⁃5Ra)及鼻窦CT评分预测慢性鼻窦炎伴鼻息肉(CRSwNP)患者术后复发的价值。方法选取2019年12月至2021年10月安阳市人民医院收治的102例经鼻内镜手术治疗的C... 目的探讨鼻息肉组织中的嗜酸性粒细胞(EOS)、白细胞介素⁃5(IL⁃5)、白介素5受体a(IL⁃5Ra)及鼻窦CT评分预测慢性鼻窦炎伴鼻息肉(CRSwNP)患者术后复发的价值。方法选取2019年12月至2021年10月安阳市人民医院收治的102例经鼻内镜手术治疗的CRSwNP患者进行分析。根据术后复发进行分组。比较两组EOS、IL⁃5、IL⁃5Ra及鼻窦CT评分,采用多因素Logistic回归分析影响CRSw NP患者术后复发的危险因素,采用ROC曲线分析EOS、IL⁃5、IL⁃5Ra及鼻窦CT评分对CRSw NP患者术后复发的预测效果。结果复发组鼻息肉组织中指标(EOS、IL⁃5、IL⁃5Ra)水平、鼻窦CT评分、前期鼻窦炎手术史者占比均高于未复发组,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果示,EOS、IL⁃5、IL⁃5Ra水平、鼻窦CT评分及前期鼻窦炎手术史均是影响CRSw NP患者术后复发的确定性因素(P<0.05)。ROC结果显示:四者联合预测AUC(0.826)优于单一检测。结论EOS、IL⁃5、IL⁃5Ra及鼻窦CT评分是引发CRSw NP患者术后复发的相关因素,可作为预测CRSw NP患者术后复发的相关可靠指标。 展开更多
关键词 慢性鼻窦炎伴鼻息肉 嗜酸性粒细胞 IL⁃5 IL⁃5ra 术后复发
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Enhanced CD19 activity in B cells contributes to immunodeficiency in mice deficient in the ICF syndrome gene Zbtb24
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作者 Zhengzhou Ying Swanand Hardikar +7 位作者 Joshua B.Plummer Tewfik Hamidi Bin Liu Yueping Chen Jianjun Shen Yunxiang Mu Kevin M.McBride Taiping Chen 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2023年第12期1487-1498,共12页
Immunodeficiency,centromeric instability,and facial anomalies(ICF)syndrome is a rare autosomal recessive disorder characterized by DNA hypomethylation and antibody deficiency.It is caused by mutations in DNMT3B,ZBTB24... Immunodeficiency,centromeric instability,and facial anomalies(ICF)syndrome is a rare autosomal recessive disorder characterized by DNA hypomethylation and antibody deficiency.It is caused by mutations in DNMT3B,ZBTB24,CDCA7,or HELLS.While progress has been made in elucidating the roles of these genes in regulating DNA methylation,little is known about the pathogenesis of the life-threatening hypogammaglobulinemia phenotype.Here,we show that mice deficient in Zbtb24 in the hematopoietic lineage recapitulate the major clinical features of patients with ICF syndrome.Specifically,Vav-Cre-mediated ablation of Zbtb24 does not affect lymphocyte development but results in reduced plasma cells and low levels of IgM,IgG1,and IgA.Zbtb24-deficient mice are hyper and hypo-responsive to T-dependent and T-independent type 2 antigens,respectively,and marginal zone B-cell activation is impaired.Mechanistically,Zbtb24-deficient B cells show severe loss of DNA methylation in the promoter region of Il5ra(interleukin-5 receptor subunit alpha),and Il5ra derepression leads to elevated CD19 phosphorylation.Heterozygous disruption of Cd19 can revert the hypogammaglobulinemia phenotype of Zbtb24-deficient mice.Our results suggest the potential role of enhanced CD19 activity in immunodeficiency in ICF syndrome. 展开更多
关键词 ICF syndrome ZBTB24 CD19 il-5ra HYPOGAMMAGLOBULINEMIA
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