慢性恰加斯心脏病和全体性动脉高血压患者血浆基质金属蛋白酶2和9水平:与tgf - β血浆水平的相关性

IF 1.8 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Reinaldo B Bestetti, Renata Dellalibera-Joviliano, Ellen Rizzi, Giselle F Bonacio, Milton Faria-Jr, Rosemeire Furlan-Daniel, Suzeley Castro-França
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引用次数: 0

摘要

背景:慢性恰加斯心脏病(CCHD)和全身性动脉高血压(SAH)在恰加斯病流行地区经常共存。两种情况(CCHD-SAH)对细胞外基质(ECM)重塑的影响尚不清楚。基质金属蛋白酶(MMP) 2和9参与ECM重塑。本研究的目的是评估c冠心病- sah患者的mmp2和MMP9水平,并将它们的水平与促纤维化细胞因子tgf - β的水平联系起来。方法:我们纳入了19例c冠心病- sah患者,14例单独c冠心病患者和19例按性别和年龄匹配的对照组。用凝胶酶谱法测定血浆中MMP-2和MMP-9的水平,并用光密度(OD)表示。双配体ELISA法测定血浆tgf - β水平,以pg/mL表示。结果:单纯CCHD患者血浆中位(第5、95位)MMP-2水平为1224.7 OD(1160、1433.5),CCHD- sah患者为1424.1 OD(1267.5、1561),对照组为940 OD(898.1、1000.8)(p=0.001)。单纯CCHD患者血浆MMP-9水平为1870 OD (1740,1904.1), CCHD- sah患者血浆MMP-9水平为1754.6 OD(1650,2049),对照组为89.7 OD (80,96) (p=0.0003)。c冠心病- sah患者血浆MMP-9水平高于MMP- 2水平(p=0.01)。血浆tgf - β水平与血清MMP-2水平无相关性(r = 0.12;P =0.7),但有中度负相关(r = -0.46;血浆中tgf - β和MMP-9的差异p=0.048)。结论:MMP-2,尤其是MMP-9可能在c冠心病- sah患者的ECM重塑过程中发挥作用。tgf - β可能抵消MMP对CCHD-SAH患者ECM重塑过程的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Plasma Levels of Matrix Metalloproteinases 2 and 9 in Patients with Chronic Chagas Heart Disease and Systemic Arterial Hypertension: Correlation with TGF-Beta Plasma Levels.

Plasma Levels of Matrix Metalloproteinases 2 and 9 in Patients with Chronic Chagas Heart Disease and Systemic Arterial Hypertension: Correlation with TGF-Beta Plasma Levels.

Plasma Levels of Matrix Metalloproteinases 2 and 9 in Patients with Chronic Chagas Heart Disease and Systemic Arterial Hypertension: Correlation with TGF-Beta Plasma Levels.

Plasma Levels of Matrix Metalloproteinases 2 and 9 in Patients with Chronic Chagas Heart Disease and Systemic Arterial Hypertension: Correlation with TGF-Beta Plasma Levels.

Background: Chronic Chagas heart disease (CCHD) and systemic arterial hypertension (SAH) frequently coexists in areas where Chagas disease is endemic. The effects of the association of both conditions (CCHD-SAH) on the extracellular matrix (ECM) remodeling are unknown. Matrix metalloproteinases (MMP) 2 and 9 are involved in ECM remodeling. The aim of this study was to evaluate MMP 2 and MMP9 in CCHD-SAH patients and to correlate their levels with those of the profibrogenic cytokine TGF-beta.

Methods: We included 19 patients with CCHD-SAH, 14 patients with CCHD alone, and 19 controls matched by sex and age. MMP-2 and MMP-9 plasma levels were studied by gel zymography and showed as optical densities (OD). TGF-beta plasma levels were measured by double-ligand ELISA and expressed as pg/mL.

Results: Median (5th, 95th) MMP-2 plasma levels were 1224.7 OD (1160, 1433.5) in patients with CCHD alone, 1424.1 OD (1267.5, 1561) in patients with CCHD-SAH, and 940 OD (898.1, 1000.8) in controls (p=0.001). MMP-9 plasma levels were 1870 OD (1740, 1904.1) in patients with CCHD alone, 1754.6 OD (1650, 2049) in those with CCHD-SAH and 89.7 OD (80, 96) in controls (p=0.0003). MMP-9 plasma levels were higher than those of MMP 2 in patients with CCHD-SAH (p=0.01). No correlation was found between TGF-beta plasma levels with MMP-2 serum levels (r = 0.12; p=0.7), but a moderate negative correlation (r = -0.46; p=0.048) was observed between TGF-beta and MMP-9 plasma levels.

Conclusions: MMP-2 and especially MMP-9 may play a role in the ECM remodeling process in patients with CCHD-SAH. TGF-Beta may counteract the MMP effect on the ECM remodeling process in patients with CCHD-SAH.

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来源期刊
Cardiology Research and Practice
Cardiology Research and Practice Medicine-Cardiology and Cardiovascular Medicine
CiteScore
4.40
自引率
0.00%
发文量
64
审稿时长
13 weeks
期刊介绍: Cardiology Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies that focus on the diagnosis and treatment of cardiovascular disease. The journal welcomes submissions related to systemic hypertension, arrhythmia, congestive heart failure, valvular heart disease, vascular disease, congenital heart disease, and cardiomyopathy.
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