首页|多发性骨髓瘤患者血清细胞因子和T细胞免疫功能水平与Mayo分层及预后的相关性

多发性骨髓瘤患者血清细胞因子和T细胞免疫功能水平与Mayo分层及预后的相关性

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目的 探讨多发性骨髓瘤患者血清细胞因子和T细胞免疫功能水平与Mayo分层及预后的相关性。方法 80例多发性骨髓瘤患者按Mayo分层分为高危组(18例)、中危组(38例)、标危组(24例)。比较各组患者血清细胞因子白细胞介素(IL)-6、IL-8、肿瘤坏死因子-α(TNF-α)、血管内皮生长因子(VEGF),以及T细胞免疫功能指标CD3+、CD4+、CD84、NK细胞水平。采用Pearson相关性分析探讨各指标与Mayo分层及预后的相关性。结果 不同Mayo分层患者血清IL-6、IL-8、TNF-α、VEGF、CD3+、CD4+、CD8+、CD4+/CD8+水平比较,差异均有显著性(P<0。05);多发性骨髓瘤患者血清细胞因子IL-6、IL-8、TNF-α、VEGF与Mayo分层均呈正相关(P<0。05);多发性骨髓瘤患者细胞免疫功能水平CD3+、CD4+、CD8+、CD4+/CD8+与预后均呈负相关(P<0。05)。结论 动态监测血清相关细胞因子及免疫功能有助于评价病情及预后。
lhe correlation between serum cytokine and T cell immune function levels and Mayo stratifi-cation in patients with multiple myeloma
Aim To investigate the correlation between serum cytokine and T cell immune function levels and Mayo stratifi-cation and prognosis in patients with multiple myeloma.Methods 80 patients with multiple myeloma were divided into high-risk group(18 cases),medium risk group(38 cases),and standard risk group(24 cases)according to Mayo stratification.The levels of serum interleukin-6(IL-6),IL-8,tumor necrosis factor-α(TNF-α),vascular endothelial growth factor(VEGF),CD3+,CD4+,CD8+,and NK cells in each group of patients were compared.Pearson correlation analysis was used to explore the correlation be-tween IL-6,IL-8,TNF-α,VEGF,NLR,CD3+,CD4+,CD8+,NK,CD4+/CD8+levels and Mayo stratification and prognosis.Results The results showed that there were significant differences(P<0.05)in the levels of serum IL-6,IL-8,TNF-α,VEGF,CD3+,CD4+,CD8+,and CD4+/CD8+among patients with different Mayo stratification;IL-6,IL-8,TNF-α,and VEGF in patients with multiple myeloma were positively correlated with Mayo stratification(P<0.05);The serum cytokines of CD3+,CD4+,CD8+,CD4+/CD8+in pa-tients with multiple myeloma were negatively correlated with prognosis(P<0.05).Conclusion Mayo stratification can predict prog-nosis,and dynamic monitoring of serum related cytokines and immune function can help evaluation of the condition and prognosis.

multiple myelomacytokineT cell immune functionMayo stratificationprognosis

李书芹、杨志勇、吴忆帆、陆静忠

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上海健康医学院附属崇明医院血液科,上海 202150

上海健康医学院附属崇明医院肿瘤科,上海 202150

多发性骨髓瘤 细胞因子 T细胞免疫功能 Mayo分层 预后

上海市崇明区科学技术委员会可持续发展科技创新行动计划

CKY2020-37

2024

中南医学科学杂志
南华大学

中南医学科学杂志

CSTPCD
影响因子:0.757
ISSN:2095-1116
年,卷(期):2024.52(5)