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Long noncoding RNAs HAND2-AS1 ultrasound microbubbles suppress hepatocellular carcinoma progression by regulating the miR-873-5p/tissue inhibitor of matrix metalloproteinase-2 axis
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作者 Qiang Zou Hao-Wen Wang +2 位作者 Xi-Liang Di Yuan Li Hui Gao 《World Journal of Gastrointestinal Oncology》 SCIE 2024年第4期1547-1563,共17页
BACKGROUND Increasing data indicated that long noncoding RNAs(lncRNAs)were directly or indirectly involved in the occurrence and development of tumors,including hepatocellular carcinoma(HCC).Recent studies had found t... BACKGROUND Increasing data indicated that long noncoding RNAs(lncRNAs)were directly or indirectly involved in the occurrence and development of tumors,including hepatocellular carcinoma(HCC).Recent studies had found that the expression of lncRNA HAND2-AS1 was downregulated in HCC tissues,but its role in HCC progression is unclear.Ultrasound targeted microbubble destruction mediated gene transfection is a new method to overexpress genes.AIM To study the role of ultrasound microbubbles(UTMBs)mediated HAND2-AS1 in the progression of HCC,in order to provide a new reference for the treatment of HCC.METHODS In vitro,we transfected HAND2-AS1 siRNA into HepG2 cells by UTMBs,and detected cell proliferation,apoptosis,invasion and epithelial-mesenchymal transition(EMT)by cell counting kit-8 assay,flow cytometry,Transwell invasion assay and Western blotting,respectively.In addition,we transfected miR-837-5p mimic into UTMBs treated cells and observed the changes of cell behavior.Next,the UTMBs treated HepG2 cells were transfected together with miR-837-5p mimic and tissue inhibitor of matrix metalloproteinase-2(TIMP2)overexpression vector,and we detected cell proliferation,apoptosis,invasion and EMT.In vivo,we established a mouse model of subcutaneous transplantation of HepG2 cells and observed the effect of HAND2-AS1 silencing on tumor formation ability.RESULTS We found that UTMBs carrying HAND2-AS1 restricted cell proliferation,invasion,and EMT,encouraged apoptosis,and HAND2-AS1 silencing eliminated the effect of UTMBs.Additionally,miR-873-5p targets the gene HAND2-AS1,which also targets the 3’UTR of TIMP2.And miR-873-5p mimic counteracted the impact of HAND2-AS1.Further,miR-873-5p mimic solely or in combination with pcDNA-TIMP2 had been transformed into HepG2 cells exposed to UTMBs.We discovered that TIMP2 reversed the effect of miR-873-5p mimic caused by the blocked signalling cascade for matrix metalloproteinase(MMP)2/MMP9.In vivo results showed that HAND2-AS1 silencing significantly inhibited tumor formation in mice.CONCLUSION LncRNA HAND2-AS1 promotes TIMP2 expression by targeting miR-873-5p to inhibit HepG2 cell growth and delay HCC progression. 展开更多
关键词 Hepatocellular carcinoma Ultrasound microbubbles Long noncoding RNA HAND2-AS1 miR-873-5p tissue inhibitor of matrix metalloproteinase-2
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Tissue inhibitor of metalloproteinase-3 expression affects clinicopathological features and prognosis of aflatoxin B1-related hepatocellular carcinoma
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作者 Qiu-Ju Liang Qin-Qin Long +3 位作者 Feng-Qin Tian Qun-Ying Su Xiao-Ying Zhu Xi-Dai Long 《World Journal of Hepatology》 2024年第8期1131-1144,共14页
BACKGROUND The dysregulation of tissue inhibitor of metalloproteinase-3(TIMP3)was positively correlated with the progression of hepatocellular carcinoma(HCC).However,it is not clear whether TIMP3 expression is associa... BACKGROUND The dysregulation of tissue inhibitor of metalloproteinase-3(TIMP3)was positively correlated with the progression of hepatocellular carcinoma(HCC).However,it is not clear whether TIMP3 expression is associated with the clinico-pathological features and prognosis of aflatoxin B1(AFB1)-related HCC(AHCC).A retrospective study,including 182 patients with AHCC,was conducted to explore the link between TIMP3 expression in cancerous tissues and the clinico-pathological characteristics and prognosis of AHCC.TIMP3 expression was detected by immunohistochemistry and its effects on the clinicopathological features and prognosis of AHCC were evaluated by Kaplan-Meier survival analysis and Cox regression survival analysis.Odds ratio,hazard ratio(HR),median overall survival time(MST),median tumor recurrence-free survival time(MRT),and corresponding 95%confidential interval(CI)was calculated to RESULTS Kaplan-Meier survival analysis showed that compared with high TIMP3 expression,low TIMP3 expression in tumor tissues significantly decreased the MST(36.00 mo vs 18.00 mo)and MRT(32.00 mo vs 16 mo)of patients with AHCC.Multivariate Cox regression survival analysis further proved that decreased expression of TIMP3 increased the risk of death(HR=2.85,95%CI:2.04-4.00)and tumor recurrence(HR=2.26,95%CI:1.57-3.26).Furthermore,decreased expression of TIMP3 protein in tissues with AHCC was significantly correlated with tumor clinicopatho-logical features,such as tumor size,tumor grade and stage,tumor microvessel density,and tumor blood invasion.Additionally,TIMP3 protein expression was also negatively associated with amount of AFB1-DNA adducts in tumor tissues.CONCLUSION These findings indicate that the dysregulation of TIMP3 expression is related to AHCC biological behaviors and affects tumor outcome,suggesting that TIMP3 may act as a prognostic biomarker for AHCC. 展开更多
关键词 tissue inhibitor of metalloproteinase-3 expression Aflatoxin B1 Hepatocellular carcinoma Clinicopathological feature PROGNOSIS
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乳腺癌组织中TIMP-3及DNMT1的表达与患者预后的相关性
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作者 于娇 李汉杰 +3 位作者 陈鑫 王青 葛鹏 李刚 《现代肿瘤医学》 CAS 2024年第17期3248-3253,共6页
目的:分析研究乳腺癌患者中基质金属蛋白酶组织抑制因子3(TIMP-3)及DNA甲基转移酶1(DNMT1)的表达水平与患者临床预后的相关性。方法:收集58例临床资料完整的乳腺癌手术切除标本,采用免疫组化SP法检测癌组织及相应癌旁组织中TIMP-3、DNMT... 目的:分析研究乳腺癌患者中基质金属蛋白酶组织抑制因子3(TIMP-3)及DNA甲基转移酶1(DNMT1)的表达水平与患者临床预后的相关性。方法:收集58例临床资料完整的乳腺癌手术切除标本,采用免疫组化SP法检测癌组织及相应癌旁组织中TIMP-3、DNMT1、ER、PR、HER-2、p53、Ki-67的表达,将TIMP-3、DNMT1表达水平与临床病理参数及随访生存状况进行相关性分析,所有入组患者均进行随访5年以上。结果:我们发现,在乳腺癌组织中,TIMP-3呈低表达,DNMT1呈高表达,TIMP-3及DNMT1的表达呈负相关;TIMP-3表达水平与Ki-67呈负相关,DNMT1表达水平与Ki-67呈正相关,与其他临床病理参数未见相关性。Cox风险比例模型分析显示只有临床分期和DNMT1表达水平是影响总生存期(OS)和无病生存期(DFS)的独立风险因素。TIMP-3低表达组的5年OS和DFS均显著低于高表达组,DNMT1高表达组的5年OS和DFS均显著低于低表达组。结论:研究表明乳腺癌中TIMP-3及DNMT1表达水平与肿瘤细胞恶性表型及患者生存时间有关,可能成为判断乳腺癌预后的一项重要指标,并作为治疗计划制定的依据。 展开更多
关键词 乳腺癌 基质金属蛋白酶组织抑制因子3 DNA甲基转移酶1 总生存期 无病生存期
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血清TLR4、TIMP-1水平与小儿热性惊厥临床特征的关系及对继发癫痫的预测价值
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作者 张润春 李树华 +2 位作者 王玉珍 张静 曹志伟 《检验医学与临床》 CAS 2024年第14期2089-2093,共5页
目的分析血清Toll样受体4(TLR4)、基质金属蛋白酶组织抑制剂(TIMP)-1水平与小儿热性惊厥(FC)临床特征的关系及对FC继发癫痫的预测价值。方法选取2019年1月至2022年6月320例FC患儿作为研究组,另选取同期发热无惊厥儿童150例作为发热组,... 目的分析血清Toll样受体4(TLR4)、基质金属蛋白酶组织抑制剂(TIMP)-1水平与小儿热性惊厥(FC)临床特征的关系及对FC继发癫痫的预测价值。方法选取2019年1月至2022年6月320例FC患儿作为研究组,另选取同期发热无惊厥儿童150例作为发热组,体检健康儿童150例作为对照组。根据FC患儿是否继发癫痫分为癫痫组和无癫痫组。采用酶联免疫吸附试验检测血清TLR4、TIMP-1水平,采用Pearson相关分析TLR4、TIMP-1水平及与临床指标间的相关性。采用受试者工作特征(ROC)曲线分析血清TLR4、TIMP-1预测FC继发癫痫的价值。采用Logistic回归分析FC患儿继发癫痫的影响因素。结果FC患儿、发热无惊厥儿童、体检健康儿童血清TLR4、TIMP-1水平依次降低,且两两比较,差异均有统计学意义(P<0.05)。研究组与发热组围生期异常发生情况、肿瘤坏死因子α(TNF-α)、C-反应蛋白(CRP)、白细胞介素-1β(IL-1β)水平和振幅整合脑电图(AEEG)评分比较,差异均有统计学意义(P<0.05)。癫痫组患儿血清TLR4、TIMP-1水平明显高于无癫痫组(P<0.05)。癫痫组和无癫痫组患儿首次惊厥次数、惊厥持续时间、首次惊厥前发热时间、围生期异常发生情况、TNF-α、CRP、IL-1β水平和AEEG评分比较,差异均有统计学意义(P<0.05)。血清TLR4水平与TIMP-1呈正相关(P<0.05);血清TLR4、TIMP-1水平与TNF-α、CRP、IL-1β呈正相关(P<0.05),与AEEG评分呈负相关(P<0.05)。TLR4、TIMP-1联合预测FC患儿继发癫痫的曲线下面积(AUC)明显高于单项检测的AUC(Z_(TLR4-联合)=3.016,P=0.003;Z_(TIMP-1-联合)=2.232,P=0.026)。Logistic回归分析结果表明,TLR4、TIMP-1、TNF-α、CRP、IL-1β水平升高,AEEG评分降低均为FC继发癫痫的危险因素(P<0.05)。结论血清TLR4、TIMP-1与FC患儿临床特征密切相关,TLR4、TIMP-1可能是FC继发癫痫的影响因素。 展开更多
关键词 TOLL样受体4 基质金属蛋白酶组织抑制剂1 小儿热性惊厥 癫痫 相关性
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多西他赛联合PD-1抑制剂对晚期非小细胞肺癌预后及血清MMP-9、TIMP-1水平的影响
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作者 吴仁瑞 钟琼 黄蓉 《实用临床医学(江西)》 CAS 2024年第2期10-13,18,共5页
目的探讨多西他赛联合程序性死亡受体1(PD-1)抑制剂对晚期非小细胞肺癌(NSCLC)预后及血清基质金属蛋白酶-9(MMP-9)、基质金属蛋白酶组织抑制剂-1(TIMP-1)水平的影响。方法将90例晚期NSCLC患者随机分为研究组和对照组,每组45例。对照组... 目的探讨多西他赛联合程序性死亡受体1(PD-1)抑制剂对晚期非小细胞肺癌(NSCLC)预后及血清基质金属蛋白酶-9(MMP-9)、基质金属蛋白酶组织抑制剂-1(TIMP-1)水平的影响。方法将90例晚期NSCLC患者随机分为研究组和对照组,每组45例。对照组给予多西他赛和顺铂治疗,研究组在对照组治疗基础上给予PD-1治疗,3周为1个治疗周期,共治疗6个周期。比较2组治疗后客观缓解率(ORR)、疾病控制率(DCR)、无进展生存期(PFS)、总生存期(OS),观察2组治疗期间不良反应发生情况及治疗前后血清MMP-9、TIMP-1水平的变化。结果研究组治疗后DCR、PFS、OS显著高于对照组(P<0.05);治疗期间2组不良反应发生率比较差异无统计学意义(P>0.05);2组治疗后血清MMP-9、TIMP-1水平较治疗前显著降低(P<0.05),且研究组降低较对照组更为显著(P<0.05)。结论多西他赛联合PD-1抑制剂对晚期NSCLC具有较好的疗效和预后,能够降低血清MMP-9、TIMP-1水平,降低肺癌细胞侵袭转移的能力,安全性良好。 展开更多
关键词 多西他赛 PD-1抑制剂 晚期非小细胞肺癌 基质金属蛋白酶9 基质金属蛋白酶组织抑制剂1 临床疗效
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中期胃癌患者根治术后复发情况与术前LETM1、TIMP-1表达的关系研究
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作者 万云杰 夏甘树 +1 位作者 王子铭 张志忠 《实用癌症杂志》 2024年第1期30-33,共4页
目的探讨中期胃癌患者根治术后复发情况与术前亮氨酸拉链EFhand结构域跨膜蛋白1(LETM1)、基质金属蛋白酶组织抑制剂(TIMP-1)的关系。方法回顾性分析行胃癌根治术的中期胃癌患者102例,术前行LETM1、TIMP-1检查,以术后3年内胃癌是否复发... 目的探讨中期胃癌患者根治术后复发情况与术前亮氨酸拉链EFhand结构域跨膜蛋白1(LETM1)、基质金属蛋白酶组织抑制剂(TIMP-1)的关系。方法回顾性分析行胃癌根治术的中期胃癌患者102例,术前行LETM1、TIMP-1检查,以术后3年内胃癌是否复发为评估标准,经ROC曲线分析术后3年,术前LETM1、TIMP-1及联合检测在评估胃癌根治术后复发状况中的预测效能(敏感度、特异度);比较生存时间≥3年及<3年患者术前LETM1、TIMP-1表达情况。结果术后3年内胃癌复发57例(55.88%),未复发45例(44.12%)。其中65例LETM1阳性患者中,共有48例(73.85%)复发,17例(26.15%)未复发;37例LETM1阴性患者中共有9例(24.32%)复发,28例未复发(75.68%);TIMP-1阳性共63例,有46例(73.02%)复发,17例未复发(26.98%);TIMP-1阴性共有39例,其中有11例(28.21%)复发,28例未复发(71.79%)。联合检测预测3年内复发71例(69.61%),无复发31例(30.39%)。LETM1高表达共54例,其中43例(79.63%)生存时间<3年,11例(20.37%)生存时间≥3年;LETM1低表达共48例,其中10例(20.83%)生存时间<3年,38例(79.17%)生存时间≥3年;TIMP-1阳性共有62例,其中46例(74.19%)生存时间<3年,16例(25.81%)生存时间≥3年;TIMP-1阴性共有40例,其中共有7例(17.50%)生存时间<3年,33例(82.50%)生存时间≥3年。结论中期胃癌根治术后是否复发与LETM1、TIMP-1表达关系密切,同时LETM1、TIMP-1检测亦可用于预测中期胃癌患者根治术后生存状况,且准确率较高,具备临床价值。 展开更多
关键词 胃癌根治术 胃癌 复发 基质金属蛋白酶组织抑制剂 亮氨酸拉链EFhand结构域跨膜蛋白1
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血清TIMP-1、VEGF水平对自然分娩初产妇产后压力性尿失禁严重程度的预测价值 被引量:1
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作者 王薇 谢雪玲 +1 位作者 孔国爱 陈慧 《临床误诊误治》 CAS 2024年第11期70-75,共6页
目的探讨自然分娩初产妇血清基质金属蛋白酶组织抑制因子-1(tissue inhibitor of metall oproteinase-1,TIMP-1)、血管内皮生长因子(vascular endothelial growth factor,VEGF)水平对产后压力性尿失禁(post partum stress urinary incon... 目的探讨自然分娩初产妇血清基质金属蛋白酶组织抑制因子-1(tissue inhibitor of metall oproteinase-1,TIMP-1)、血管内皮生长因子(vascular endothelial growth factor,VEGF)水平对产后压力性尿失禁(post partum stress urinary incontinence,PSUI)严重程度的预测价值。方法选取2019年12月至2023年7月220例PSUI自然分娩初产妇为病例组,根据尿垫试验结果分为轻度组158例和中重度组62例。另纳入同期220例无PSUI的自然分娩初产妇作为对照组。采用ELISA法检测入组者血清TIMP-1、VEGF水平;采用Pearson法分析PSUI患者血清TIMP-1与VEGF的相关性;采用多因素Logistic回归分析PSUI患者疾病严重程度的影响因素;采用受试者工作特征曲线分析血清TIMP-1、VEGF对PSUI患者疾病严重程度的预测价值。结果病例组血清TIMP-1水平显著低于对照组,血清VEGF水平显著高于对照组(P<0.01)。中重度组血清TIMP-1水平显著低于轻度组,血清VEGF水平、年龄≥35岁比例、新生儿体质量显著高于轻度组(P<0.05,P<0.01)。PSUI患者血清TIMP-1与VEGF呈负相关(r=-0.671,P<0.05)。TIMP-1是PSUI患者疾病程度加重的保护因素(P<0.01),VEGF是PSUI患者疾病程度加重的危险因素(P<0.01)。TIMP-1、VEGF单独及联合预测PSUI患者疾病严重程度的曲线下面积(area under curve,AUC)分别为0.857、0.808、0.901,其中联合预测的AUC高于二者单独预测(P<0.01)。结论PSUI患者血清TIMP-1低表达,VEGF高表达,且TIMP-1、VEGF与病情程度密切相关,二者联合在预测PSUI患者疾病严重程度方面有较高的价值。 展开更多
关键词 压力性尿失禁 自然分娩 初产妇 病情程度 基质金属蛋白酶组织抑制因子-1 血管内皮生长因子 相关性 影响因素分析
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电针对负透镜诱导型近视豚鼠视网膜中MMP-3和TIMP-3及Col3α1表达的影响
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作者 刘一洁 郝琪 +2 位作者 卢秀珍 吴秋欣 毕宏生 《国际眼科杂志》 CAS 2024年第9期1373-1380,共8页
目的:探讨电针对负透镜诱导型近视豚鼠视网膜中基质金属蛋白酶(MMP)-3、金属蛋白酶组织抑制剂(TIMP)-3和III型胶原α1(Col3α1)表达的影响。方法:将80只豚鼠随机分为正常对照组、负透镜诱导型近视组、电针干预组和假穴组,每组20只。正... 目的:探讨电针对负透镜诱导型近视豚鼠视网膜中基质金属蛋白酶(MMP)-3、金属蛋白酶组织抑制剂(TIMP)-3和III型胶原α1(Col3α1)表达的影响。方法:将80只豚鼠随机分为正常对照组、负透镜诱导型近视组、电针干预组和假穴组,每组20只。正常对照组不做任何干预,负透镜诱导型近视组、电针干预组和假穴组,右眼均配戴-6.0 D透镜,左眼不戴镜。戴镜同时电针干预组在合谷穴与太阳穴给予电针刺激,假穴组豚鼠在假穴位进行干预。造模前,造模2、4 wk检影验光检测屈光度,A超检测眼轴长度,HE染色观察视网膜组织结构变化,定量聚合酶链反应(Q-PCR)和蛋白免疫印迹(WB)检测视网膜中MMP-3、TIMP-3、Col3α1 mRNA和蛋白表达的情况。结果:造模2、4 wk,负透镜诱导型近视组与正常对照组相比眼轴长度均明显增加(均P<0.05),屈光度均明显降低(均P<0.05);与负透镜诱导型近视组相比,电针干预组干预后眼轴长度均减少(均P<0.05),屈光度均增加(均P<0.05)。HE染色显示,正常对照组豚鼠视网膜组织各层分界明显,排列规则;负透镜诱导型近视组视网膜厚度、内外核层厚度及细胞数量减少,排列不规则;电针干预组视网膜整体结构较为完善,排列较规则,组织各层形态结构未出现明显异常。Q-PCR和WB检测结果显示,负透镜诱导型近视组视网膜中MMP-3、TIMP-3和Col3α1 mRNA及蛋白表达均比正常对照组明显升高(均P<0.05);而电针干预组干预后视网膜中MMP-3、TIMP-3和Col3α1mRNA及蛋白表达均较负透镜诱导型近视组明显降低(均P<0.05)。结论:电针能够延缓负透镜诱导型近视豚鼠眼轴增长,下调负透镜诱导型近视豚鼠视网膜中的MMP-3、TIMP-3及Col3α1 mRNA及蛋白表达。 展开更多
关键词 负透镜诱导型近视 电针 基质金属蛋白酶-3(MMP-3) 金属蛋白酶组织抑制剂-3(timp-3) Ⅲ型胶原α1(Col3α1) 视网膜
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血清sMICA、PCNA、GASP-1、TIMP-1在非小细胞肺癌患者中的表达及相关性分析
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作者 张雅琪 彭程程 +1 位作者 万鸿 王萍 《临床肺科杂志》 2024年第2期271-275,共5页
目的探讨血清可溶性MHC-I类链相关蛋白A(sMICA)、增殖细胞核抗原(PCNA)、G蛋白偶联受体相关分选蛋白1(GASP-1)、组织金属蛋白酶抑制剂1(TIMP-1)在非小细胞肺癌(NSCLC)患者中的表达及与病理分型的相关性。方法2020年7月至2022年8月诊治... 目的探讨血清可溶性MHC-I类链相关蛋白A(sMICA)、增殖细胞核抗原(PCNA)、G蛋白偶联受体相关分选蛋白1(GASP-1)、组织金属蛋白酶抑制剂1(TIMP-1)在非小细胞肺癌(NSCLC)患者中的表达及与病理分型的相关性。方法2020年7月至2022年8月诊治的86例NSCLC患者作为研究对象,并设立为观察组,同期选取43例健康体检者设立为对照组;并根据不同病理分型将观察组分为腺癌组(n=33)和鳞癌组(n=53),对比血清sMICA、PCNA、GASP-1、TIMP-1;并采用Logistic回归模型分析sMICA、PCNA、GASP-1、TIMP-1对非小细胞肺癌的影响;采用ROC曲线模型分析sMICA、PCNA、GASP-1、TIMP-1诊断非小细胞肺癌的AUC、敏感度及特异度。结果观察组的sMICA、PCNA、GASP-1、TIMP-1均高于对照组(P<0.05)。腺癌组的sMICA、PCNA、GASP-1、TIMP-1均高于鳞癌组(P<0.05)。二元Logistic回归模型分析显示,sMICA、PCNA、GASP-1、TIMP-1高表达会对非小细胞肺癌的发生产生影响(P<0.05)。ROC曲线分析显示,sMICA、PCNA、GASP-1、TIMP-1及四项联合诊断NSCLC的AUC值分别为(0.750、0.654、0.819、0.788、0.843,P均<0.05),敏感度分别为57.00%、46.50%、67.40%、90.70%、79.10%;特异度分别为93.00%、93.00%、88.40%、58.10%、86.00%。结论sMICA、PCNA、GASP-1、TIMP-1在NSCLC患者中呈高表达趋势,其表达水平会随病理分型而升高。 展开更多
关键词 血清可溶性MHC-I类链相关蛋白A 增殖细胞核抗原 G蛋白偶联受体相关分选蛋白1 组织金属蛋白酶抑制剂1 非小细胞肺癌 病理分型
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外周血TIMP-1、TIMP-2及TSAT水平与腹膜透析相关性腹膜炎患者临床转归的关系
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作者 李雅琪 郭宝珠 +1 位作者 程锦绣 金玉杰 《临床误诊误治》 CAS 2024年第13期40-44,共5页
目的分析腹膜透析相关性腹膜炎患者外周血基质金属蛋白酶抑制因子-1(TIMP-1)、基质金属蛋白酶抑制因子-2(TIMP-2)和转铁蛋白饱和度(TSAT)水平与临床转归的关系。方法选取2021年8月至2023年2月收治的100例腹膜透析相关性腹膜炎患者,根据... 目的分析腹膜透析相关性腹膜炎患者外周血基质金属蛋白酶抑制因子-1(TIMP-1)、基质金属蛋白酶抑制因子-2(TIMP-2)和转铁蛋白饱和度(TSAT)水平与临床转归的关系。方法选取2021年8月至2023年2月收治的100例腹膜透析相关性腹膜炎患者,根据患者拔除腹膜透析管后1年内临床转归情况将其分为治愈组(n=68)和恶化组(n=32)。比较2组临床资料及外周血TIMP-1、TIMP-2及TSAT水平,采用多因素Logistic回归分析影响腹膜透析相关性腹膜炎患者病情恶化的独立危险因素,采用受试者工作特征(ROC)曲线分析TIMP-1、TIMP-2及TSAT对患者临床转归的预测价值。结果恶化组透析龄高于治愈组,有腹膜炎病史患者占比大于治愈组,TIMP-1、TIMP-2和TSAT水平低于治愈组(P<0.01)。TIMP-1、TIMP-2和TSAT水平过低均是腹膜透析相关性腹膜炎患者病情恶化的独立危险因素(P<0.05)。ROC曲线分析显示,TIMP-1、TIMP-2和TSAT预测腹膜透析相关性腹膜炎患者临床转归的曲线下面积(AUC)分别为0.759、0.702和0.739,上述指标联合检测的AUC为0.813,具有更好的预测价值(P<0.05)。结论病情恶化的腹膜透析相关性腹膜炎患者TIMP-1、TIMP-2和TSAT水平降低,且三者及其联合检测对患者临床转归均有较高的预测价值。 展开更多
关键词 腹膜透析 腹膜炎 基质金属蛋白酶抑制因子-1 基质金属蛋白酶抑制因子-2 转铁蛋白饱和度 临床转归 危险因素 受试者工作特征曲线
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格隆溴铵福莫特罗吸入气雾剂对慢性阻塞性肺疾病稳定期患者血清TIMP-1、LTB4及动脉血气分析指标的影响
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作者 邹丽珍 赵继京 +3 位作者 吴芬 傅裕民 邹志浩 张雁 《中国药物应用与监测》 CAS 2024年第4期332-335,共4页
目的 探究格隆溴铵福莫特罗吸入气雾剂对慢性阻塞性肺疾病(COPD)稳定期患者血清基质金属蛋白酶抑制剂-1(TIMP-1)、白三烯B4(LTB4)及动脉血气分析指标的影响。方法 按简单随机化分组法将2021年3月至2023年9月建德市第一人民医院就诊的COP... 目的 探究格隆溴铵福莫特罗吸入气雾剂对慢性阻塞性肺疾病(COPD)稳定期患者血清基质金属蛋白酶抑制剂-1(TIMP-1)、白三烯B4(LTB4)及动脉血气分析指标的影响。方法 按简单随机化分组法将2021年3月至2023年9月建德市第一人民医院就诊的COPD稳定期患者分为观察组和对照组,各45例,观察组采用格隆溴铵福莫特罗吸入气雾剂治疗,对照组采用布地奈德福莫特罗吸入粉雾剂(Ⅱ),两组均持续治疗3个月。比较两组患者的临床疗效、治疗期间的不良反应发生情况和急性发作次数。比较两组患者治疗前和治疗3个月后的肺功能指标、血清TIMP-1、LTB4和动脉血气分析指标。结果 治疗3个月后,观察组的总有效率(93.33%)高于对照组(77.78%)(P<0.05)。两组的不良反应发生率差异无统计学意义(P>0.05);观察组急性发作次数[(0.98±0.12)次]低于对照组[(1.11±0.19)次](P<0.05)。治疗3个月后,两组的第1秒用力呼气容积(FEV_1)、用力肺活量(FVC)、最大呼气流量(PEF)和动脉血氧分压(Pa O_(2))均较治疗前提高,观察组FEV_1、FVC、PEF、Pa O_(2)[分别为(2.88±0.41) L、(3.21±0.33) L、(60.13±5.23) L·min^(-1)、(77.17±2.34) mm Hg(1 mm Hg≈0.133 k Pa)]高于对照组[分别为(2.62±0.43) L、(2.94±0.40) L、(57.27±5.27) L·min^(-1)、(75.51±2.20) mm Hg](P<0.05)。治疗3个月后,两组的血清TIMP-1、LTB4和动脉血二氧化碳分压(Pa CO_(2))均较治疗前降低,观察组TIMP-1、LTB4、Pa CO_(2)[分别为(58.32±4.10)μg·L^(-1)、(106.56±6.79) ng·L^(-1)、(46.58±2.42) mm Hg]低于对照组[分别为(60.97±4.36)μg·L^(-1)、(110.23±7.57) ng·L^(-1)、(48.43±2.46) mm Hg](P<0.05)。结论 格隆溴铵福莫特罗吸入气雾剂治疗COPD稳定期患者具有较好的疗效和安全性,有助于改善患者肺功能指标、血清TIMP-1、LTB4和动脉血气分析指标。 展开更多
关键词 慢性阻塞性肺疾病 稳定期 血清基质金属蛋白酶抑制剂-1 白三烯B4 动脉血气指标
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LOW DOSE PIRFENIDONE SUPPRESSES TRANSFORMING GROWTH FACTOR BETA-1 AND TISSUE INHIBITOR OF METALLOPROTEINASE-1, AND PROTECTS RATS FROM LUNG FIBROSIS INDUCED BY BLEOMYCIN 被引量:24
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作者 Xin-lun Tian Wei Yao Zi-jian Guo Li Gu Yuan-jue Zhu 《Chinese Medical Sciences Journal》 CAS CSCD 2006年第3期145-151,共7页
Objective To investigate the optimal dosage of pirfenidone for the treatment of pulmonary fibrosis induced by bleomycin in Wistar rats, and the alteration of expressions of transforming growth factor beta-1 ( TGF-β1... Objective To investigate the optimal dosage of pirfenidone for the treatment of pulmonary fibrosis induced by bleomycin in Wistar rats, and the alteration of expressions of transforming growth factor beta-1 ( TGF-β1 ), tissue inhibitor of metalloproteinase-1 ( TIMP-1 ), and matrix metalloproteinase-13 ( MMP-13 ) in lung tissue. Methods Male Wistar rats were endotracheally instilled with bleomycin or normal saline. Pirfenidone (25-800 mg · kg^-l · d^-1 ), dexamethasone (3 mg/kg), or 1% carboxymethylcellulose sodium were given daily by feed 2 days before instillation of bleomycin. Groups T7 and T14 were fed pirfenidone 50 mg · kg^-1 · d^-1 at 7 days or 14 daYs after bleomycin instillation. Lungs were harvested at 28 days after bleomycin instillation. Patholological changes in luffg tissues were evaluated with HE staining. Lung collagen was stained by sirius red and measured by content of hydroxypro- line. Expression of proteins of TGF-β1 TIMP-1, and MMP-13 were detected by Western blotting. Results At doses of 25, 50, and 100 mg· kg^- 1 · d ^- 1, pirfenidone had significant anti-fibrotic effects for bleomy- cin-induced rat pulmonary fibrosis, and these effects were most significantly attenuated at the dosage of 50 mg · kg^-1 ·d^ -1( HE: P 〈 0. 01, P 〈 0.01, and P = 0.064; sirius red: P 〈0.05, P 〈 0.01, and P 〈 0.05 ; hydroxyproline: P = 0.595, P 〈 0.01, and P = 0.976). Pirfenidone at a dosage of 50 mg · kg^- l · d^-1 inhibited protein expression of TGF-131 and TIMP-1 in lung tissue in the early phase (0.79 and 0.75 times of control group), but had no effect on ex- nr^eelnn nf MMP-13. Conclusion Low dose pirfenidone, especially at dosage of 50 mg · kg^-1 · d^-1, has significant anti-fibrotic effects on bleomycin-induced rat pulmonary fibrosis. Pirfenidone partially inhibits the enhancement of the expression of TGF-131 and TIMP-β1 in lung tissue. 展开更多
关键词 pulmonary fibrosis BLEOMYCIN pirfenidone transforming growth factor beta-1 tissue inhibitor of metalloproteinase-1
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Expression of matrix metalloproteinase-1 and tissue inhibitor of metalloproteinase-1 in ulcerative colitis 被引量:13
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作者 Ying-De Wang Pei-Yun Yan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第37期6050-6053,共4页
AIM: To examine the expression of metalloproteinase-1 (MMP-1) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in the colonic mucosa of patients with ulcer- ative colitis (UC). METHODS: Reverse transcription-polym... AIM: To examine the expression of metalloproteinase-1 (MMP-1) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in the colonic mucosa of patients with ulcer- ative colitis (UC). METHODS: Reverse transcription-polymerase chain re- action (RT-PCR) and immunohistochemistry were used to study the expression of MMP-1 and TIMP-1 at both mRNA and protein levels in patients with UC and con- trols. The relationship between MMP-1 mRNA, TIMP-1 mRNA, MMP-1 mRNA/TIMP-1 mRNA ratio and the sever- ity of clinical symptoms of the patients with UC were also analyzed. RESULTS: The expression of MMP-1 mRNA and TIMP-1 mRNA in the ulcerated and inflamed colonic mucosa was signifi cantly higher than that in the non-inflamed colonic mucosa (P < 0.001), but there was no statistically signif i- cant difference in the non-inflamed colonic mucosa of UC patients and normal controls (P > 0.05). The mRNA ex- pression of MMP-1 and TIMP-1 in ulcerated colonic mu- cosa of UC patients was increased by 80-fold and 2.2-fold, respectively when compared with the normal controls. In the inflamed colonic mucosa, the increase was 30-fold and 1.6-fold, respectively. Immunohistochemical analy- sis showed that among the ulcerated, inflamed, and non-inflamed colonic mucosae of UC patients and the normal controls, the positive rate of MMP-1 expression was 87%, 87%, 40% and 35% respectively, and the positive rate of TIMP-1 expression was 89%, 89%, 80% and 75%, respectively. Furthermore, the expression of MMP-1 mRNA, TIMP-1 mRNA and the MMP-1 mRNA/ TIMP-1 mRNA ratio were correlated with the severity of clinical symptoms (P <0.05).CONCLUSION: Excessive expression of MMP-1 in the diseased colonic mucosa causes excessive hydrolysis of the extracellular matrix (ECM) and ulceration in UC pa-tients. MMP-1 mRNA, TIMP-1 mRNA and MMP-1 mRNA/ TIMP-1 mRNA ratio can be used as biomarkers to judge the severity of clinical symptoms in patients with UC. Exogenous TIMP-1 or MMP-1 inhibitor therapy is a novel treatment for patients with UC. 展开更多
关键词 Matrix metalloproteinase-1 tissue inhibitor of metalloproteinase-1 Ulcerative colitis Reverse transcriptionpolymerase chain reaction IMMUNOHISTOCHEMISTRY
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Plasma matrix metalloproteinase-1 and tissue inhibitor of metalloproteinase-1 as biomarkers of ulcerative colitis activity 被引量:22
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作者 Alicja Wiercinska-Drapalo Jerzy Jaroszewicz +1 位作者 Robert Flisiak Danuta Prokopowicz 《World Journal of Gastroenterology》 SCIE CAS CSCD 2003年第12期2843-2845,共3页
AIM:Overexpression of mucosal metalloproteinases(MMP) has been demonstrated recently in inflammatory bowel disease.Their activity can be counterbalanced by the tissue inhibitor of metalloproteinases(TIMP).The aim of t... AIM:Overexpression of mucosal metalloproteinases(MMP) has been demonstrated recently in inflammatory bowel disease.Their activity can be counterbalanced by the tissue inhibitor of metalloproteinases(TIMP).The aim of this study was to evaluate the effect of ulcerative colitis(UC)on MMP- 1 and TIMP-1 plasma concentrations,as two possible biomarkers of the disease activity. METHODS:MMP-1 and TIMP-1 plasma concentrations were measured with an enzyme immunoassay in 16 patients with endoscopically confirmed active UC. RESULTS:Plasma concentrations of both MMP-1(13.7±0.2 ng/ml)and TIMP-1(799±140 ng/ml)were significantly elevated in UC patients in comparison to healthy controls (11.9±0.9 ng/ml and 220±7 ng/ml respectively).There was no correlation between TIMP-1 and MMP-1 concentrations (r=0.02).TIMP-1 levels revealed significant positive correlations with scored endoscopic degree of mucosal injury, disease activity index and clinical activity index values as well as C-reactive protein concentration.There was no correlation between MMP-1 and laboratory,clinical or endoscopic indices of the disease activity.CONCLUSION: These results confirm the role of both MMP- 1 and TIMP-1 in the pathogenesis of ulcerative colitis. However only TIMP-1 can be useful as a biomarker of the disease activity, demonstrating association with clinical and endoscopic pictures. 展开更多
关键词 ADULT Aged Biological Markers C-Reactive Protein Colitis Ulcerative Comparative Study FEMALE Humans Interstitial Collagenase MALE Middle Aged Reference Values tissue inhibitor of metalloproteinase-1
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Interleukin-1 beta up-regulates tissue inhibitor of matrix metalloproteinase-1 mRNA and phosphorylation of c-jun N-terminal kinase and p38 in hepatic stellate cells 被引量:22
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作者 Ya-Ping Zhang Xi-Xian Yao Xia Zhao 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第9期1392-1396,共5页
AIM: To study the relationship between interleukin-lbeta (IL-1β) up-regulating tissue inhibitor of matrix metalloproteinase-1 (TIMMP-1) mRNA expression and phosphorylation of both c-jun N-terminal kinase (INK)... AIM: To study the relationship between interleukin-lbeta (IL-1β) up-regulating tissue inhibitor of matrix metalloproteinase-1 (TIMMP-1) mRNA expression and phosphorylation of both c-jun N-terminal kinase (INK) and p38 in rat heffatic stellate cells (HSC). METHODS: RT-PCR was performed to measure the expression of TIMMP-1 mRNA in rat HSC. Western blot was performed to measure IL-1β-induced JNK and p38 activities in rat HSC. RESULTS: TIMMP-1 mRNA expression (1.191± 0.079) was much higher after treatment with IL-1β (10 ng/mL) for 24 h than in control group (0.545±0.091) (P〈0.01). IL-1β activated INK and p38 in a time-dependent manner. After stimulation with IL-1β for 0, 5, 15, 30, 60 and 120 min, the INK activity was 0.982±0.299, 1.501±0.720, 2.133±0.882, 3.360±0.452, 2.181±0.789, and 1.385 ± 0.368, respectively. There was a significant difference in JNK activity at 15 min (P〈 0.01), 30 min (P〈 0.01) and 60 min (P〈0.01) in comparison to that at 0 min. The p38 activity was 1.061±0.310, 2.050±0.863, 2.380±0.573, 2.973±0.953, 2.421±0.793, and 1.755 ± 0.433 at the 6 time points (0, 5, 15, 30, 60 and 120 min) respectively. There was a significant difference in p38 activity at 5 min (P〈0.05), 15 min (P〈0.01), 30 min (P〈0.01) and 60 min (P〈0.01) compared to that at 0 min. TIMMP-1 mRNA expression trended to decrease in 3 groups pretreated with different concentrations of SP600125 (10 μmol/L, 1.022±0.113; 20 μmol/L, 0.869±0.070; 40 μmol/L, 0.666±0.123). Their decreases were all significant (P〈0.05, P〈0.01, P〈0.01) in comparison to control group (without SP600125 treatment, 1.163±0.107). In the other 3 groups pretreated with different concentrations of SB203580 (10 μmol/L, 1.507±0.099; 20 μmol/L, 1.698±0.107; 40 μmol/L, 1.857±0.054), the expression of TIMMP-1 mRNA increased. Their levels were higher than those in the control group (without SB203580 treatment, 1.027 ± 0.061) with a significant statistical significance (P〈 0.01). CONCLUSION: IL-1β has a direct action on hepatic fibrosis by up-regulating TIMMP-1 mRNA expression in ratessionin in rate HSC.JNK and p38 mitogen-activated protein kinases (MAPKs) are involved in IL-1β-induced TIMMP-1 gene expression, and play a distinct role in this process, indicating that p38 and .INK pathways cooperatively mediate TIMP-1 mRNA expression in rat HSC. 展开更多
关键词 Up-Regulation Animals ANTHRACENES Blotting Western Cell Line Enzyme inhibitors IMIDAZOLES INTERLEUKIN-1 JNK Mitogen-Activated Protein Kinases Liver Liver Cirrhosis PHOSPHORYLATION PYRIDINES RNA Messenger Rats Reverse Transcriptase Polymerase Chain Reaction Signal Transduction Time Factors tissue inhibitor of metalloproteinase-1 p38 Mitogen-Activated Protein Kinases
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Matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 expression in early focal cerebral infarction following urokinase thrombolysis in rats 被引量:6
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作者 Yuqiang Song Hongli Zou +3 位作者 Guofeng Wang Hongxia Yang Zhaohong Xie Jianzhong Bi 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第17期1325-1330,共6页
Activity of matrix metalloproteinase-9 increases following cerebral ischemia/reperfusion, and is associated with cerebral microvascular permeability, blood-brain barrier destruction, inflammatory cell infiltration and... Activity of matrix metalloproteinase-9 increases following cerebral ischemia/reperfusion, and is associated with cerebral microvascular permeability, blood-brain barrier destruction, inflammatory cell infiltration and brain edema. Matrix metalloproteinase-9 also likely participates in thrombolysis. A rat model of middle cerebral artery infarction was established by injecting autologous blood clots into the internal carotid artery. At 3 hours following model induction, urokinase was injected into the caudal vein. Decreased neurological severity score, reduced infarct volume, and increased expression of matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 were observed in the cerebral cortex 24 hours after urokinase thrombolysis. These results suggest that urokinase can suppress damage in the acute-early stage of cerebral infarction. 展开更多
关键词 cerebral infarction UROKINASE THROMBOLYSIS matrix metalloproteinase-9 tissue inhibitor ofmetalloproteinase-1 neural regeneration
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Expression of matrix metalloproteinase-2 and tissue inhibitor of metalloproteinase-1 in hepatic stellate cells during rat hepatic fibrosis and its intervention by IL-10 被引量:35
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作者 Wei-DaZheng Li-JuanZhang Mei-NaShi Zhi-XinChen Yun-XinChen Yue-HongHuang Xiao-ZhongWang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第12期1753-1758,共6页
AIM: To investigate the expression of matrix metallopr-oteinase-2 and tissue inhibitor of metalloproteinase-1 in hepatic fibrosis and the antifibrogenic role of exogenous interleukin-10 (IL-10). METHODS: Hepatic fibro... AIM: To investigate the expression of matrix metallopr-oteinase-2 and tissue inhibitor of metalloproteinase-1 in hepatic fibrosis and the antifibrogenic role of exogenous interleukin-10 (IL-10). METHODS: Hepatic fibrosis was induced by CCI4 administration and 60 male Sprague-Dawley rats were randomly divided into normal control group (group N, 8 rats), CCI4-induced group (group C, 28 rats) and IL-10-treated group (group I, 24 rats). At the beginning of the 7th and 11th wk, rats in each group were routinely perfused with pronase E and type IV collagenase through portal vein catheter and the suspension was centrifuged by 11% Nycodenz density gradient to isolate hepatic stellate cells (HSCs). RT-PCR was used to analyze mRNA of MMP-2 and TIMP-1 from freshly isolated cells. Densitometric data were standardized with β-actin signals. Immunocytochemistry was performed to detect MMP-2 and TIMP-1 expression in HSC cultured for 72 h. RESULTS: Compared to group N in the 7th wk, MMP-2 and TIMP-1 mRNA increased in group C (P= 0.001/0.001) and group I (P= 0.001/0.009). The level of MMP-2 and TIMP-1 mRNA in group I was significantly lower than that in group C (P= 0.001/0.001). In the 11th wk, MMP-2 mRNA in group I was still lower than that in group C (P = 0.005), but both dropped compared with that in the 7th week (P = 0.001/0.004). TIMP-1 mRNA in group I was still lower than that in group C (P= 0.001), and increased in group C (P= 0.001) while decreased in group I (P = 0.042) compared with that in the 7th wk. Same results were found by immunocytochemistry. CONCLUSION: Expression of MMP-2 and TIMP-1 is increased in hepatic fibrosis. IL-10 exhibits an antifibrogenic effect by suppressing MMP-2 and TIMP-1 expression. 展开更多
关键词 RAT Hepatic fibrosis Hepatic stellate cells INTERLEUKIN-10 Matrix metalloproteinases-2 tissue inhibitor of metalloproteinases-1
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Levels of matrix metalloproteinase-1 and tissue inhibitors of metalloproteinase-1 in gastric cancer 被引量:10
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作者 Ozgur Kemik Ahu Sarbay Kemik +9 位作者 Aziz Sümer Ahmet Cumhur Dulger Mine Adas Huseyin Begenik Ismail Hasirci Ozkan Yilmaz Sevim Purisa Erol Kisli Sefa Tuzun Cetin Kotan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第16期2109-2112,共4页
AIM:To evaluate the levels of preoperative serum matrix metalloproteinase-1 (MMP-1) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in gastric cancer.METHODS:One hundred gastric cancer patients who underwent gast... AIM:To evaluate the levels of preoperative serum matrix metalloproteinase-1 (MMP-1) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in gastric cancer.METHODS:One hundred gastric cancer patients who underwent gastrectomy were enrolled in this study.The serum concentrations of MMP-1 and TIMP-1 in these patients and in fifty healthy controls were determined using an enzyme-linked immunosorbent assay.RESULTS:Higher serum MMP-1 and TIMP-1 levels were observed in patients than in controls (P < 0.001).Serum MMP-1 and TIMP-1 levels were positively associated with morphological appearance,tumor size,depth of wall invasion,lymph node metastasis,liver metastasis,perineural invasion,and pathological stage.They were not significantly associated with age,gender,tumor location,or histological type.CONCLUSION:Increased MMP-1 and TIMP-1 were associated with gastric cancer.Although these markers are not good markers for diagnosis,these markers show in advanced gastric cancer. 展开更多
关键词 Gastric cancer Matrix metalloproteinase-1 tissue matrix metalloproteinase-1
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2型糖尿病患者血清VASH-1、TIMP-1水平与视网膜病变的关系
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作者 苏争宏 姜旭光 《检验医学与临床》 CAS 2024年第20期3013-3016,共4页
目的探讨2型糖尿病(T2DM)患者血清血管生成抑制蛋白-1(VASH-1)、金属蛋白酶组织抑制物1(TIMP-1)与糖尿病视网膜病变的关系。方法选取2020年1月至2021年1月陕西省商洛眼科医院收治的79例T2DM患者作为研究对象。根据眼底荧光血管造影结果... 目的探讨2型糖尿病(T2DM)患者血清血管生成抑制蛋白-1(VASH-1)、金属蛋白酶组织抑制物1(TIMP-1)与糖尿病视网膜病变的关系。方法选取2020年1月至2021年1月陕西省商洛眼科医院收治的79例T2DM患者作为研究对象。根据眼底荧光血管造影结果将患者分为无视网膜病变组、视网膜病变组。另选取40例同期健康体检者作为对照组。采用酶联免疫吸附试验检测血清VASH-1、TIMP-1水平。绘制受试者工作特征(ROC)曲线评估血清VASH-1、TIMP-1水平对T2DM患者发生视网膜病变的预测价值。采用多因素Logistic回归分析T2DM患者发生视网膜病变的危险因素。结果无视网膜病变组纳入45例患者、视网膜病变组纳入34例患者。无视网膜病变组与视网膜病变组FPG、2 h PG、HbA1c、UACR水平均高于对照组,且视网膜病变组均高于无视网膜病变组,差异均有统计学意义(P<0.05)。视网膜病变组T2DM病程长于无视网膜病变组,差异有统计学意义(P<0.05)。无视网膜病变组与视网膜病变组血清VASH-1水平均高于对照组,TIMP-1水平均低于对照组,且视网膜病变组血清VASH-1水平高于无视网膜病变组,视网膜病变组血清TIMP-1水平低于无视网膜病变组,差异均有统计学意义(P<0.05)。ROC曲线分析结果显示,血清VASH-1、TIMP-1预测T2DM患者发生视网膜病变的曲线下面积分别为0.807、0.847。多因素Logistic回归分析结果显示,病程长、血清VASH-1高水平、TIMP-1低水平为T2DM患者发生视网膜病变的危险因素(P<0.05)。结论发生视网膜病变的T2DM患者血清VASH-1水平升高、TIMP-1水平降低。血清VASH-1、TIMP-1为T2DM患者发生视网膜病变的影响因素,二者有望作为临床诊治T2DM患者发生视网膜病变的生物标志物。 展开更多
关键词 2型糖尿病 视网膜病变 血管生成抑制蛋白-1 金属蛋白酶组织抑制物1 炎症反应
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初产妇分娩后血清TIMP-1和Fibulin-3水平变化及对产后盆底功能障碍的诊断价值
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作者 王利伶 张银 于波 《现代检验医学杂志》 CAS 2024年第5期179-182,198,共5页
目的 探究初产妇分娩后血清金属蛋白酶抑制因子-1(tissue inhibitor of metalloproteinase-1,TIMP-1)、细胞外基质蛋白-3(extracellular matrix protein-3, Fibulin-3)水平变化及其对产后盆底功能障碍(pelvic floor dysfunction,PFD)的... 目的 探究初产妇分娩后血清金属蛋白酶抑制因子-1(tissue inhibitor of metalloproteinase-1,TIMP-1)、细胞外基质蛋白-3(extracellular matrix protein-3, Fibulin-3)水平变化及其对产后盆底功能障碍(pelvic floor dysfunction,PFD)的诊断价值,为PFD临床研究提供参考。方法 选取2021年6月~2022年6月在承德市妇幼保健院收治的PFD患者98例作为研究对象,将患者分为单纯盆腔脱垂(POP)组(n=34)、单纯压力性尿失禁(SUI)组(n=51)以及POP并发SUI组(n=13)。同期选取产后复查无PFD初产女性98例作为对照组。比较各组血清TIMP-1,Fibulin-3水平。受试者工作特征(ROC)曲线分析血清TIMP-1,Fibulin-3水平对PFD的预测效能。结果 PFD组第二产程时间延长患者比例比对照组高,差异具有统计学意义(χ^(2)=20.933,P <0.05)。PFD组血清TIMP-1(3.68±0.41ng/ml),Fibulin-3(20.18±2.29ng/ml)水平比对照组(4.25±0.53ng/ml,23.04±2.64ng/ml)低,差异具有统计学意义(t=8.421,8.101,均P <0.05)。POP并发SUI组血清TIMP-1,Fibulin-3水平低于单纯POP组和单纯SUI组,差异具有统计学意义(F=21.940,14.871,均P <0.05)。随着单纯POP组与单纯SUI组患者病情加重,血清TIMP-1,Fibulin-3水平逐渐降低(F=8.411,13.173,18.425,10.965,均P <0.05)。ROC曲线显示,血清TIMP-1,Fibulin-3预测发生PFD的AUC是0.770,0.784,二者联合预测的AUC为0.893,优于单独检测(Z=2.996,2.766,均P <0.05)。结论 PFD患者血清TIMP-1,Fibulin-3水平降低,且二者联合预测效能高于单独检测,可作为预测产后PFD的血清学指标。 展开更多
关键词 盆底功能障碍 金属蛋白酶抑制因子-1 细胞外基质蛋白-3
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