抗磷脂抗体与COVID-19:临床意义的系统综述

IF 3.1 4区 医学 Q3 IMMUNOLOGY
Tahereh Sabaghian, Amir Behnam Kharazmi, Fatemeh Omidi, Bahareh Hajikhani, Shabnam Tehrani, Sayna Mardani, Amir Hashem Shahidi Bonjar, Rosella Centis, Lia D'Ambrosio, Giovanni Sotgiu, Angeli Fabio, Mohammad Javad Nasiri, Giovanni Battista Migliori
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引用次数: 0

摘要

随着COVID-19大流行的过渡,了解这种疾病的复杂动态变得至关重要。本系统综述探讨了抗磷脂抗体在COVID-19中的作用,重点是其潜在的临床意义。方法:本系统综述遵循PRISMA指南,对探索抗磷脂抗体与COVID-19之间联系的研究进行评估。检索PubMed/Medline、Embase和Scopus,检索截止到2024年12月22日发表的相关研究。纳入标准包括涉及诊断为COVID-19的患者并报告存在抗磷脂抗体的研究。个体研究的偏倚风险使用乔安娜布里格斯研究所的评估工具进行评估。结果:我们的研究包括59条记录,共涉及28,489例COVID-19患者。对14498例新冠肺炎患者进行抗磷脂抗体检测。50.84%的患者抗磷脂抗体阳性。各种类型的抗磷脂抗体,包括抗心磷脂、抗β 2糖蛋白和狼疮抗凝抗体,在血栓患者中显示出患病率。血栓患者抗磷脂抗体的总频率为38.55%。结论:在很大比例的COVID-19患者中存在抗磷脂抗体,这强调了对其在血栓形成事件中的作用进行详细调查的必要性。我们的研究强调了有针对性干预的潜在途径。然而,COVID-19不断变化的性质需要继续开展研究工作,以阐明血栓和免疫学这一复杂环境中的临床意义并优化管理策略。该综述揭示了一些局限性,例如研究设计和人口统计学的可变性以及纳入研究的方法的内在差异。未来的研究应该用标准化的方法来解决这些局限性,以获得更结论性的发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Antiphospholipid Antibodies and COVID-19: A Systematic Review of Clinical Implications

Antiphospholipid Antibodies and COVID-19: A Systematic Review of Clinical Implications

Introduction

As the COVID-19 pandemic transitions, understanding the intricate dynamics of the disease becomes paramount. This systematic review explores the role of antiphospholipid antibodies in COVID-19, focusing on their potential clinical implications.

Methods

This systematic review, following PRISMA guidelines, assesses studies exploring the link between antiphospholipid antibodies and COVID-19. PubMed/Medline, Embase, and Scopus were searched for relevant studies published up to December 22, 2024. Inclusion criteria comprised studies involving patients diagnosed with COVID-19 and reporting on the presence of antiphospholipid antibodies. The risk of bias in individual studies was evaluated using the Joanna Briggs Institute appraisal tool.

Results

Our Study includes 59 records involving a total of 28,489 COVID-19 patients. Antiphospholipid antibodies were tested in 14,498 COVID-19 patients. It was observed that 50.84% of patients tested positive for antiphospholipid antibodies. Various types of antiphospholipid antibodies, including Anticardiolipin, Anti beta2 glycoproteins, and Lupus anticoagulant antibody, displayed prevalence rates in the patients with thrombosis. The overall frequency of antiphospholipid antibodies in thrombosis patients was 38.55%.

Conclusion

The presence of antiphospholipid antibodies in a significant proportion of COVID-19 patients underscores the need for a detailed investigation into their role in thrombotic events. Our study highlights potential avenues for targeted interventions. However, the evolving nature of COVID-19 necessitates continued research efforts to clarify clinical implications and optimize management strategies in this complex landscape of thrombosis and immunology. The review reveals some limitations, such as variability in study designs and demographics and inherent differences in methodologies among included studies. Future studies should address these limitations with standardized methodologies for more conclusive findings.

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来源期刊
Immunity, Inflammation and Disease
Immunity, Inflammation and Disease Medicine-Immunology and Allergy
CiteScore
3.60
自引率
0.00%
发文量
146
审稿时长
8 weeks
期刊介绍: Immunity, Inflammation and Disease is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research across the broad field of immunology. Immunity, Inflammation and Disease gives rapid consideration to papers in all areas of clinical and basic research. The journal is indexed in Medline and the Science Citation Index Expanded (part of Web of Science), among others. It welcomes original work that enhances the understanding of immunology in areas including: • cellular and molecular immunology • clinical immunology • allergy • immunochemistry • immunogenetics • immune signalling • immune development • imaging • mathematical modelling • autoimmunity • transplantation immunology • cancer immunology
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