Suppr超能文献

利用重复痰液嗜酸性粒细胞计数鉴定慢性阻塞性肺疾病炎症亚型

Identification of COPD Inflammatory Endotypes Using Repeated Sputum Eosinophil Counts.

作者信息

Beech Augusta, Jackson Natalie, Singh Dave

机构信息

Division of Immunology, Immunity to Infection and Respiratory Medicine, Faculty of Biology, Manchester Academic Health Science Centre, School of Biological Sciences, Medicine and Health, The University of Manchester, Manchester M23 9LT, UK.

Medicines Evaluation Unit, Manchester University NHS Foundation Trust, Manchester M23 9QZ, UK.

出版信息

Biomedicines. 2022 Oct 18;10(10):2611. doi: 10.3390/biomedicines10102611.

Abstract

Higher blood and sputum eosinophil counts are associated with a greater response to corticosteroids in COPD. Low blood eosinophil counts exhibit greater stability over time whereas higher counts demonstrate more variability. Stability of airway eosinophil levels is less well understood. We have studied the stability of sputum eosinophil counts. Differential cell count data for COPD patients (n = 100) were analysed. Subjects with two sputum eosinophil counts, 6 months apart, were included in the analysis. Patients were stratified based on baseline sputum eosinophil count into ‘low’, ‘intermediate’ and ‘high’ groups: eosinophilLOW (<1%), eosinophilINT (1−3%) and eosinophilHIGH (≥3%). Sputum eosinophil counts showed good stability (rho = 0.61, p < 0.0001, ICC of 0.77), with 67.4% of eosinophilLOW patients remaining in the same category on repeat sampling. Bland−Altman analysis of the whole cohort (median difference between measurements = 0.00%, 90th percentile = −1.4 and 4.7%) showed greater variation at higher counts. This was confirmed by the wider 90th centiles in the eosinophilINT (−1.50 to 5.65) and eosinophilHIGH groups (−5.33 to 9.80) compared to the eosinophilLOW group (−0.40 to 1.40). The repeatability of sputum eosinophil counts was related to the baseline eosinophil count; sputum eosinophilLOW COPD patients were relatively stable over time, while the eosinophilHIGH group showed greater variability. These results can facilitate the identification of COPD endotypes with differential responses to treatment.

摘要

慢性阻塞性肺疾病(COPD)患者血液和痰液嗜酸性粒细胞计数越高,对皮质类固醇的反应越大。血液嗜酸性粒细胞计数低的患者随时间推移表现出更大的稳定性,而计数高的患者则表现出更大的变异性。气道嗜酸性粒细胞水平的稳定性尚不太清楚。我们研究了痰液嗜酸性粒细胞计数的稳定性。分析了COPD患者(n = 100)的细胞分类计数数据。分析纳入了间隔6个月有两次痰液嗜酸性粒细胞计数的受试者。根据基线痰液嗜酸性粒细胞计数将患者分为“低”、“中”和“高”组:嗜酸性粒细胞低组(<1%)、嗜酸性粒细胞中组(1−3%)和嗜酸性粒细胞高组(≥3%)。痰液嗜酸性粒细胞计数显示出良好的稳定性(rho = 0.61,p < 0.0001,组内相关系数为0.77),67.4%的嗜酸性粒细胞低组患者在重复采样时仍处于同一类别。对整个队列的Bland−Altman分析(测量值之间的中位数差异 = 0.00%,第90百分位数 = -1.4和4.7%)显示,计数越高变异越大。与嗜酸性粒细胞低组(-0.40至1.40)相比,嗜酸性粒细胞中组(-1.50至5.65)和嗜酸性粒细胞高组(-5.33至9.80)的第90百分位数范围更宽,证实了这一点。痰液嗜酸性粒细胞计数的重复性与基线嗜酸性粒细胞计数有关;痰液嗜酸性粒细胞低的COPD患者随时间相对稳定,而嗜酸性粒细胞高组则表现出更大的变异性。这些结果有助于识别对治疗有不同反应的COPD内型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4f/9599170/243619f47c3e/biomedicines-10-02611-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验