1 型糖尿病患者的哮喘患病率:范围界定综述。

IF 2.6 4区 医学 Q2 ALLERGY
Júlia Marchatto Kamei, Raissa Dias Maués, Gabriel de Oliveira Silva, Alessandra Helena Machado, Erika Megumi Hoshino, Fabiana Menezes Bacchiega, Laís Mota Furtado Sena, Carlos Antonio Negrato
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引用次数: 0

摘要

背景:根据Th1/Th2范式,1型糖尿病患者体内Th1型克隆的扩张会导致Th2型克隆的减少,从而防止特应性疾病的发生,反之亦然。然而,关于自身免疫性疾病与特应性疾病之间的直接或反向关系,目前尚无共识:本范围综述旨在研究有关哮喘与 1 型糖尿病并存可能性的知识差距,并确定这种关联的普遍性:根据乔安娜-布里格斯研究所(Joanna Briggs Institute)的建议,我们进行了一次范围界定研究。采用 "人群、概念和背景 "策略来制定指导性问题。提出的问题是"T1DM患者中哮喘的发病率是多少?在排除重复文章、分析标题和摘要以及排除不能回答指导性问题的文章后,剩下的 17 篇文章被纳入本综述:结果:所选文章大多符合 Th1/Th2 假说,因为 T1DM 患者的哮喘发病率较低。然而,在少数文章中,病例和对照组的哮喘发病率相似或更高:结论:T1DM 患者的哮喘发病率从 1.7% 到 23.1% 不等。也许Th1/Th2范式的机制并不像某些细胞因子的相互作用那么简单,因为Th1介导的自身免疫性疾病和Th2介导的过敏性疾病可以同时存在。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of asthma in people with type 1 diabetes mellitus: a scoping review.

Background: According to the Th1/Th2 paradigm, the expansion of Th1-type clones in individuals with type 1 diabetes results in reduced Th2-type clones, preventing the development of atopic diseases and vice versa. However, there is no consensus regarding the direct or inverse relationship between autoimmune and atopic diseases.

Objective: The aim of this scoping review was to examine the knowledge gap about the possibility of coexistence of asthma and type 1 diabetes and determine the prevalence of this association.

Methods: A scoping review was conducted, following the proposal of the Joanna Briggs Institute. The Population, Concept, and Context strategy was used to formulate the guiding question. The proposed question was: "What is the prevalence of asthma in people with T1DM?" After excluding duplicate articles, analyzing titles and abstracts, and excluding articles that did not answer the guiding question, 17 articles remained and were included in this review.

Results: Most of the articles selected conformed to the Th1/Th2 hypothesis, as the prevalence of asthma was lower in individuals with T1DM. However, similar or higher prevalence of asthma was found between cases and controls in few articles.

Conclusion: The prevalence of asthma in people with T1DM ranged from 1.7% to 23.1%. Maybe the mechanisms that characterizes the Th1/Th2 paradigm aren't as simple as just the interaction of certain cytokines, since Th1-mediated autoimmune diseases and Th2- mediated atopy can coexist.

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来源期刊
CiteScore
4.30
自引率
3.70%
发文量
96
审稿时长
12 weeks
期刊介绍: Allergy, Asthma & Clinical Immunology (AACI), the official journal of the Canadian Society of Allergy and Clinical Immunology (CSACI), is an open access journal that encompasses all aspects of diagnosis, epidemiology, prevention and treatment of allergic and immunologic disease. By offering a high-visibility forum for new insights and discussions, AACI provides a platform for the dissemination of allergy and clinical immunology research and reviews amongst allergists, pulmonologists, immunologists and other physicians, healthcare workers, medical students and the public worldwide. AACI reports on basic research and clinically applied studies in the following areas and other related topics: asthma and occupational lung disease, rhinoconjunctivitis and rhinosinusitis, drug hypersensitivity, allergic skin diseases, urticaria and angioedema, venom hypersensitivity, anaphylaxis and food allergy, immunotherapy, immune modulators and biologics, immune deficiency and autoimmunity, T cell and B cell functions, regulatory T cells, natural killer cells, mast cell and eosinophil functions, complement abnormalities.
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