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冠心病稳定型心绞痛患者MPO及MMP-9表达变化
引用本文:宋庆桥,李宜,胡元会,冯玲,石洁,吴华芹,曹雪滨,李俊峡. 冠心病稳定型心绞痛患者MPO及MMP-9表达变化[J]. 中医药研究, 2011, 0(6): 653-656
作者姓名:宋庆桥  李宜  胡元会  冯玲  石洁  吴华芹  曹雪滨  李俊峡
作者单位:[1]于中国中医科学院广安门医院,100053 [2]中国中医科学院研究生院 ,100053 [3]中国人民解放军第二五二医院 ,100053 [4]白求恩国际和平医院,100053
基金项目:为国家十一五科技支撑项目(No.2006BAI21B04)
摘    要:目的 探讨冠心病稳定型心绞痛患者血清髓过氧化物酶(MPO)和基质金属蛋白酶-9(MMP-9)表达变化.方法 采用液相芯片分析系统同步检测206例经冠状动脉造影证实的稳定型心绞痛患者及28名健康对照者血清MPO和MMP-9表达程度,并分析其与冠脉病变程度的相关性.结果 稳定型心绞痛患者血清MPO、MMP-9表达程度较健康对照者升高(P〈0.01);二者变化具有显著正相关(P〈0.01),且与冠脉病变程度Gensini积分无明显相关.结论 稳定型心绞痛患者冠脉斑块具有一定程度炎性反应和不稳定性,其中表达程度升高者可能处于向不稳定型心绞痛过度的阶段.MPO和MMP-9可能成为判定稳定型心绞痛患者危险分层的依据.

关 键 词:稳定型心绞痛  髓过氧化物酶  基质金属蛋白酶-9

Expression of Myeloperoxidase and Matrix Metalloproteinase-9 in Stable Angina Pectoris
Affiliation:Song Qingqiao,Li Yi,Hu Yuanhui,et al Guang'anmen Hospital,China Academy of Chinese Medical Sciences(Beijing 100053)
Abstract:Objective To explore the expression of myeloperoxidase(MPO) and matrix metalloproteinase-9(MMP-9) in patients(pts) with stable angina pectoris(SAP).Methods By liquid-chip analysis system,the expression of MPO and MMP-9 in 206 pts with SAP and 28 subjects were detected and compared.Results The expression of MPO and MMP-9 in pts with SAP was obviously higher than that in health subjects(P0.01).There was significant positive relation between MPO and MMP-9(P0.01).Conclusion There were some degree inflammatory reactions in coronary plaques in pts with SAP.The pts with high level of MPO and MMP-9 might trend to develop unstable angina pectoris.MPO and MMP-9 could provide a basis for risk stratification of SAP.
Keywords:stable angina pectoris myeloperoxidase matrix metalloproteinase-9
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