文章摘要
刘建华1 尚桂莲2 董明国1 李小好2 叶青跃1.急性冠状动脉综合症患者血浆溶血磷脂酸及基质金属蛋白酶-9 水平的检测及意义[J].,2011,11(10):1956-1958
急性冠状动脉综合症患者血浆溶血磷脂酸及基质金属蛋白酶-9 水平的检测及意义
Detection and Significance of Lysophosphatidic Acid and MatrixMetalloproteinase-9 Levels in Patients with Acute Coronary Syndrome
  
DOI:
中文关键词: 急性冠状动脉综合症  溶血磷脂酸  基质金属蛋白酶-9
英文关键词: Acute coronary syndrome  1ysophosphatidic acid  Matrix metalloproteinase-9
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作者单位
刘建华1 尚桂莲2 董明国1 李小好2 叶青跃1 武汉市科技大学附属天佑医院检验科 
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中文摘要:
      目的:探讨急性冠状动脉综合症(acute coronary syndromes,ACS)患者血浆溶血磷脂酸(1ysophosphatidic acid,LPA)及基质金 属蛋白酶-9(matrix metalloproteinase-9,MMP-9)水平的变化,探讨其在ACS 中可能的临床意义。方法:入选100 例ACS 患者,根据 病情将其分为急性心肌梗死(AMI)组50 例, 不稳定型心绞痛(UAP)组50 例,并入选40 例健康者作为对照组,分别用无机磷定量 法和酶联免疫吸附测定法测定血浆LPA、MMP-9 水平。结果:AMI 组血浆LPA、MMP-9 水平显著高于UAP 组(LPA:3.29± 0.42vs2.67±0.37;MMP-9:481.7±86.5 vs 237.85±65.34,P<0.01) 并且两组均显著高于对照组(LPA:1.82±0.31; MMP-9:87.42±23.85 P<0.01); LPA 与MMP-9 水平呈正相关(r=0.224,P<0.05)。结论:LPA 与MMP-9 可能是提示不稳定斑块的形成、破裂,进而导致急 性冠状动脉综合征的危险信号。
英文摘要:
      Objective: To investigate the level of plasma lysophosphatidic acid(LPA) and matrix metalloproteinase-9(MMP-9) in patients with acute coronary syndromes(ACS) and to explore the potential clinical significance. Method: A total of 100 patients with ACS were divided into two groups:group AMI(AMI) 50 and group unstable angina (UAP) 50,and 40 healthy persons served as control. Plasma LPA and MMP-9 were determined by inorganic phosphours quantitative method and enzyme-linked immunosorbent assay. Result: LPA and MMP-9 levels were significantly higher in AMI than in UAP(LPA:3.29±0.42vs2.67±0.37;MMP-9:481.7±86.5 vs 237.85±65.34,P<0. 01),and in both group were higher than in control group (LPA:1.82 ±0.31; MMP-9:87.42 ±23.85 P<0.01); LPA level was positive correlated with MMP-9 (r=0.224,P<0.05). Conclusion: LPA and MMP-9 may serve as a potential risk signal to hint the formation and rupture of unstable atherosclerotic plaque of ACS.
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