1. 血清 CCL17、CXCR4 与重度子痫前期患者 Th17 细胞的相关性分析 及对母婴结局的影响.
- Author
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孙白云, 蒋 瑶, 张 荣, 贾素红, and 凌 莉
- Subjects
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CXCR4 receptors , *T helper cells , *BLOOD cells , *BLOOD serum analysis , *UNIVERSITY hospitals - Abstract
To investigate the correlation analysis of serum C-C chemokine ligand 17 (CCL17), CXC chemokine receptor 4 (CXCR4) and helper T cell (Th) 17 in patients with severe pre-eclampsia (SPE) and their effects on maternal and infant outcomes. 169 patients with SPE (SPE group) and 77 healthy pregnant women (control group) who were admitted to the Obstetrics and Gynecology Department of the Second Affiliated Hospital of Soochow University from March 2018 to March 2021 were selected. The serum CCL 17 and CXCR4 levels as well as peripheral blood Th17 cell and their cytokines were detected, and the maternal and infant outcomes were analyzed. The relationship between serum CCL 17 and CXCR4 levels and peripheral blood Th17 cell and their cytokines were analyzed by Pearson, and multivariate Logistic regression was used to analyze the related factors of poor maternal and infant outcomes of SPE. The serum CCL17 and CXCR4 levels in the SPE group were lower than those in the control group (P<0.05), and the proportion of peripheral blood Th17 cell and the serum interleukin (IL) -17 level were higher than those in the control group(P<0.05). Serum CCL17 and CXCR4 levels were negatively correlated with the proportion of peripheral blood Th17 cell and serum IL-17 level (P<0.05). There were 53 cases with poor maternal and infant outcomes, and 116 cases with good maternal and infant outcomes. The CCL 17 and CXCR4 levels in the poor maternal and infant outcome group were lower than those in the good maternal and infant outcome group(P<0.05). High proportion of Th17 cell, old age, low CCL17 and CXCR4 level were risk factors for adverse maternal and infant outcomes in patients with SPE (P<0.05). The serum CCL17 and CXCR4 levels in patients with SPE are decreased, which are associated with increased proportion of peripheral blood Th17 cell, increased serum IL-17 level, and adverse maternal and infant outcomes. Low levels of CCL17 and CXCR4 are risk factors for adverse maternal and infant outcomes in patients with SPE. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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