MATK在慢性低灌注伴白质高信号患者中的表达及相关性研究。

IF 4.5 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Frontiers in Aging Neuroscience Pub Date : 2025-08-26 eCollection Date: 2025-01-01 DOI:10.3389/fnagi.2025.1570482
Ming Zhao, Jiayue Zhang, Qianqian Yang, Lei Chen, Hongjian Shen, Yingyan Pu, Wei Wei, Yi Han, Ping Zhang
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引用次数: 0

摘要

背景:慢性脑灌注不足(CCH)是血管性认知障碍(VCI)的重要诱因。CCH患者在MRI上经常表现为白质高信号(WMH)。本研究探讨巨核细胞相关酪氨酸激酶(MATK)在CCH合并WMH患者中的表达及其临床意义。方法:我们招募42例CCH和WMH前循环狭窄患者(CCH-WMH组)和45例年龄匹配的健康对照。采用qPCR方法定量外周血单个核细胞(PBMCs)中MATK mRNA的表达。采用Fazekas量表对WMH严重程度进行分级。采用Pearson相关和logistic回归分析MATK表达与影像学/临床参数的相关性。通过ROC分析评估诊断表现。结果:CCH-WMH组巨核细胞相关酪氨酸激酶表达明显下调(1.20±0.99∶1.84±0.87;P < 0.01)。MATK水平与Fazekas评分呈显著负相关(R2 = 0.3405, P < 0.001)。多因素回归发现MATK与WMH独立相关(aOR = 0.492; 95% CI: 0.262-0.923; P = 0.027)。ROC分析显示WMH的诊断准确度中等(AUC = 0.743; 95% CI: 0.637-0.849)。结论:外周MATK表达降低与CCH患者WMH严重程度相关,可能是一种潜在的诊断生物标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The expression and association of MATK in chronic hypoperfusion patients with white matter hyperintensity.

The expression and association of MATK in chronic hypoperfusion patients with white matter hyperintensity.

The expression and association of MATK in chronic hypoperfusion patients with white matter hyperintensity.

The expression and association of MATK in chronic hypoperfusion patients with white matter hyperintensity.

Background: Chronic cerebral hypoperfusion (CCH) is a key contributor to vascular cognitive impairment (VCI). Patients with CCH frequently exhibit white matter hyperintensities (WMH) on MRI. This study investigated the expression and clinical relevance of megakaryocyte-associated tyrosine kinase (MATK) in CCH patients with WMH.

Methods: We recruited 42 anterior circulation stenosis patients with CCH and WMH (CCH-WMH group) and 45 age-matched healthy controls. MATK mRNA expression in peripheral blood mononuclear cells (PBMCs) was quantified using qPCR. WMH severity was graded using the Fazekas scale. Correlations between MATK expression and imaging/clinical parameters were analyzed using Pearson's correlation and logistic regression. Diagnostic performance was assessed via ROC analysis.

Results: Megakaryocyte-associated tyrosine kinase expression was significantly downregulated in the CCH-WMH group versus controls (1.20 ± 0.99 vs. 1.84 ± 0.87; P < 0.01). MATK levels showed a strong negative correlation with Fazekas scores (R2 = 0.3405, P < 0.001). Multivariate regression identified MATK as independently associated with WMH (aOR = 0.492; 95% CI: 0.262-0.923; P = 0.027). ROC analysis demonstrated moderate diagnostic accuracy for WMH (AUC = 0.743; 95% CI: 0.637-0.849).

Conclusion: Reduced peripheral MATK expression correlates with WMH severity in CCH patients and may serve as a potential diagnostic biomarker.

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来源期刊
Frontiers in Aging Neuroscience
Frontiers in Aging Neuroscience GERIATRICS & GERONTOLOGY-NEUROSCIENCES
CiteScore
6.30
自引率
8.30%
发文量
1426
期刊介绍: Frontiers in Aging Neuroscience is a leading journal in its field, publishing rigorously peer-reviewed research that advances our understanding of the mechanisms of Central Nervous System aging and age-related neural diseases. Specialty Chief Editor Thomas Wisniewski at the New York University School of Medicine is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
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