冠心病患者动脉弹性与血清高敏C反应蛋白和基质金属蛋白酶9的相关性
DOI:
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

国家自然科学基金资助项目(81025002;81100209)


Association of Arterial Elasticity with Serum High Sensitivity C-reactive Protein and Matrix Metalloproteinase-9 in Patients with Coronary Heart Disease
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的探讨冠心病患者动脉弹性与高敏C反应蛋白和基质金属蛋白酶9的关系。方法运用动脉弹性功能测定仪检测大动脉弹性指数(C1)和小动脉弹性指数(C2);采用双抗体夹心ABC-ELISA法检测血清高敏C反应蛋白及基质金属蛋白酶9。结果C1、C2、基质金属蛋白酶9及高敏C反应蛋白在冠心病组与对照组之间存在差异,且有统计学意义。Logistic逐步回归分析显示:男性、吸烟、低密度脂蛋白、C2、高血压史、高敏C反应蛋白是冠心病的独立危险因素。冠心病患者C1与高敏C反应蛋白及基质金属蛋白酶9相关系数分别为-0.51(p<0.01)和-0.49(p<0.01);C2与高敏C反应蛋白及基质金属蛋白酶9相关系数分别为-0.69(p<0.01)和-0.55(p<0.01)。冠心病患者动脉弹性影响因素多元逐步回归分析显示,C1独立影响因素为年龄、脉压、收缩压、高敏C反应蛋白、低密度脂蛋白、基质金属蛋白酶9,C2独立影响因素为年龄、脉压、空腹血糖、高敏C反应蛋白、低密度脂蛋白。结论冠心病患者动脉弹性与血清炎症因子高敏C反应蛋白及基质金属蛋白酶9均呈明显负相关,炎症反应可能是冠心病患者动脉弹性的重要影响因素之一。

    Abstract:

    AimTo explore the correlation between arterial elasticity indexes and serum high sensitivity C-reactive protein (hs-CRP) and matrix metalloproteinase-9 (MMP-9) in patients with coronary heart disease.MethodsLarge arterial elasticity index (C1) and small arterial elasticity index (C2) were measured with CVProfilor DO-2020.Serum hs-CRP and MMP-9 were measured with ABC-double-antibody sandwich ELISA.ResultsThere was significant difference between coronary heart disease group and control group in C1, C2, MMP-9 and hs-CRP.Logistic regression analysis showed that male, smoking, low density lipoprotein cholesterol, C2, history of hypertension, hs-CRP were independent risk factors for coronary heart disease.Significant inverse correlation was noted between C1 and hs-CRP (r=-0.51), MMP-9 (r=-0.49), and between C2 and hs-CRP (r=-0.69), MMP-9 (r=-0.55) (all p<0.01) in patients with coronary heart disease.Multiple linear regression analysis showed that independent risk factors for C1 included age, pulse pressure, systolic blood pressure, hs-CRP, low density lipoprotein cholesterol and MMP-9, and independent risk factors for C2 were age, pulse pressure, fasting blood sugar, hs-CRP and low density lipoprotein cholesterol in patients with coronary heart disease.ConclusionsThe present study showed that there was significantly negative correlation between arterial elasticity indexes and serum MMP-9 and hs-CRP in patients with coronary heart disease.The in- flammation may have important impact on arterial elasticity.

    参考文献
    相似文献
    引证文献
引用本文

万招飞,张娇,薛嘉虹,刘小军,王新宏,赵艳,吴岳,袁祖贻.冠心病患者动脉弹性与血清高敏C反应蛋白和基质金属蛋白酶9的相关性[J].中国动脉硬化杂志,2012,20(11):1003~1006.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2012-04-27
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: