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类风湿关节炎中与红细胞相关的参数:临床价值与免疫学意义

Red Blood Cell-Related Parameters in Rheumatoid Arthritis: Clinical Value and Immunological Significance.

作者信息

Cheng Xueni, Liu Jian, Liu Shengfeng, Fang Dahai, Chen Xiaolu, Ding Xiang, Zhang Xianheng, Chen Yiming, Li Yang

机构信息

Department of Rheumatology, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui Province, People's Republic of China.

Anhui Key Laboratory of Application and Development of Internal Medicine of Modern Chinese Medicine, Anhui University of Chinese Medicine, Hefei, Anhui Province, People's Republic of China.

出版信息

J Inflamm Res. 2024 Dec 8;17:10641-10650. doi: 10.2147/JIR.S479059. eCollection 2024.

Abstract

Rheumatoid arthritis (RA) is characterized by chronic inflammation and autoimmunity. Moreover, the disease activity, co-morbidities, and prognosis of RA are closely associated with changes in red blood cell (RBC)-related parameters. The role of these parameters in RA has therefore been extensively studied. Accordingly, this article summarizes and analyzes the close relationship of RBC-related parameters such as RBC count, hemoglobin, and RBC distribution width with disease activity, co-morbidities, and prognosis in RA by reviewing the available literature. In addition, given the immunomodulatory functions of RBCs, their surface proteins, contents, and microparticles are involved in the immunomodulatory process during RA. Overall, this review aims to assess the important clinical value and immunological significance of RBCs and their related parameters in the monitoring and management of RA, thus providing a reference for the clinical diagnosis and treatment of RA and the direction for the research on RBC-related immunity.

摘要

类风湿关节炎(RA)的特点是慢性炎症和自身免疫。此外,RA的疾病活动度、合并症和预后与红细胞(RBC)相关参数的变化密切相关。因此,这些参数在RA中的作用已得到广泛研究。据此,本文通过回顾现有文献,总结并分析了RBC计数、血红蛋白和红细胞分布宽度等RBC相关参数与RA的疾病活动度、合并症和预后之间的密切关系。此外,鉴于RBC的免疫调节功能,其表面蛋白、内容物和微粒参与了RA期间的免疫调节过程。总体而言,本综述旨在评估RBC及其相关参数在RA监测和管理中的重要临床价值和免疫学意义,从而为RA的临床诊断和治疗提供参考,并为RBC相关免疫的研究指明方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e19/11638476/3e5b3177906d/JIR-17-10641-g0001.jpg

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