α2,6-sialic Acid on the Platelet Membrane Surface is a Novel Biomarker and Therapeutic Target in Children with Primary Immune Thrombocytopenia.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-01
Jingxin Gong, Zhaoyang Liu, Wenjuan Wang, Cuimin Zhu, Chen Li
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Abstract

Objective: To analyze the expression of platelet membrane glycoprotein sialylation in primary immune thrombocytopenia and provide a reference for clinical diagnosis and treatment of the disease.

Methods: 100 children with primary immune thrombocytopenia diagnosed and treated in the Children's Hospital of Yunhe District Central Hospital of Cangzhou City, Hebei Province from January 2020 to June 2022 were included in the study group. All children were treated with dexamethasone (DXMS) shock therapy; Another 20 healthy children who underwent routine physical examination at the same time were selected and included in the control group. The study measured the platelet membrane surface in plasma using flow cytometry in two groups: the comparative study group and the control group. The study measured the positive rates of α 2,3-sialic acid (α 2, 3-sa) and α 2,6-sialic acid (α 2, 6-sa) in both groups. The study also measured the positive rates of α 2,3-sialic acid (α 2, 3-sa) and α 2,6-sialic acid (α 2, 6-sa) before and after treatment in the comparative study group. At the same time, an enzyme-linked immunosorbent assay was used to determine the content of sialic acid and sialidase activity and content in the serum. The detection values of α2, 3-SA, and α2, 6-SA expression of children in the study group and the control group were compared, and the detection values of α2, 3-SA, and α2, 6-SA expression of children in the study group before and after treatment were compared.

Results: There was no significant difference in the positive rate of α 2, 3-sa between the study group and the control group (t=0.852, P > .05); Study Group: The positive rate of α 2,6-sa was significantly lower than that of the control group (P < .05). In the study group, there was no significant difference in the positive rate of α 2,3-sa before and after treatment (P > .05). However, after treatment, the positive rate of α 2,6-sa was significantly higher than before (P < .05). The study found that the children in the study group had significantly higher levels of serum sialic acid content, sialidase activity, and content than those in the control group (P < .05). After treatment, the children in the study group showed a decrease in serum sialic acid content, sialidase activity, and content, which was statistically significant (P < .05) compared to before treatment.

Conclusion: The sialylation of platelet membrane glycoprotein is abnormally expressed in primary immune thrombocytopenia. The sialylation of platelet membrane glycoprotein may be involved in the occurrence and development of the disease. It is of great practical significance to diagnose and evaluate the therapeutic effect of the disease by detecting the sialylation of platelet membrane glycoprotein.

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血小板膜表面的α2,6-硫辛酸是原发性免疫性血小板减少症儿童的新型生物标记物和治疗靶点
目的方法:选取2020年1月-2022年6月在河北省沧州市云和区中心医院儿童医院诊治的100例原发性免疫性血小板减少症患儿为研究对象。所有患儿均接受地塞米松(DXMS)冲击治疗;另选取20名同时接受常规体检的健康儿童作为对照组。研究采用流式细胞术测量了两组血浆中血小板膜表面的情况:对比研究组和对照组。研究测量了两组中α 2,3-sialic acid(α 2,3-sa)和α 2,6-sialic acid(α 2,6-sa)的阳性率。研究还测量了对比研究组治疗前后α 2,3-sialic酸(α 2,3-sa)和α 2,6-sialic酸(α 2,6-sa)的阳性率。同时,采用酶联免疫吸附试验测定血清中的硅氨酸含量和硅氨酸酶活性及含量。比较研究组和对照组患儿α2、3-SA和α2、6-SA的检出值,并比较研究组患儿治疗前后α2、3-SA和α2、6-SA的检出值:研究组与对照组α2,3-SA阳性率差异无学意义(t=0.852,P>0.05);研究组α2,3-SA阳性率与对照组差异无学意义(t=0.852,P>0.05):研究组:α 2,6-sa 的阳性率明显低于对照组(P < .05)。在研究组中,α 2,3-sa 的阳性率在治疗前后无明显差异(P > .05)。但治疗后,α 2,6-sa 的阳性率明显高于治疗前(P < .05)。研究发现,研究组患儿的血清中唾液酸含量、唾液酸酶活性和含量均明显高于对照组患儿(P < .05)。治疗后,研究组儿童的血清中ialic酸含量、sialidase活性和含量均有所下降,与治疗前相比,差异有统计学意义(P < .05):结论:原发性免疫性血小板减少症患者血小板膜糖蛋白的糖基化表达异常。结论:血小板膜糖蛋白的糖基化在原发性免疫性血小板减少症中表达异常,血小板膜糖蛋白的糖基化可能与该病的发生和发展有关。通过检测血小板膜糖蛋白的糖苷酰化对该病的诊断和疗效评估具有重要的现实意义。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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