冠心病患者血浆periostin蛋白与血管内皮生长因子的相关性
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Association of Plasma Periostin Protein and Vascular Endothelial Growth Factor in the Patients with Coronary Heart Disease
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    摘要:

    目的测定冠心病患者血浆periostin蛋白和血管内皮生长因子水平,分析periostin蛋白与血管内皮生长因子之间的关系并探讨其临床意义。方法 采用酶联免疫吸附法测定180例冠心病患者(其中急性心肌梗死患者58例,陈旧性心肌梗死患者30例,不稳定型心绞痛患者40例,稳定型心绞痛患者52例)和52例健康体检者血浆periostin和血管内皮生长因子水平,比较各组间的差异有无统计学意义。结果急性心肌梗死组、陈旧性心肌梗死组、不稳定型心绞痛组和稳定型心绞痛组血浆periostin蛋白及血管内皮生长因子水平显著高于对照组。在不同类型冠心病患者中,血浆periostin蛋白水平除在陈旧性心肌梗死组与稳定型心绞痛组之间以及不稳定型心绞痛组与陈旧性心肌梗死组之间比较差异无无显著性外,其余各组之间两两比较均有统计学差异(p<0.05或p<0.01),且在急性心肌梗死组>不稳定型心绞痛组>陈旧性心肌梗死组>稳定型心绞痛组;在不同类型冠心病患者中,血浆血管内皮生长因子水平在各组之间两两比较均具有统计学差异(p<0.05或p<0.01),且在急性心肌梗死组>不稳定型心绞痛组>陈旧性心肌梗死组>稳定型心绞痛组。冠心病患者血浆periostin水平与血管内皮生长因子水平呈显著正相关(r=0.593,p<0.01)。结论 血浆periostin蛋白与冠心病有密切关系, periostin蛋白水平增高可能是冠心病发病危险的一个生物指标。冠心病患者血浆periostin与血管内皮生长因子呈正相关,periostin很有可能通过血管生长调节等途径导致粥样硬化斑块的生长及不稳定性进而参与冠心病的发生与发展。

    Abstract:

    AimTo investigate the plasma levels of periostin protein and vascular endothelial growth factor (VEGF) in the patients with coronary heart disease (CHD), and to analyse the relationship and clinical significance between periostin protein and VEGF.Methods Plasma levels of periostin protein and VEGF in CHD patients (n=180) and healthy controls (n=52) were measured by enzyme-linked immunosorbent assay (ELISA). The patients with CHD were divided into four gropus: acute myocardial infarction (AMI)group (n=58), old myocardial infarction (OMI) group (n=30), unstable angina pectoris (UAP) group (n=40) and stable angina pectoris (SAP) group (n=52).ResultsThe plasma levels of periostin were not only significantly higher in CHD patients compared to healthy controls in the order of AMI group>UAP group>OMI group>SAP group> healthy controls, but also had statistical significance except OMI group vs SAP group and UAP group vs OMI group (p<0.05 or p<0.01). The plasma levels of VEGF were significantly higher in CHD patients compared to healthy controls in the order of AMI group>UAP group>OMI group>SAP group> healthy controls ( p<0.05 or p<0.01 ). The plasma levels of periostin was positively correlated with VEGF (r=0.593,p<0.01).ConclusionsThe plasma levels of periostin significantly correlated with CHD. The increase in plasma levels of periostin may be one of the pathogenesis of coronary heart disease, and periostin may promote

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杨汆, 丁志坚, 朱傲霜, 刘小宇, 马玲娣, 王芳芳.冠心病患者血浆periostin蛋白与血管内皮生长因子的相关性[J].中国动脉硬化杂志,2011,19(2):135~138.

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  • 收稿日期:2010-12-09
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