Circulating Blood B and T Lymphocytes and Severity of Acute Pancreatitis: A Systematic Review Protocol
DOI:
https://doi.org/10.20344/amp.20087Keywords:
B-Lymphocytes, Pancreatitis, Systematic Review, T-LymphocytesAbstract
Introduction: Acute pancreatitis is an acute inflammatory process of the pancreas with a high prevalence rate and varying degrees of severity that can be potentially life threatening. Much is still unknown about which mechanisms determine the course and severity of acute pancreatitis. The primary objective of this review is to identify the potential association between circulating B and T lymphocytes and the severity of acute pancreatitis. Subgroup analyses will be done according to the severity classification of the Revised Atlanta Classification System as well as according to the distinction between B lymphocytes and T lymphocytes and the severity of acute pancreatitis.
Methods: A systematic search will be performed in Medline, Web of Science, EMBASE, Cochrane Central Register of Controlled trials and ClinicalTrials.gov. Three authors will independently do the selection process as well as data extraction that will be recorded into a flow diagram following the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). The pathophysiology of acute pancreatitis is still not fully understood
and its evolution is sometimes unpredictable. In this context, through this systematic review, the research team intends to determine what has been described about the role of serum lymphocytes in determining the severity of acute pancreatitis, by identifying a potential indicator of the severity of this acute disease.
Downloads
References
Mederos MA, Reber HA, Girgis MD. Acute pancreatitis: a review. JAMA. 2021;325:382-90. DOI: https://doi.org/10.1001/jama.2020.20317
Del Vecchio Blanco G, Gesuale C, Varanese M, Monteleone G, Paoluzi OA. Idiopathic acute pancreatitis: a review on etiology and diagnostic work-up. Clin J Gastroenterol. 2019;12:511-24. DOI: https://doi.org/10.1007/s12328-019-00987-7
Szatmary P, Grammatikopoulos T, Cai W, Huang W, Mukherjee R, Halloran C, et al. Acute pancreatitis: diagnosis and treatment. Drugs. 2022;82:1251-76. DOI: https://doi.org/10.1007/s40265-022-01766-4
Lee PJ, Papachristou GI. New insights into acute pancreatitis. Nat Rev Gastroenterol Hepatol. 2019;16:479-96. DOI: https://doi.org/10.1038/s41575-019-0158-2
Barreto SG, Habtezion A, Gukovskaya A, Lugea A, Jeon C, Yadav D, et al. Critical thresholds: key to unlocking the door to the prevention and specific treatments for acute pancreatitis. Gut. 2021;70:194-203. DOI: https://doi.org/10.1136/gutjnl-2020-322163
Gukovskaya AS, Gukovsky I, Algül H, Habtezion A. Autophagy, inflammation, and in the pathogenesis of pancreatitis. Gastroenterology. 2017;153:1212-26. DOI: https://doi.org/10.1053/j.gastro.2017.08.071
Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, et al. Classification of acute pancreatitis - 2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013;62:102-11. DOI: https://doi.org/10.1136/gutjnl-2012-302779
Walkowska J, Zielinska N, Tubbs RS, Podgórski M, Dłubek-Ruxer J, Olewnik Ł. Diagnosis and treatment of acute pancreatitis. Diagnostics. 2022;12:1974. DOI: https://doi.org/10.3390/diagnostics12081974
Wu BU, Batech M, Quezada M, Lew D, Fujikawa K, Kung J, et al. Dynamic measurement of disease activity in acute pancreatitis: the pancreatitis activity scoring system. Am J Gastroenterol. 2017;112:1144-52. DOI: https://doi.org/10.1038/ajg.2017.114
Peng Y, Zhu X, Hou C, Shi C, Huang D, Lu Z, et al. Development an inflammation-related factor-based model for predicting organ failure in acute pancreatitis: a retrospective cohort study. Mediators Inflamm. 2021;2021:4906768. DOI: https://doi.org/10.1155/2021/4906768
Zhao Z, Shen J, Zhang D, Shen J. The prognostic role of peripheral lymphocyte subsets in patients with acute pancreatitis. Am J Med Sci. 2019;357:242-6. DOI: https://doi.org/10.1016/j.amjms.2018.12.008
Bedel C, Korkut M, Selvi F. New markers in predicting the severity of acute pancreatitis in the emergency department: Immature granulocyte count and percentage. J Postgrad Med. 2021;67:7-11. DOI: https://doi.org/10.4103/jpgm.JPGM_784_20
Deng LH, Hu C, Cai WH, Chen WW, Zhang XX, Shi N, et al. Plasma cytokines can help to identify the development of severe acute pancreatitis on admission. Medicine. 2017;96:e7312. DOI: https://doi.org/10.1097/MD.0000000000007312
Wei X, Yao W, Li H, Qian J, Xie Y, Zhang Z, et al. B and NK cells closely correlate with the condition of patients with acute pancreatitis. Gastroenterol Res Pract. 2019;2019:7568410. DOI: https://doi.org/10.1155/2019/7568410
Qiu L, Zhou Y, Yu Q, Yu J, Li Q, Sun R. Decreased levels of regulatory B cells in patients with acute pancreatitis: association with the severity of the disease. Oncotarget. 2018;9:36067-82 DOI: https://doi.org/10.18632/oncotarget.23911
Cao X, Wang HM, Lu R, Zhang XH, Qu YL, Wang L, et al. Establishment and verification of a nomogram for predicting severe acute pancreatitis. Eur Rev Med Pharmacol Sci. 2021;25:1455-61.
Huang L, Chen C, Yang L, Wan R, Hu G. Neutrophil-to-lymphocyte ratio can specifically predict the severity of hypertriglyceridemia-induced acute pancreatitis compared with white blood cell. J Clin Lab Anal. 2019;33:e22839. DOI: https://doi.org/10.1002/jcla.22839
Jeon TJ, Park JY. Clinical significance of the neutrophil-lymphocyte ratio as an early predictive marker for adverse outcomes in patients with acute pancreatitis. World J Gastroenterol. 2017;23:3883-9. DOI: https://doi.org/10.3748/wjg.v23.i21.3883
Buter A, Imrie CW, Carter CR, Evans S, McKay CJ. Dynamic nature of early organ dysfunction determines outcome in acute pancreatitis. Br J Surg. 2002;89:298-302. DOI: https://doi.org/10.1046/j.0007-1323.2001.02025.x
van den Berg FF, de Bruijn AC, van Santvoort HC, Issa Y, Boermeester MA. Early laboratory biomarkers for severity in acute pancreatitis; a systematic review and meta-analysis. Pancreatology. 2020;20:1302-11. DOI: https://doi.org/10.1016/j.pan.2020.09.007
Gao W, Yang HX, Ma CE. The value of BISAP score for predicting mortality and severity in acute pancreatitis: a systematic review and meta-analysis. PLoS One. 2015;10:e0130412. DOI: https://doi.org/10.1371/journal.pone.0130412
Basit H, Ruan GJ, Mukherjee S. Ranson criteria. 2023.
Balthazar EJ, Robinson DL, Megibow AJ, Ranson JH. Acute pancreatitis: value of CT in establishing prognosis. Radiology. 1990;174:331-6. DOI: https://doi.org/10.1148/radiology.174.2.2296641
Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and metaanalysis protocols (prisma-p) 2015: elaboration and explanation. BMJ. 2015;349:g7647. DOI: https://doi.org/10.1136/bmj.g7647
Bhatia M, Fei LW, Cao Y, Lau HY, Huang J, Puneet P, et al. Pathophysiology of acute pancreatitis. Pancreatology. 2005;5:132-44. DOI: https://doi.org/10.1159/000085265
Zhang XP, Chen HQ, Liu F, Zhang J. Advances in researches on the immune dysregulation and therapy of severe acute pancreatitis. J Zhejiang Univ Sci B. 2009;10:493-8. DOI: https://doi.org/10.1631/jzus.B0820265
Zhou Q, Tao X, Xia S, Guo F, Pan C, Xiang H, et al. T lymphocytes: a promising immunotherapeutic target for pancreatitis and pancreatic cancer? Front Oncol. 2020;10:382. DOI: https://doi.org/10.3389/fonc.2020.00382
Pietruczuk M, Dabrowska MI, Wereszczynska-Siemiatkowska U, Dabrowski A. Alteration of peripheral blood lymphocyte subsets in acute pancreatitis. World J Gastroenterol. 2006;12:5344-51. DOI: https://doi.org/10.3748/wjg.v12.i33.5344
Guo J, Li Z, Tang D, Zhang J. Th17/Treg imbalance in patients with severe acute pancreatitis: attenuated by high-volume hemofiltration treatment. Medicine. 2020;99:e21491. DOI: https://doi.org/10.1097/MD.0000000000021491
Wang M, Jiang Z, Liang H. Glucocorticoids in acute pancreatitis: a propensity score matching analysis. BMC Gastroenterol. 2021;21:331. DOI: https://doi.org/10.1186/s12876-021-01907-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Acta Médica Portuguesa

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.
It is the author’s responsibility to obtain approval for the reproduction of figures, tables, etc. from other publications.
Upon acceptance of an article for publication, the authors will be asked to complete the ICMJE “Copyright Liability and Copyright Sharing Statement “(http://www.actamedicaportuguesa.com/info/AMP-NormasPublicacao.pdf) and the “Declaration of Potential Conflicts of Interest” (http:// www.icmje.org/conflicts-of-interest). An e-mail will be sent to the corresponding author to acknowledge receipt of the manuscript.
After publication, the authors are authorised to make their articles available in repositories of their institutions of origin, as long as they always mention where they were published and according to the Creative Commons license.



