首页|外周血NK细胞与原发免疫性血小板减少症相关性的Meta分析

外周血NK细胞与原发免疫性血小板减少症相关性的Meta分析

Meta-analysis of the Correlation Between Peripheral Blood NK Cells and Primary Immune Thrombocytopenia

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目的 系统评价外周血自然杀伤(NK)细胞与原发免疫性血小板减少症(ITP)的相关性.方法 全面检索PubMed、Springer Link、OVID、中国期刊全文数据库(CNKI)、维普中文科技期刊全文数据库(VIP)、中国生物医学文献服务系统(Sino Med)、万方医药期刊数据库(WAN FANG)等,查找关于NK细胞与ITP相关的研究,利用ReviewManager 5.3软件对纳入的研究进行Meta分析.结果 最终纳入7项病例对照研究,共有514例研究对象,其中ITP组302例,对照组212例.Meta分析结果显示外周血NK细胞水平与ITP之间有显著的相关性(MD=-5.58,95%CI:-8.00~-3.15,P<0.000 01);亚群分析结果显示外周血NK细胞水平与新诊断ITP存在明显相关性(MD=-4.89,95%CI:-9.39~0.39,P=0.03).结论 外周血NK细胞水平与ITP之间有显著的相关性,靶向异常的NK细胞可能对ITP的发生、发展具有影响,为其治疗方案提供了理论基础.
Objective To systematically evaluate the correlation between peripheral blood natural killer(NK)cells and primary immune thrombocytopenia(ITP).Methods Pub Med,Springer Link,OVID,China national knowledge infrastructure(CNKI),VIP Chinese Sci-tech Periodicals(VIP),China Biomedical Literature Service System(Sino Med),Wanfang Medical Periodicals(WAN FANG)were searched comprehensively to find the studies on the relationship between NK cells and ITP.Meta-analysis was performed on the included studies using Review Manager 5.3 software.Results Finally,7 case-control studies were included,with a total of 514 subjects,including 302 in the ITP group and 212 in the control group.The results of Meta-analysis showed that there was a significant correlation between peripheral blood NK cell level and ITP(MD=-5.58,95%CI:-8.00 to-3.15,P<0.000 01).The results of subgroup analysis showed that the level of NK cells in peripheral blood was significantly correlated with the newly diagnosed ITP(MD=-4.89,95%CI:-9.39 to-0.39,P=0.03).Conclusion There is a significant correlation between peripheral blood NK cell level and ITP.Targeted abnormal NK cells may have an impact on the occurrence and development of ITP,which provides a theoretical basis for its treatment plan.

NK cellPrimary immune thrombocytopenialmmune tolerance

李晓靖、周永明、李洋、朱文伟

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上海中医药大学附属岳阳中西医结合医院血液科,上海 200437

NK细胞 原发免疫性血小板减少症 免疫耐受

国家自然科学基金面上项目上海市临床重点专科建设项目周永明全国名老中医药专家传承工作室项目上海中医药大学名老中医药专家学术经验研究工作室建设项目

81973798shslczdzk05201国中医药人教函[2022]75号SZYMZYGZS4018

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(1)
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