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中性粒细胞CD64检测

背景介绍

  CD64是免疫球蛋白G(IgG)的Fc受体之一,属于免疫球蛋白超家族的成员。一般出现在炎症早期,中性粒细胞在刺激因子作用4-6小时表达增高,22小时达到高峰,即24小时内敏感性、特异性高。它们是连接体液免疫和细胞免疫的纽带,在细胞吞噬,清除免疫复合物,抗原递呈和释放炎症介质中起到关键作用。

临床意义

1 · 诊断细菌感染性疾病

  PMN CD64在诊断脓毒血症和全身感染敏感性可达90%以上,特异性为90%~100%,且CD64的升高水平与感染严重程度密切相关。

2 · 诊断自身免疫性疾病活动期和并发感染

  PMN CD64和CRP在类风湿性关节炎并发感染时均显著升高。

3 · 用于鉴别外科手术后是否并发感染的指标

  PMN CD64在术后出现急性感染时,数小时之内可急剧增高。感染患者抗生素疗效检测。

  PMN CD64在抗生素有效治疗中会持续减低,也可作为静脉注射转为口服给药的有用标志。

注:如病人接受干扰素或GM-CSF治疗时,其中性粒细胞CD64表达会因非感染原因而显著增高。

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应用举例

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参考文献

[1] Shimizu T, Tsuji S , Kikuchi-Taura A , et al. 316 The level of cd64 expression on monocyte correlates with the activity of lupus nephritis[C]// Lupus & Aca. 2017.

[2] Nancy H J ,Sulochana D . Neutrophil CD64,TLR2 and TLR4 expression increases but phagocytic potential decreases during tuberculosis[J].Tuberculosis, 2018:S1472979218300702-.

[3]Garc i a-Salido, Alberto, Serrano-Gonz d lez, Ana, Casado-Flores J , et al. CD64 on monocytes and granulocytes in severe acute bronchiolitis: Pilot study on its usefulness as a bacterial infection biomarker[J].Journal of Leukocyte Biology, 2018.

[4]Groselj-Grenc M,Derganc M,Kopitar AN , et al.Neutrophil CD64 index in cerebrospinalfluid as a marker of bacterial ventriculitis in children with external ventricular drainage[J].BMC Pediatrics,2019,19(1).

[5]Farah R, lbrahim R ,Nassar M , et al. Neutrophil lymphocyte ratio better addition to CRP than CD64 index as marker for infection in COPD[J]. Panminerva Medica, 2017,59(3).