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慢性乙型肝炎患者血清基质金属蛋白酶-2及其组织抑制因子的变化及临床意义 被引量:2

Change of serum MMP-2 and TIMP-2 levels in patients with chronic hepatitis B and its significance
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摘要 目的:观察血清基质金属蛋白酶-2(MMP-2)及其组织抑制因子(TIMP-2)与慢性乙型肝炎患者肝纤维化程度的相关性.方法:用ELISA方法检测60例慢性乙型肝炎患者的血清MMP-2和TIMP-2的含量,并与20例健康人员作对比,分析二者与患者肝纤维化程度之间的关系.结果:慢性乙型肝炎重度患者血清MMP-2和TIMP-2的水平分别较对照组、慢性乙型肝炎轻、中度升高(P<0.05);而慢性乙型肝炎轻、中度患者的MMP-2和TIMP-2水平与对照组比较无统计学差异(P>0.05).慢性乙型肝炎轻、中度患者的MMP-2,TIMP-2比较无统计学差异(P>0.05).血清MMP-2,TIMP-2水平分别与肝纤维化程度有相关,二者的相关系数r值分别为0.851,0.623,P值均<0.01.结论:患者血清中MMP-2,TIMP-2水平随慢性乙型肝炎病情的加重而升高,并与肝纤维化程度有相关. AIM: To investigate the relationship of the levels of serum matrix metalloproteinase-2 (MMP-2) and tissue inhibitor of metalloproteinase-2 (TIMP-2) with hepatic fibrosis degree in patients with chronic hepatitis B. METHODS: Serum levels of MMP-2 and TIMP-2 were measured by ELISA in 60 patients with chronic hepatitis C and 20 healthy controls. RESULTS: The serum MMP-2 and TIMP-2 levels were significantly increased in severe chronic hepatitis B, but not in mild and moderate chronic hepatitis B. There was no significant difference in the serum MMP-2 and TIMP-2 levels between the patients with mild and moderate chronic hepatitis. The levels of serum MMP-2 and TIMP-2 showed a positive correlation with the degree of hepatic fibrosis (r = 0.851,0. 623, P 〈 0.01 ). CONCLUSION: Serum MMP-2 and TIMP-2 levels are significantly increased in chronic hepatitis B and have a good correlation with hepatic fibrosis.
出处 《第四军医大学学报》 北大核心 2007年第20期1865-1867,共3页 Journal of the Fourth Military Medical University
关键词 明胶酶A 金属蛋白酶-2组织抑制剂 肝炎 乙型 慢性 gelatinase A tissue inhibitor of metalloproteinase-2 (TIMP-2) hepatitis B, chronic
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