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Clin Respir J:研究发现Lnc-IL7R是诊断ARDS的新的生物标志物

2017-11-10 MedSci MedSci原创

已知长链非编码RNA(lncRNA)参与调节各种基因和生物过程。Lnc-IL7R参与炎症的调节,但其在急性呼吸窘迫综合征(ARDS)中的作用则尚未明了。本研究中,研究人员检测了IL-IL7R作为ARDS潜在生物标志物的作用。研究人员从ARDS患者血浆和健康对照者中分离LncRNA-IL7R,并在患者入院后24 h内获得其临床指标。通过定量实时PCR获得IL-IL7R的相对表达。使用Spearman

已知长链非编码RNA(lncRNA)参与调节各种基因和生物过程。Lnc-IL7R参与炎症的调节,但其在急性呼吸窘迫综合征(ARDS)中的作用则尚未明了。本研究中,研究人员检测了IL-IL7R作为ARDS潜在生物标志物的作用。

研究人员从ARDS患者血浆和健康对照者中分离LncRNA-IL7R,并在患者入院后24 h内获得其临床指标。通过定量实时PCR获得IL-IL7R的相对表达。使用Spearman系数检验ARDS中lnc-IL7R和连续变量之间的相关性。

结果,研究共纳入了85名ARDS患者和49名健康对照者。ARDS患者血浆lnc-IL7R的水平明显低于健康对照者,尤其是重度ARDS患者(P <0.01)。 lnc-IL7R诊断ARDS的曲线下面积(AUC)为0.87(敏感性为75.3%,特异性为93.9%)。lnc-IL7R的表达水平与ARDS严重程度(ρ= -0.31,P = 0.0215),氧合指数(ρ= 0.61,P <0.001),APACHEⅡ评分(ρ= -0.04,P = 0.0230) ),CRP(ρ= -0.26,P = 0.0148)和WBC(ρ= -0.29,P = 0.0064)相关。Lnc-IL7R相对值≥0.33表明,ARDS患者的28天死亡率较低(P <0.05)。与非幸存者相比,幸存者的lnc-IL7R水平较高,APACHEⅡ评分较低,SOFA评分较低,机械通气时间长(分别为P = .0109,P <.001,P <.001和P =.017)。

总之,该研究结果表明,Lnc-IL7R是诊断ARDS的新的生物标志物,可预测该患者人群中ARDS的严重程度和28天的死亡率。

原始出处:

Wan B, Xu WJ, Xu WN, et al.,  Plasma long noncoding RNA IL-7R as a prognostic biomarker for clinical outcomes in patients with acute respiratory distress syndrome. Clin Respir J. 2017 Sep 29. doi: 10.1111/crj.12717.

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    2018-04-03 drwjr
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    2017-11-10 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

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