EBV, Hemophagocytic Lymphohistiocytoses, Metabonomics
Conditions
Keywords
Hemophagocytic Lymphohistiocytoses, EBV, matabonomics
Brief summary
Hemophagocytic lymphohistiocytosis (HLH) is a rare, poorly recognized and underdiagnosed syndrome of excessive immune activation, which is rapidly fatal. Epstein-Barr virus (EBV) is a common trigger of HLH, particularly in Asian individuals. We aim to analyze metabolomics and cytokine profiles of patients before and after treatment to explore the metabolomic characteristics of EBV-HLH, and search for pathogenic mechanisms and therapeutic targets.
Detailed description
Hemophagocytic lymphohistiocytosis (HLH) is a rare, poorly recognized and underdiagnosed syndrome of excessive immune activation, which is rapidly fatal. Without early intervention, the median survival time is less than 2 months.Epstein-Barr virus (EBV) is a common trigger of HLH, particularly in Asian individuals. We aim to analyze metabolomics and cytokine profiles of patients before and after treatment to explore the metabolomic characteristics of EBV-HLH, and search for pathogenic mechanisms and therapeutic targets.
Interventions
This study is an observational study without any intervention.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who meet HLH-04 diagnostic criteria * EBV-DNA viral load in the peripheral blood \> 500 copies/mL * Informed consent obtained.
Exclusion criteria
* refuse to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in metabonomics pattern between subgroups | 2 months | Compare metabonomics pattern of the survival group with that of the death group, identify potential predictors of outcomes, and establish a survival prediction model in patients with EBV-HLH. Measure metabolite levels. |
| Difference in cytokine pattern between subgroups | 2 months | Compare metabonomics and cytokine pattern of the survival group with that of the death group, identify potential predictors of outcomes, and establish a survival prediction model in patients with EBV-HLH. Measure cytokine levels. |
Countries
China