目的系统评价中医药治疗复发性流产及调节外周血辅助性T细胞(T helper cell 17,Th17)和调节性T细胞(regulatory T cells,Treg)水平的疗效。方法计算机检索中国知网(CNKI)、万方数据库(Wanfang)、维普数据库(VIP)、中国生物医学文献数据...目的系统评价中医药治疗复发性流产及调节外周血辅助性T细胞(T helper cell 17,Th17)和调节性T细胞(regulatory T cells,Treg)水平的疗效。方法计算机检索中国知网(CNKI)、万方数据库(Wanfang)、维普数据库(VIP)、中国生物医学文献数据库(SinoMed)、外文医学信息资源检索平台(FMRS)、PubMed、Cochrane Library、Embase、Web of science等数据库,筛选自建库至2023年6月公开发表的与中医药调控Th17、Treg细胞治疗复发性流产相关的随机对照试验(RCT)。由2名评价者按照Cochrane手册评价文献质量,应用RevMan 5.4软件进行Meta分析。结果纳入10项研究,共计1052例患者。Meta分析结果显示,相较于对照组,试验组患者孕后应用中药治疗可显著提高有效率[RR=1.20,95%CI(1.11,1.30),P<0.00001]和活产率[RR=1.32,95%CI(1.16,1.50),P<0.00001],减少药物不良反应[RR=0.34,95%CI(0.14,0.83),P=0.02]。中药治疗后,Th17细胞表达降低[MD=-0.71,95%CI(-1.01,-0.41),P<0.00001],Treg细胞表达升高[SMD=1.21,95%CI(0.80,1.62),P<0.00001],Th17/Treg细胞比值下降[SMD=-2.62,95%CI(-4.09,-1.14),P=0.0005]。结论中医药孕后或孕前、孕后同时治疗可明显改善复发性流产患者的临床症状,提高活产率,且安全性较高。同时,中医药可降低Th17细胞表达,上调Treg细胞表达,调节Th17/Treg细胞免疫平衡,有利于妊娠后胚胎发育。展开更多
BACKGROUND Regulatory T cells(Tregs)and natural killer(NK)cells play an essential role in the development of bladder urothelial carcinoma(BUC).AIM To construct a prognosis-related model to judge the prognosis of patie...BACKGROUND Regulatory T cells(Tregs)and natural killer(NK)cells play an essential role in the development of bladder urothelial carcinoma(BUC).AIM To construct a prognosis-related model to judge the prognosis of patients with bladder cancer,meanwhile,predict the sensitivity of patients to chemotherapy and immunotherapy.METHODS Bladder cancer information data was obtained from The Cancer Genome Atlas and GSE32894.The CIBERSORT was used to calculate the immune score of each sample.Weighted gene co-expression network analysis was used to find genes that will have the same or similar expression patterns.Subsequently,multivariate cox regression and lasso regression was used to further screen prognosis-related genes.The prrophetic package was used to predict phenotype from gene expression data,drug sensitivity of external cell line and predict clinical data.RESULTS The stage and risk scores are independent prognostic factors in patients with BUC.Mutations in FGFR3 lead to an increase in Tregs percolation and affect the prognosis of the tumor,and additionally,EMP1,TCHH and CNTNAP3B in the model are mainly positively correlated with the expression of immune checkpoints,while CMTM8,SORT1 and IQSEC1 are negatively correlated with immune checkpoints and the high-risk group had higher sensitivity to chemotherapy drugs.CONCLUSION Prognosis-related models of bladder tumor patients,based on Treg and NK cell percolation in tumor tissue.In addition to judging the prognosis of patients with bladder cancer,it can also predict the sensitivity of patients to chemotherapy and immunotherapy.At the same time,patients were divided into high and low risk groups based on this model,and differences in genetic mutations were found between the high and low risk groups.展开更多
文摘目的系统评价中医药治疗复发性流产及调节外周血辅助性T细胞(T helper cell 17,Th17)和调节性T细胞(regulatory T cells,Treg)水平的疗效。方法计算机检索中国知网(CNKI)、万方数据库(Wanfang)、维普数据库(VIP)、中国生物医学文献数据库(SinoMed)、外文医学信息资源检索平台(FMRS)、PubMed、Cochrane Library、Embase、Web of science等数据库,筛选自建库至2023年6月公开发表的与中医药调控Th17、Treg细胞治疗复发性流产相关的随机对照试验(RCT)。由2名评价者按照Cochrane手册评价文献质量,应用RevMan 5.4软件进行Meta分析。结果纳入10项研究,共计1052例患者。Meta分析结果显示,相较于对照组,试验组患者孕后应用中药治疗可显著提高有效率[RR=1.20,95%CI(1.11,1.30),P<0.00001]和活产率[RR=1.32,95%CI(1.16,1.50),P<0.00001],减少药物不良反应[RR=0.34,95%CI(0.14,0.83),P=0.02]。中药治疗后,Th17细胞表达降低[MD=-0.71,95%CI(-1.01,-0.41),P<0.00001],Treg细胞表达升高[SMD=1.21,95%CI(0.80,1.62),P<0.00001],Th17/Treg细胞比值下降[SMD=-2.62,95%CI(-4.09,-1.14),P=0.0005]。结论中医药孕后或孕前、孕后同时治疗可明显改善复发性流产患者的临床症状,提高活产率,且安全性较高。同时,中医药可降低Th17细胞表达,上调Treg细胞表达,调节Th17/Treg细胞免疫平衡,有利于妊娠后胚胎发育。
文摘BACKGROUND Regulatory T cells(Tregs)and natural killer(NK)cells play an essential role in the development of bladder urothelial carcinoma(BUC).AIM To construct a prognosis-related model to judge the prognosis of patients with bladder cancer,meanwhile,predict the sensitivity of patients to chemotherapy and immunotherapy.METHODS Bladder cancer information data was obtained from The Cancer Genome Atlas and GSE32894.The CIBERSORT was used to calculate the immune score of each sample.Weighted gene co-expression network analysis was used to find genes that will have the same or similar expression patterns.Subsequently,multivariate cox regression and lasso regression was used to further screen prognosis-related genes.The prrophetic package was used to predict phenotype from gene expression data,drug sensitivity of external cell line and predict clinical data.RESULTS The stage and risk scores are independent prognostic factors in patients with BUC.Mutations in FGFR3 lead to an increase in Tregs percolation and affect the prognosis of the tumor,and additionally,EMP1,TCHH and CNTNAP3B in the model are mainly positively correlated with the expression of immune checkpoints,while CMTM8,SORT1 and IQSEC1 are negatively correlated with immune checkpoints and the high-risk group had higher sensitivity to chemotherapy drugs.CONCLUSION Prognosis-related models of bladder tumor patients,based on Treg and NK cell percolation in tumor tissue.In addition to judging the prognosis of patients with bladder cancer,it can also predict the sensitivity of patients to chemotherapy and immunotherapy.At the same time,patients were divided into high and low risk groups based on this model,and differences in genetic mutations were found between the high and low risk groups.