Study on the Correlation between the Level Expression of Serum CCL25 and sTLT-1 in Patients with Acute Massive Hemorrhage and the Occurrence of Transfusion Related Acute Lung Injury
10.3969/j.issn.1671-7414.2024.04.023
- VernacularTitle:急性大出血患者血清CCL25和sTLT-1水平表达与输血相关性急性肺损伤发生的相关性研究
- Author:
Yulong ZENG
1
;
Lingling CHEN
;
Xiang CHEN
Author Information
1. 巴中市中心医院输血科,四川巴中 636000
- Keywords:
acute massive hemorrhage;
serum CC motif chemokine ligand 25;
soluble trem-like transcript-1;
transfusion-related acute lung injury
- From:
Journal of Modern Laboratory Medicine
2024;39(4):126-130
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlation between the level expression of serum CC motif chemokine ligand 25(CCL25)and soluble trem-like transcript-1(sTLT-1)in patients with acute massive hemorrhage and the occurrence of transfusion-related acute lung injury(TRALI).Methods A total of 126 patients with acute massive bleeding admitted to Bazhong Central Hospital from August 2021 to July 2023 were selected as the study subjects.The Murray lung injury score was used to determine whether the patients had TRALI during the blood transfusion process.Patients with TRALI were assigned to the study group(n=32),while those without TRALI were assigned to the control group(n=94).The general clinical and pathological data of patients in the two groups were compared.Enzyme-linked immunosorbent assay(ELISA)was applied to detect the levels of serum CCL25 and sTLT-1 of patients in two groups before and after 6 hours of blood transfusion.Spearman method was applied to analyze the correlation between serum CCL25,sTLT-1,and Murray lung injury score.The predictive value of CCL25 and sTLT-1 for TRALI in patients with acute massive hemorrhage was analyzed using the receiver operating characteristic(ROC)curve.Results The levels of serum CCL25(15.33±2.06 ng/ml)and sTLT-1(580.19±55.62 pg/ml)in the study group after 6 hours of blood transfusion were higher than before blood transfusion(12.86±1.24 ng/ml,486.33±49.25 pg/ml)and control group(12.57±1.35 ng/ml,474.47±55.42 pg/ml),and the differences were statistically significant(t=5.811,8.477;5.634,8.339,all P＜0.05).There was no statistically significant difference between the CCL25(12.85±2.18ng/ml)and sTLT-1(489.63±52.18 pg/ml)expression levels in the control group patients after 6 hours of blood transfusion and before transfusion(t=1.059,1.931,all P＞0.05).The levels of serum CCL25 and sTLT-1 after 6 hours of transfusion in the study group were positively correlated with Murray lung injury score(r=0.735,0.625,all P＜0.05).The AUCs of serum CCL25 and sTLT-1 for predicting the occurrence of TRALI in patients with acute massive hemorrhage were 0.810 and 0.877,respectively,with cutoff values of 14.609 ng/ml and 512.583 pg/ml.The AUC of combined prediction of CCL25 and sTLT-1 was 0.949,indicating a higher predictive value for TRALI in patients with acute massive hemorrhage(Z=0.139,0.072,all P＜0.05).Conclusion The expression levels of CCL25 and sTLT-1 in the serum of patients with acute massive hemorrhage complicating TRALI were increased,and there was a correlation between the two and Murray lung injury score.The combined diagnosis of serum CCL25 and sTLT-1 has predictive value for the occurrence of TRALI in patients with acute massive hemorrhage.
