■慢性阻塞性肺疾病(COPD)是一种以中性粒细胞气道浸润为特征的慢性炎性疾病。目前已知白细胞介素-17(IL-17)是一种重要的促炎因子。它可以促进中性粒细胞的积累,参与COPD的慢性炎症过程。然而,IL-17水平在COPD诊断和评估中的价值仍存在争议.鉴于此,我们进行了系统综述和荟萃分析以评估其相关性.
■我们搜索了PubMed、WebofScience,Cochrane图书馆和Embase提取原创性研究。
■本荟萃分析共纳入10项研究,共2268名参与者。结果显示,稳定期COPD患者血清IL-17水平明显高于健康对照组(标准均数差异SMD,1.59,95%CI0.84-2.34;p<0.001)。与稳定期COPD组相比,急性加重期(AECOPD)患者血清IL-17水平明显升高(SMD,1.78,95%CI1.22-2.33;p<0.001)。COPD患者痰液中IL-17水平也高于健康对照组(SMD,2.03,95%CI0.74-3.31;p<0.001)。
■我们的结果表明,与健康对照组相比,COPD患者的血清和痰中IL-17水平升高,IL-17水平随疾病进展而升高。IL-17作为一种潜在的生物标志物,表明中性粒细胞炎症和COPD恶化的持续存在。
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory disease characterized by neutrophils airway infiltration. It is currently known that Interleukin-17 (IL-17) is an important pro-inflammatory factor. It can promote the accumulation of neutrophils and participate in the chronic inflammatory process of COPD. However, the value of IL-17 levels in the diagnosis and assessment of COPD remains controversial. In view of this, we conducted a systematic review and meta-analysis to assess its relevance.
We searched databases such as PubMed, Web of Science, Cochrane Library and Embase to extract original research.
A total of 10 studies with 2268 participants were included in this meta-analysis. The results showed that the level of serum IL-17 in patients with stable COPD was significantly higher than that in healthy controls (standard mean difference SMD, 1.59, 95% CI 0.84-2.34; p<0.001). Compared with the stable COPD group, the serum IL-17 level in acute exacerbation (AECOPD) was significantly higher (SMD, 1.78, 95% CI 1.22-2.33; p<0.001). The level of IL-17 in sputum of COPD patients was also higher than that of healthy controls (SMD, 2.03, 95% CI 0.74-3.31; p<0.001).
Our results showed that IL-17 levels were elevated in serum and sputum in COPD patients compared with healthy controls, and IL-17 levels increased with disease progression. IL-17 serves as a potential biomarker to indicate the persistence of neutrophilic inflammation and exacerbation of COPD.