吉首大学学报(自然科学版)

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肺结核及病变转归患者血清MMP-2及TIMP-2检测的临床意义

刘艳,马康康,黄泽智,李辉,罗开军,王晓红   

  1. (1.邵阳医学高等专科学校医学检验系,湖南 邵阳 422000;2.吉首大学医学院,湖南 吉首 416000)
  • 出版日期:2018-03-25 发布日期:2018-04-28
  • 作者简介:刘艳,女,邵阳医学高等专科学校副教授,主要从事病原体发病机制的研究.
  • 基金资助:

    湖南省科技惠民计划资助项目(2014SK4060)

Clinical Significance of Detection of Serum MMP-2 and TIMP-2 in Patients with Pulmonary Tuberculosis and Prognosis

LIU Yan,MA Kangkang,HUANG Zezhi,LI Hui,LUO Kaijun,WANG Xiaohong   

  1. (1.Department of Medical Laboratory,Shaoyang Medical  College,Shaoyang 422000,Hunan China;2.Medical College of Jishou University,Jishou 416000,Hunan China)
  • Online:2018-03-25 Published:2018-04-28

摘要:

[目的]探讨肺结核(PTB)及病变转归患者血清中基质金属蛋白酶2(MMP-2)及基质蛋白酶组织抑制剂2(TIMP-2)含量关系,以期为监测PTB患者病情变化及判断结核病治疗效果提供理论依据.[方法]酶联免疫(ELISA)法检测60 例肺结核患者及 20 例无肺部疾病患者(对照组)的血清MMP-2 及 TIMP-2含量,同时进行肺功能检查.[结果]浸润型肺结核(MMP-2:157.52±21.04;TIMP-2:185.15±14.08)及慢性纤维空洞型肺结核(MMP-2:169.48±18.13;TIMP-2:208.60±17.06)显著高于肺功能正常及其他类型的结核病患者(差异显著,均有统计学意义(p<0.01)).当PTB疾病逐渐转归并且痊愈,MMP-2 与TIMP-2的含量比例逐渐接近肺功能正常组.[结论]MMP-2、TIMP-2的含量关系在监测及治疗该两类结核病上具有一定的临床价值.

关键词: 肺结核, 基质金属蛋白酶2, 基质蛋白酶组织抑制剂2, 酶联免疫吸附试验

Abstract:

To investigate the pulmonary tuberculosis (PTB) and pathologic changes of matrix metalloproteinase 2 (MMP-2) in serum and tissue inhibitor of matrix metalloproteinase 2 (TIMP-2) content,and provide a theoretical basis for the monitoring of PTB changes in patients with tuberculosis and treatment effect in order to judge,enzyme linked immunosorbent assay (ELISA) method is for the detection of 60 cases of patients with pulmonary tuberculosis and 20 cases without lung disease patients (control group) the contents of MMP-2 and TIMP-2 in serum  and the test of pulmonary function tests.Results showed that pulmonary tuberculosis (MMP-2:157.52±21.04;TIMP-2:185.15±14.08)and chronic fibrocavernous pulmonary tuberculosis(MMP-2:169.48±18.13;TIMP-2:208.60±17.06)were significantly higher than that in normal lung function and other types of TB patients (significant differences were statistically significant (p<0.01)).In patients with PTB change,the proportion of MMP-2 and TIMP-2 gradually approached the normal lung function group as the disease improved.It can be concluded that the relationship between the content of MMP-2 and TIMP-2 has certain clinical value in monitoring and treatment of the two types of tuberculosis,and further research should be done.

Key words: pulmonary tuberculosis, matrix metalloproteinase 2, tissue inhibitor of matrix metalloproteinase 2, enzyme-linked immunosorbent assay

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