评估 HMGB1 和 NLRP3 在确定慢性肾功能衰竭血液透析患者疗效和预后中的作用

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-10-01
Xiaomin Huang, Shuixian Wang, Kai Yan, Chang Liu, Qi Zhang, Nan Wu
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引用次数: 0

摘要

背景:在慢性肾功能衰竭(CRF)中,评估治疗效果和预测预后至关重要。高迁移率基团蛋白 B1(HMGB1)和类结节受体蛋白 3(NLRP3)被选为慢性肾衰竭的关键标志物,以阐明它们在治疗反应和预后中的作用,为加强患者护理策略提供潜在的见解:本研究旨在分析 HMGB1 和 NLRP3 对接受血液透析的 CRF 患者的临床影响。我们研究了 HMGB1 和 NLRP3 水平、血液透析治疗效果和一年生存率预后之间的关系:方法:我们进行了一项观察性研究。研究对象包括我院 2020 年 5 月至 2022 年 8 月收治的 62 例 CRF 患者(A 组)和同期接受常规体检的 40 例健康人(B 组)。我们比较了 A 组和 B 组外周血中 HMGB1 和 NLRP3 的水平。此外,我们还评估了 CRF 患者血液透析前后 HMGB1 和 NLRP3 的变化,以评估治疗效果和一年生存率的预后指标:结果:与B组相比,A组的HMGB1表达明显降低,NLRP3表达明显升高。ROC 曲线分析显示,HMGB1 和 NLRP3 预测 CRF 有效血液透析的曲线下面积(AUC)分别为 0.884(95% CI:0.800-0.968)和 0.721(95% CI:0.594-0.848)。HMGB1和NLRP3预测CRF死亡的AUC分别为0.885(95% CI:0.804-0.967)和0.935(95% CI:0.875-0.995):HMGB1和NLRP3水平是评估接受血液透析的CRF患者疗效和预后的重要指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of HMGB1 and NLRP3 in Determining Efficacy and Prognosis in Hemodialysis Patients with Chronic Renal Failure.

Background: In chronic renal failure (CRF), evaluating treatment efficacy and predicting prognosis is crucial. High Mobility Group Protein B1 (HMGB1) and Nod-like Receptor Protein 3 (NLRP3) were chosen as key markers in chronic renal failure to elucidate their roles in treatment response and prognosis, offering potential insights for enhancing patient care strategies.

Objective: This study aims to analyze the clinical impact of HMGB1 and NLRP3 in patients with CRF undergoing hemodialysis. We investigated the relationship between HMGB1 and NLRP3 levels, the efficacy of hemodialysis treatment, and the prognosis for one-year survival.

Methods: An observational study was conducted. The study included 62 CRF patients (Group A) admitted to our hospital from May 2020 to August 2022, and 40 healthy individuals undergoing routine medical check-ups during the same period (Group B). We compared the levels of HMGB1 and NLRP3 in the peripheral blood of Group A and Group B. Furthermore, we assessed changes in HMGB1 and NLRP3 before and after hemodialysis in CRF patients to evaluate treatment efficacy and prognostic indicators for one-year survival.

Results: Group A exhibited significantly lower HMGB1 expression and higher NLRP3 expression compared to Group B. ROC curve analysis demonstrated that the areas under the curve (AUCs) for HMGB1 and NLRP3 in predicting effective hemodialysis for CRF were 0.884 (95% CI: 0.800-0.968) and 0.721 (95% CI: 0.594-0.848), respectively. The AUCs for HMGB1 and NLRP3 in predicting death from CRF were 0.885 (95% CI: 0.804-0.967) and 0.935 (95% CI: 0.875-0.995), respectively.

Conclusions: Both HMGB1 and NLRP3 levels serve as valuable indicators for assessing the efficacy and prognosis of CRF patients undergoing hemodialysis.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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