血清 S100A8/A9 与特发性声门下狭窄患者的无手术时间间隔有关。

IF 2.2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Laryngoscope Pub Date : 2024-11-27 DOI:10.1002/lary.31934
Laura M Mafla, Raymond J So, Ibrahim Abd-Elazem, Samuel L Collins, Yee Chan-Li, Gabriela Lilly, Ioan A Lina, Alexander H Gelbard, Alexander T Hillel, Kevin M Motz
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引用次数: 0

摘要

目的:特发性声门下狭窄(iSGS)是一种渐进性声门下纤维化疾病,多见于北欧裔女性。内窥镜扩张术是治疗 iSGS 的常用手术方法。无手术间隔期或内窥镜扩张手术的间隔时间被认为是疾病严重程度的指标。iSGS 患者的无手术间隔时间存在差异,这凸显了预后生物标志物的必要性。本研究旨在探索血清中损伤相关分子模式 S100A8/A9 的水平,作为 iSGS 的预后生物标志物:方法: 收集 20 名 iSGS 患者和 8 名健康对照者的血清,使用 ELISA 方法量化 S100A8/A9 水平。从病历中获取患者数据,包括人口统计学特征和无手术间隔时间。将血清 S100A8/A9 水平与无手术间隔时间进行比较。还使用基因表达和免疫荧光对 iSGS 标本中的 S100A8/A9 进行了评估:结果:与对照组相比,iSGS 患者血清中的 S100A8/A9 明显升高(p = 0.0413)(312.75 vs. 181.49 ng/mL)。线性回归分析显示,S100A8/A9 水平与内镜手术无间隔期之间存在相关性(p = 0.009)。与无手术间隔时间超过 1 年的患者(292.5.93 ± 162.4;n = 6)相比,无手术间隔时间少于 1 年的患者(455.2 ± 60.45 ng/mL;n = 8)S100A8/A9明显升高(p = 0.0011):结论:S100A8/A9在iSGS患者血清和组织中的含量增加。在这组 iSGS 患者中,血清 S100A8/A9 与无手术间隔相关,可能是一种预后生物标志物。要证实这些发现,还需要在更大的队列中开展进一步研究:3级 《喉镜》,2024年。
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Serum S100A8/A9 Correlates to Surgery-Free Interval in Idiopathic Subglottic Stenosis.

Objective: Idiopathic subglottic stenosis (iSGS) is a progressive fibrotic condition of the subglottis that presents in women of northern European descent. Endoscopic dilation is a common surgical approach to management of iSGS. The surgery-free interval, or the time between endoscopic dilation procedures is considered an indicator of disease severity. Variations in surgery-free intervals among iSGS patients underscore the necessity for prognostic biomarkers. The objective of this study was to explore serum levels of the damage-associated molecular pattern S100A8/A9 as a prognostic biomarker in iSGS.

Methods: Serum from 20 iSGS patients and eight healthy controls was collected and S100A8/A9 levels were quantified using an ELISA. Patient data, including demographics and surgery-free intervals, were obtained from medical records. Serum S100A8/A9 levels were compared to surgery-free intervals. S100A8/A9 was also assessed using gene expression and immunofluorescence in iSGS specimens.

Results: S100A8/A9 was significantly elevated (p = 0.0413) in the serum of iSGS patients compared to controls (312.75 vs. 181.49 ng/mL). Linear regression analysis revealed a correlation (p = 0.009) between S100A8/A9 levels and endoscopic surgery-free interval. S100A8/A9 was significantly elevated (p = 0.0011) in patients with surgery-free intervals less than 1 year (455.2 ± 60.45 ng/mL; n = 8) compared to patients with intervals over 1 year (292.5.93 ± 162.4; n = 6).

Conclusion: S100A8/A9 is increased in the serum and tissue of patients with iSGS. In this cohort of iSGS patients, serum S100A8/A9 was associated with surgery-free intervals, potentially representing a prognostic biomarker. Further research within a larger cohort is needed to confirm these findings.

Level of evidence: Level 3 Laryngoscope, 2024.

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来源期刊
Laryngoscope
Laryngoscope 医学-耳鼻喉科学
CiteScore
6.50
自引率
7.70%
发文量
500
审稿时长
2-4 weeks
期刊介绍: The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects
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