Clinical Utility of Serum Matrix Metalloproteinase-2 and Tissue Inhibitor of Metalloproteinase-2 Concentrations in the Assessment of Liver Fibrosis due to Chronic Hepatitis B

被引:13
作者
Liang, B. [1 ]
Li, Y. [3 ]
Zhao, A. [1 ]
Xie, F. [1 ]
Guo, Z. [1 ,2 ]
机构
[1] China Med Univ, High Vocat Technol Coll, Shenyang 110001, Peoples R China
[2] China Med Univ, Dept Pharmaceut Toxicol, Shenyang 110001, Peoples R China
[3] 202 Hosp, Dept Lab Med, Shenyang, Peoples R China
关键词
HEPATITIS B; LIVER FIBROSIS; MATRIX METALLOPROTEINASE-2 (MMP-2); TISSUE INHIBITOR OF METALLOPROTEINASE-2 (TIMP-2); FIBROTIC HUMAN LIVER; NONINVASIVE MARKERS; BIOPSY; EXPRESSION; DIAGNOSIS; DISEASES; TIMP-1; MMP-2; MANAGEMENT; RAT;
D O I
10.1177/147323001204000225
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
100103 [病原生物学]; 100218 [急诊医学];
摘要
OBJECTIVE: To explore the relationships between serum concentrations of tissue inhibitor of metalloproteinase-2 (TIMP-2) and matrix metalloproteinase-2 (MMP-2), and severity of liver fibrosis in chronic hepatitis B. METHODS: A total of 101 patients with hepatitis B and 54 healthy control subjects were consecutively enrolled. Serum MMP-2 and TIMP-2 were quantified by enzyme-linked immunosorbent assay. RESULTS: Serum MMP-2 concentrations in patients with stage F2 - F4 fibrosis were significantly higher than in patients with stage F0 - F1 fibrosis and control subjects, but no significant difference was found between patients with stage F0 - F1 fibrosis and control subjects. Significant differences in serum TIMP-2 concentrations were found between patients with stages F2 - F4 and F0 - F1 fibrosis, and between stages F0 - F1 fibrosis and healthy control subjects. Areas under the receiver operating characteristic curves of serum TIMP-2 and MMP-2 for predicting clinically significant fibrosis (stage F2 - F4) were 0.899 and 0.770, respectively. CONCLUSION: Serum TIMP-2 and MMP-2 assessment may represent a valuable noninvasive diagnostic test for liver fibrosis in hepatitis B.
引用
收藏
页码:631 / 639
页数:9
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