检验医学 ›› 2013, Vol. 28 ›› Issue (9): 809-810.DOI: 10.3969/j.issn.1673-8640.2013.09.018

• 临床应用研究.论著 • 上一篇    下一篇

血清MMP-13及TGF-β1检测在慢性肝病中的临床价值

范永熙1,万芙荣2   

  1. 1.高密市人民医院检验科,山东 高密 261500;
    2.山东省千佛山医院检验科,山东 济南 250001
  • 收稿日期:2013-04-09 修回日期:2013-09-25 出版日期:2013-09-15 发布日期:2013-09-25
  • 作者简介:范永熙,男,1962年生,学士,副主任技师,主要从事免疫、生化检验工作。

Clinical significance of the determinations of serum MMP-13 and TGF-β1 in chronic liver disease

FAN Yongxi1,WAN Furong2   

  1. 1.Department of Clinical Laboratory, the People′s Hospital of Gaomi, Shandong Gaomi 261500, China;
    2.Department of Clinical Laboratory, Qianfoshan Hospital, Shandong Jinan 250001, China
  • Received:2013-04-09 Revised:2013-09-25 Online:2013-09-15 Published:2013-09-25

摘要:

目的 探讨各类慢性肝病患者血清基质金属蛋白酶-13(MMP-13)及转化生长因子-β1(TGF-β1)水平的变化及其临床价值。方法 采用双抗体夹心酶联免疫吸附试验(ELISA)分别检测50例慢性肝炎患者、50例肝硬化患者、60例肝癌患者及50名健康体检者(正常对照组)血清MMP-13和TGF-β1水平。结果 慢性肝炎组、肝硬化组、肝癌组及正常对照组MMP-13水平分别为287.05±29.80、328.04±62.03、329.02±70.04、(279.03±32.80)ng/L;TGF-β1水平分别为0.99±0.11、0.96±0.12、2.22±1.08、(0.65±0.09)μg/L;慢性肝炎组、肝硬化组、肝癌组血清MMP-13及TGF-β1水平均高于正常对照组。肝癌组及肝硬化组血清MMP-13水平明显高于慢性肝炎组(P<0.01)。肝癌组血清TGF-β1水平明显高于肝硬化组和慢性肝炎组(P<0.01);而慢性肝炎组、肝硬化组和正常对照组之间差异无统计学意义(P>0.05)。结论 慢性肝病发展过程中MMP-13及TGF-β1有过度表达,动态分析其水平对慢性肝病的辅助诊断和病情监测有一定意义。

关键词: 基质金属蛋白酶-13, 转化生长因子-β1, 慢性肝炎, 肝硬化, 肝癌

Abstract:

Objective To determine the matrix metalloproteinase-13(MMP-13) and transform growth factor beta 1 (TGF-β1) in patients with chronic liver disease, and to analyze the correlation and clinical significance. Methods A total of 50 chronic hepatitis patients, 50 cirrhosis patients, 60 liver carcinoma patients and 50 healthy subjects (healthy control group) were enrolled and determined for MMP-13 and TGF-β1 by enzyme-linked immunosorbent assay (ELISA). Results The MMP-13 in the chronic hepatitis patients, cirrhosis patients, liver carcinoma patients and healthy controls were 287.05±29.80, 328.04±62.03, 329.02±70.04 and (279.03±32.80) ng/L. The TGF-β1 in the chronic hepatitis patients, cirrhosis patients, liver carcinoma patients and healthy controls were 0.99±0.11, 0.96±0.12, 2.22±1.08 and (0.65±0.09) μg/L. The expressions of MMP-13 and TGF-β1 in patients with chronic hepatitis, cirrhosis and liver carcinoma were higher than those in healthy controls. The serum MMP-13 in cirrhosis and liver carcinoma patients were much higher than those in chronic hepatitis patients (P<0.01). The TGF-β1 in liver carcinoma patients was higher than those in cirrhosis and chronic hepatitis patients (P<0.01). In comparison to healthy controls, the TGF-β1 in the cirrhosis and chronic hepatitis patients had no statistical significance (P>0.05). Conclusions In the development of chronic liver diseases, the MMP-13 and TGF-β1 express excessively. The dynamic analysis of their levels may be helpful to the diagnosis and monitoring of chronic disease.

Key words: Matrix metalloproteinase-13, Transform growth factor beta 1, Chronic hepatitis, Cirrhosis, Liver carcinoma

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