Neurology:中风预后因素——年龄?不,是生物龄!

2017-07-24 zhangfan MedSci原创

研究认为,DNA甲基化生物龄,而非实际年龄,是缺血性卒中预后的独立预测因子

近日研究人员考察了年龄相关的胞嘧啶-磷酸鸟-嘌呤(CpG)位点DNA甲基化变化(生物龄[b-age])对缺血性卒中患者3个月预后的影响。

研究在西班牙进行,招募了511名首次急性缺血性中风患者。考察指标为人口学和临床资料,包括实际年龄(c-age)、血管危险因素、中风严重程度、血管再通治疗、基线和3个月改良Rankin评分(p-mRS和3-mRS)。生物龄依据71个CpGs位点DNA甲基化水平进行计算。

对3个月后中风预后结果进行评估后,生物龄相比于实际年龄,与3个月预后的相关性更显著(OR,1.04 [95% CI 1.01-1.07])。逐步回归分析显示,生物龄、基线美国国立卫生研究院卒中评分、性别、临床磁共振影响以及血管再通治疗是预后结果的重要影响变量,独立队列验证了上述结果。

研究认为,DNA甲基化生物龄,而非实际年龄,是缺血性卒中预后的独立预测因子。

原始出处:


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    2018-02-25 yinhl1978
  2. [GetPortalCommentsPageByObjectIdResponse(id=2000045, encodeId=55b1200004562, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sun Feb 25 04:37:00 CST 2018, time=2018-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=227742, encodeId=20c822e7428b, content=生物龄,进一步学习了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/C3426ED027FF661B0C576A5B3127C2E8/40, createdBy=39dc1706090, createdName=QQ25ed180f, createdTime=Sat Jul 29 17:35:35 CST 2017, time=2017-07-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1479280, encodeId=441814e928050, content=<a href='/topic/show?id=8c141001e8c6' target=_blank style='color:#2F92EE;'>#预后因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100178, encryptionId=8c141001e8c6, topicName=预后因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49d37510120, createdName=ms2536978994064944, createdTime=Wed Jul 26 00:37:00 CST 2017, time=2017-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226079, encodeId=041c2260e9a1, content=想知道自己的生物龄…, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4cd1660740, createdName=dachengl, createdTime=Tue Jul 25 07:45:02 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=226031, encodeId=7afd22603117, content=厉害,涨姿势了, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCclExeQ6LOGMD4dTsia4Ty4HtZCxRmG5vO5XIKfKX3a3vusfhHSej4Iib517vmhFW7RQgh7bpDp1yw/0, createdBy=50951609779, createdName=baihao215, createdTime=Tue Jul 25 06:58:12 CST 2017, time=2017-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=225737, encodeId=fcd5225e375a, content=很好,学习了,谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/12/17/3872cad7a53dc9dcbd08202fb6313cf4.jpg, createdBy=2cb71609450, createdName=KO229256262, createdTime=Mon Jul 24 10:11:27 CST 2017, time=2017-07-24, status=1, ipAttribution=)]
    2017-07-29 QQ25ed180f

    生物龄,进一步学习了~

    0

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    2017-07-25 dachengl

    想知道自己的生物龄…

    0

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    2017-07-25 baihao215

    厉害,涨姿势了

    0

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    2017-07-24 KO229256262

    很好,学习了,谢谢分享

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