Serum heme oxygenase-1 as a prognostic biomarker in patients with acute exacerbation of interstitial lung disease

被引:3
作者
Tagami, Yoichi [1 ]
Hara, Yu [1 ]
Murohashi, Kota [1 ]
Nagasawa, Ryo [1 ]
Fujii, Hiroaki [1 ]
Izawa, Ami [1 ]
Yabe, Aya [1 ]
Saigusa, Yusuke [2 ]
Kobayashi, Miyu [2 ]
Shiida, Masafumi [3 ]
Hirata, Momo [1 ]
Otsu, Yukiko [1 ]
Watanabe, Keisuke [1 ]
Horita, Nobuyuki [1 ]
Kobayashi, Nobuaki [1 ]
Kaneko, Takeshi [1 ]
机构
[1] Yokohama City Univ, Grad Sch Med, Dept Pulmonol, 3-9 Fukuura,Kanazawa Ku, Yokohama, Kanagawa 2360004, Japan
[2] Yokohama City Univ, Grad Sch Med, Dept Biostat, Yokohama, Japan
[3] Minaris Med Co, Res & Dev Div, 600-1 Minami Ishiki, Nagaizumi, Shizuoka 4110932, Japan
关键词
IDIOPATHIC PULMONARY-FIBROSIS; SUPEROXIDE-DISMUTASE; DIAGNOSTIC UTILITY; OXIDATIVE STRESS; TGF-BETA; HEMEOXYGENASE-1; EXPRESSION; PNEUMONIA; CATALASE;
D O I
10.1038/s41598-023-49342-4
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Serum heme oxygenase (HO)-1 level has been reported as a clinically reliable diagnostic biomarker for acute exacerbation of interstitial lung disease (ILD); however, its utility for predicting mortality among these patients is unclear. Serum HO-1 levels of patients newly diagnosed with acute exacerbation of ILD were measured at the time of initiating steroid pulse therapy. The relationship between serum HO-1 and various other serum biomarkers, change in HRCT findings, and disease prognosis at 12 weeks after diagnosis of acute exacerbation was evaluated in 51 patients, of whom 17 (33%) had idiopathic pulmonary fibrosis (IPF). Serum HO-1 was higher in patients with acute exacerbation of IPF than in patients with acute exacerbation of other ILDs. Serum HO-1 levels were higher in patients who died within these 12 weeks than in survivors. Among age, sex, comorbidities, IPF diagnosis, HRCT findings, and blood biomarkers, serum HO-1 was a primary predictor of 12-week mortality. In 41 patients who underwent repeat HRCT, serum HO-1 was higher in patients with honeycomb progression than in those without. Serum HO-1 measurement could be useful for evaluating disease mortality and morbidity of patients with acute exacerbation of ILDs.
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页数:9
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