血清单核细胞趋化蛋白1水平与血管炎相关性的meta分析

洪静; 朱晴; 蔡昕添; 刘莎莎; 吴婷; 王国亮; 李南方

doi:10.16766/j.cnki.issn.1674-4152.003223

血清单核细胞趋化蛋白1水平与血管炎相关性的meta分析

doi: 10.16766/j.cnki.issn.1674-4152.003223

洪静¹,
朱晴^{1, 2},
蔡昕添^{1, 2},
刘莎莎¹,
吴婷¹,
王国亮¹,
李南方^1, ,

1.
新疆维吾尔自治区人民医院高血压中心新疆高血压研究所国家卫生健康委高血压诊疗研究重点实验室，新疆乌鲁木齐 830001
2.
新疆医科大学研究生学院，新疆乌鲁木齐 830011

基金项目:

新疆维吾尔自治区自然科学基金资助项目 2019D01C153

新疆维吾尔自治区自然科学基金资助项目 2021D01C205

详细信息

通讯作者:
李南方，E-mail: 1nanfang2016@sina.com

中图分类号: R543
计量
- 文章访问数: 184
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- 被引次数: 0
出版历程
- 收稿日期: 2022-12-15
- 网络出版日期: 2023-11-23

Association of serum MCP-1 levels with vasculitis: A meta-analysis

HONG Jing¹,
ZHU Qing^{1, 2},
CAI Xintian^{1, 2},
LIU Shasha¹,
WU Ting¹,
WANG Guoliang¹,
LI Nanfang^{1
, ,}

1.
Hypertension Center of People ' s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Hypertension Institute, National Health Committee Key Laboratory of Hypertension Clinical Research, Urumqi, Xinjiang 830001, China

摘要

摘要: 目的单核细胞趋化蛋白1(monocyte chemotactic protein 1, MCP-1)是一种促炎趋化因子，参与血管炎的发病过程。本文系统评价血清MCP-1与血管炎的相关性，为评估MCP-1对血管炎诊断的临床价值提供依据。方法本研究利用Web of Science、PubMed、万方和CNKI数据库(截至2020年7月1日)对关于MCP-1与血管炎的相关研究进行检索。由2名研究人员根据纳入、排除标准筛查文献，提取有效数据；然后采用Review Manager(5.4.0版)软件和Stata 12.0统计学软件进行数据分析。结果最终纳入13项血清MCP-1和血管炎的研究(共1 034例患者)。血管炎组MCP-1水平高于健康对照组(SMD=1.23，95% CI：0.48~1.98，P=0.001)。血管炎亚组分析表明，小血管炎患者血清MCP-1水平显著高于健康对照组，而大血管炎和白塞病患者与健康人群血清MCP-1之间的差异无统计学意义。结论 Meta分析表明，血管炎尤其是小血管炎患者血清MCP-1水平明显高于健康对照人群, 提示该指标对血管炎诊断有一定的临床价值。
- 单核细胞趋化蛋白-1 /
- 血管炎 /
- Meta分析
Abstract: Objective Monocyte chemotactic protein 1 (MCP-1) is a proinflammatory chemokine that is involved in the pathogenesis of vasculitis. The purpose of this meta-analysis is to determine the relationship between serum MCP-1 levels with vasculitis. Methods Articles were identified by searching Web of Science, PubMed, Wanfang, and CNKI databases (up to July 1, 2020). Two independent evaluators screened literature according to inclusion and exclusion criteria, extracted relevant data, and then used Review Manager software (version 5.4.0) and Stata 12.0 software for meta-analysis. Results A total of 13 original articles of vasculitis (1 034 participants) were finally included. The vasculitis group had a higher level of MCP-1 than healthy control (SMD=1.23, 95% CI: 0.48-1.98, P=0.001). Subgroup analysis based on the classification of vasculitis indicated that the serum MCP-1 levels in small vessel vasculitis patients were significantly higher compared to healthy controls, but not in large vessel vasculitis and Behcet ' s disease patients. Conclusion Meta-analysis shows that serum MCP-1 level is significantly higher in patients with vasculitis, especially small vessel vasculitis, than in healthy controls. It suggests that this index has some clinical value for the diagnosis of vasculitis.
- Monocyte chemotactic protein 1 /
- Vasculitis /
- Meta-analysis

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图 1 血管炎组和健康对照组中MCP-1水平比较的森林图

Figure 1. Forest map comparing MCP1 levels in the vasculitis group and healthy controls

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图 2 血管炎中MCP-1水平的亚组分析

Figure 2. Subgroup analysis of MCP-1 levels in vasculitis

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图 3 血管炎患者与健康对照组血清MCP-1水平差异的漏斗图

Figure 3. Funnel plots depicting the difference in serum MCP-1 levels between vasculitis patients and healthy control group

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图 4 敏感性结果分析

Figure 4. Sensitivity analysis of the results

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表 1 纳入文献的基本信息

Table 1. Basic information on the literature included

第一作者	出版时间	国家	疾病	组别(例)		年龄(岁)		性别(男性/女性，例)
第一作者	出版时间	国家	疾病	血管炎	健康对照	血管炎	健康对照	血管炎	健康对照
张铭明^[10]	2020	China	AAV	84	60	67.64±12.23	46.86±13.23	33/51	19/41
MIRIOGLU S^[11]	2020	Turkey	AAV	14	20	61.00±6.25	28.00±2.88	7/7	5/15
LIU S S^[5]	2018	China	SV	43	43	38.88±9.89	41.44±13.57	25/18	18/25
SUZUKI K^[12]	2014	Japan	AAV	60	31	67.07±12.21	69.19±15.01	9/51	15/16
孙伟娜^[17]	2013	China	SV	45	40	18~75	20~70	21/24	16/24
ANTONELLI A^[15]	2013	Italy	CV	52	52	62.00±9.00	62.00±9.00	15/37	15/37
ANTONELLI A^[16]	2009	Italy	CV	70	70	60.00±11.00	60.00±11.00	13/57	13/57
CID M C^[8]	2006	Spain	GCA	56	18	-	-	16/40	matched
DHAWAN V^[18]	2006	India	TA	21	21	26.00±12.00	28.00±10.00	5/16	7/14
OZER H T^[13]	2005	Turkey	BD	21	27	38.95±1.60	37.00±6.60	11/10	14/13
KABURAKI T^[14]	2003	Japan	BD	55	19	40.60±10.60	40.50±12.60	48/7	16/3
WALLACE G R^[19]	2003	England	RV	50	20	-	-	-	-
ELLINGSEN T^[9]	2000	Denmark	GCA	33	12	71.40±7.75	43.00±6.50	8/25	6/6
注: AAV为抗中性粒细胞质抗体相关性血管炎; BD为白塞病；CV为冷球蛋白血症性血管炎；GCA为巨细胞动脉炎; GPA为肉芽肿性多血管炎；MPA为显微镜下多血管炎；TA为大动脉炎；RV为视网膜血管炎；SV为系统性血管炎；“-”为未提供。

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表 2 纳入研究的质量评价和单核细胞趋化因子1水平

Table 2. Quality assessment of included studies and levels of monocyte chemokine 1

第一作者	血管炎组(x±s，pg/mL)	健康对照组(x±s，pg/mL)	诊断标准	检测方法	NOS(分)
张铭明^[10]	293.37±47.50	161.05±24.68	CHCC	ELISA	8
MIRIOGLU S^[11]	219.50±107.37	61.25±16.17	2012CHCC	ELISA	7
LIU S S^[5]	195.89±140.07	62.48±39.09	ACR/CHCC	ELISA	8
SUZUKI K^[12]	176.86±18.62	105.64±51.60	ACR	multiplex assay	7
孙伟娜^[17]	82.40±31.70	22.60±12.50	ACR	FCM	7
ANTONELLI A^[15]	572.00±397.00	392.00±161.00	Symptoms+lab tests	ELISA	7
ANTONELLI A^[16]	541.00±493.00	387.00±173.00	Symptoms+lab tests	ELISA	7
CID M C^[8]	137.00±11.00	206.00±53.00	ACR	ELISA	6
DHAWAN V^[18]	402.90±253.30	304.80±74.30	Ishikawa's criteria	ELISA	7
OZER H T^[13]	1 156.55±205.84	999.55±111.77	Symptoms+lab tests	ELISA	6
KABURAKI T^[14]	132.40±12.30	87.50±12.20	Symptoms+lab tests	ELISA	6
WALLACE G R^[19]	99.00±37.00	103.00±40.00	Symptoms+lab tests	ELISA	6
ELLINGSEN T^[9]	391.00±174.00	158.00±31.75	Symptoms and biopsy	ELISA	7
注: CHCC为教堂山会议；ACR为美国风湿病学会；FCM为流式细胞术；NOS为纽卡斯尔-渥太华质量评估量表。

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