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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (04): 407-410. doi: 10.3877/cma.j.issn.1674-3946.2022.04.016

• Original Article • Previous Articles     Next Articles

Predictive value of group 1 innate lymphocytes in immunosuppression of enterogenic sepsis

Xiaofei Shen1, Song Liu1, Xingzhou Wang1, Ke Cao2, Yonghuan Mao1, Daming Cai1, Xuefeng Xia1, Yang Zhao3, Xiaofeng Lu1,(), Junfeng Du4,(), Wenxian Guan1,()   

  1. 1. Department of Gastrointestinal Surgery,Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing Jiangsu Province 210008,China
    2. Department of Intensive Care Unit,Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing Jiangsu Province 210008,China
    3. Chinese Academy of Sciences,State Key Laboratory of Membrane Biology,Institute of Zoology,Beijing 100101,China
    4. Department of General Surgery,The 7th Medical Center of PLA General Hospital,Beijing 100700,China
  • Received:2021-12-29 Online:2022-07-14 Published:2022-07-18
  • Contact: Xiaofeng Lu, Junfeng Du, Wenxian Guan
  • Supported by:
    National Natural Science Foundation of China(81970500, 81870393, 81802846, 82002082); Natural Science Foundation of Jiangsu Province(BK20180116)

Abstract:

Objective

To investigate the predictive value of group 1 innate lymphocyte(ILC1)in the occurrence of immunosuppression in intestinal sepsis.

Methods

The clinical data of 20 patients with intestinal sepsis caused by colon perforation from August 2020 to August 2021 were prospectively analyzed and peripheral blood were dropped within 24 hours of admission. Two groups were set according to whether patients were accompanied by immunosuppression(10 cases in the group without immunosuppression vs. 10 cases in the group with immunosuppression). SPSS 22.0 was used for statistical analysis. Continuous variable data such as age,BMI,lymphocytes Counts and various types of intrinsic lymphocyte ratios are expressed by(

xˉ
±s),Independent sample t test was used for comparison between groups. Non-normally distributed data were compared by mann-Whitney U test,Chi-square test and Fisher test. P<0.05 is considered statistically significant.

Results

The two groups of patients were comparable in terms of average age,gender composition and BMI,and the difference was not statistically significant. The lymphocyte count of patients with intestinal sepsis accompanied by immunosuppression was significantly lower than that of patients without immunosuppression[(1.6±0.4)vs.(0.6±0.3),P<0.01)]. The proportion of ILC1 innate lymphoid cells among all innate lymphoid cells was significantly up-regulated in the peripheral blood of patients with intestinal sepsis accompanied by immunosuppression[(27.3±6.3)vs.(45.4±6.7),P<0.0001]. By constructing ROC curve,it is found that ILC1 had good sensitivity(90.9%)and specificity(81.8%)for predicting the occurrence of intestinal sepsis immunosuppression when the proportion of all inherent lymphocytes was>32.5%.

Conclusion

The proportion of group 1 innate lymphocytes in all lymphocytes can better predict the occurrence of immunosuppression in intestinal sepsis,has predictive value.

Key words: Innate lymphoid cell, Intraabdominal infection, Mass spectrometry, Sepsis

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