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Stroke:血清基质金属蛋白酶-7高水平与自发性蛛网膜下腔出血风险增加有关!

2018-06-08 xing.T MedSci原创

由此可见,血清MMP-7高水平与自发性SAH发生风险增加有关,并且与SAH的主要危险因素无关。血清MMP-2和MMP-9的高水平不能预测SAH风险。

基质金属蛋白酶(MMPs)增加动脉壁细胞外基质降解可能是颅内动脉瘤和蛛网膜下腔出血(SAH)发病的重要机制。有研究已经提出MMP-2和MMP-9涉及SAH发生前的基质降解。近日,卒中领域权威杂志Stroke上发表了一篇研究文章,研究人员分析了血清MMP-1、MMP-2、MMP-3、MMP-7、MMP-9、MMP-10和MMP-12水平以及SAH发生风险之间的相关性。

在基于人群的Malmö饮食和癌症队列研究中,研究人员纳入了自发SAH患者(n=79)和年龄、性别和随访时间相匹配的对照者(n=232)进行巢式病例对照研究。在1991年至1996年期间的基线检查中测量了血清中的MMPs。研究人员使用调整了危险因素的条件logistic回归比较了病例和对照者之间的MMPs水平。

与对照组相比,SAH患者中MMP-7、MMP-10和MMP-12的基线水平显著升高。MMP-7、MMP-10和MMP-12每增加1个SD发生SAH的比值比(95%可信区间)分别为1.78(1.31-2.41)、1.45(1.11-1.91)和1.53(1.17-2.01)。在校正SAH的危险因素后,MMP-7仍然与SAH显著相关(比值比为1.64; 95%可信区间为:1.19-2.27; P=0.0026),而MMP-10和MMP-12与其的相关性有所减弱且无显著性。研究人员没有发现高血清MMP-2或MMP-9水平与SAH风险之间存在任何关联。

由此可见,血清MMP-7高水平与自发性SAH发生风险增加有关,并且与SAH的主要危险因素无关。血清MMP-2和MMP-9的高水平不能预测SAH风险。

原始出处:

Martin Söderholm,et al.High Serum Level of Matrix Metalloproteinase-7 Is Associated With Increased Risk of Spontaneous Subarachnoid Hemorrhage.Stroke. 2018. https://doi.org/10.1161/STROKEAHA.118.020660

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    2018-06-10 sodoo
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    2018-06-09 虈亣靌

    这么厉害的技术.还是要仔细学习.

    0

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