Analysis of Predictive Value of Cellular Inflammatory Factors and T Cell Subsets for Disease Recurrence and Prognosis in Patients with Acute Exacerbations of COPD.

IF 2.7 3区 医学 Q2 RESPIRATORY SYSTEM
Haoran Deng, Shiping Zhu, Fei Yu, Xue Song, Xinlai Jin, Xuchun Ding
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Abstract

Objective: To explore the predictive value of cellular inflammatory factors and T cell subsets for disease recurrence and prognosis in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD).

Methods: Serum samples were collected from the two groups to detect and compare the levels of inflammatory cytokines [interleukin-1β (IL-1β), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α)], T cell subsets (CD4+, CD8+), and clinical related indicators. Pearson correlation analysis was used to analyze the correlation between inflammatory cytokines, T cell subsets, and clinical indicators. Receiver operating characteristic (ROC) curves were plotted to analyze the predictive value of serum inflammatory factors and T cell subsets for acute exacerbations of COPD.

Results: The observation group had higher levels of IL-1β, IL-6, TNF-α, and CD8+, and lower CD4+ levels (P<0.05). The ratio of forced expiratory volume in 1 second to forced vital capacity (FEV1/FVC) was lower, while procalcitonin (PCT) and white blood cell count (WBC) were higher (P<0.05). Correlation analysis showed positive correlations between IL-1β, IL-6, TNF-α, and CD8+, and negative correlations with CD4+ and FEV1/FVC (P<0.05). After 6 months, 15 out of 73 patients had acute recurrences, with higher IL-1β, IL-6, TNF-α, and CD8+ levels (P<0.05). Binary logistic regression identified IL-1β, IL-6, TNF-α, and CD8+ as significant predictors of exacerbations, while CD4+ was protective. ROC analysis showed that combined biomarkers had the highest predictive efficiency (AUC = 0.907).

Conclusion: This study is the first to integrate multiple serum inflammatory factors and T cell subsets into a comprehensive predictive model for acute recurrence of COPD within six months (AUC = 0.907), offering a more accurate prediction than traditional methods. The findings underscore the value of these biomarkers in clinical follow-up and highlight their independent predictive power, providing new insights into the interaction between immune markers and clinical indicators in COPD exacerbations.

细胞炎症因子和 T 细胞亚群对慢性阻塞性肺疾病急性加重患者疾病复发和预后的预测价值分析
目的探讨细胞炎症因子和T细胞亚群对慢性阻塞性肺疾病(COPD)急性加重期患者疾病复发和预后的预测价值:收集两组患者的血清样本,检测并比较炎症细胞因子[白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)]、T细胞亚群(CD4+、CD8+)和临床相关指标的水平。皮尔逊相关分析用于分析炎症细胞因子、T细胞亚群和临床指标之间的相关性。绘制接收者操作特征曲线(ROC),分析血清炎症因子和T细胞亚群对慢性阻塞性肺疾病急性加重的预测价值:结果:观察组的IL-1β、IL-6、TNF-α和CD8+水平较高,CD4+水平较低:该研究首次将多种血清炎症因子和 T 细胞亚群整合到一个综合预测模型中,用于预测 COPD 在 6 个月内的急性复发(AUC = 0.907),提供了比传统方法更准确的预测。研究结果强调了这些生物标志物在临床随访中的价值,并突出了它们的独立预测能力,为慢性阻塞性肺病恶化中免疫标志物与临床指标之间的相互作用提供了新的见解。
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来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
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