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炎症性肺病患者的血清肝细胞生长因子水平

Serum hepatocyte growth factor levels in patients with inflammatory lung diseases.

作者信息

Huang M S, Tsai M S, Wang T H, Chong I W, Hou J J, Lin Y J, Hwang J J

机构信息

Department of Internal Medicine, Kaohsiung Medical College, Taiwan, Republic of China.

出版信息

Kaohsiung J Med Sci. 1999 Apr;15(4):195-201.

Abstract

HGF is a pulmotrophic factor in the regeneration of an injured lung. However, the physiological role of HGF in vivo remains largely unknown. We studied HGF in patients with inflammatory lung diseases to investigate the clinical significance of HGF and compared with C-reactive protein (CRP) in inflammatory lung diseases. Forty-seven patients with inflammatory lung diseases (16 tuberculosis, 18 pneumonia, and 13 chronic obstructive pulmonary disease (COPD)) were studied. Fifty normal, healthy individuals were analyzed as normal control subjects. Serum HGF levels were measured by enzyme-linked immunosorbent assays (ELISA). Serum CRP levels were also performed. The mean +/- SE numbers of serum HGF levels in the patients with inflammatory lung diseases (4.33 +/- 0.41 ng/ml) were significantly elevated when compared with those in normal control subjects (0.36 +/- 0.02 ng/ml) (p < 0.0001). Serum HGF levels in patients with COPD was significantly lower than those were with tuberculosis or pneumonia (p < 0.05). There was a significant correlation between serum HGF levels and CRP in inflammatory pulmonary diseases (r = 0.48, p = 0.00087). The significantly decreased serum HGF levels in patients with improved inflammatory lung diseases were also observed subsequently. Our results suggest that secreted HGF may play an important role in bronchial epithelium reconstruction during respiratory inflammation.

摘要

肝细胞生长因子(HGF)是损伤肺组织再生过程中的一种促肺因子。然而,HGF在体内的生理作用在很大程度上仍不清楚。我们对炎症性肺病患者的HGF进行了研究,以探讨HGF的临床意义,并与炎症性肺病患者的C反应蛋白(CRP)进行比较。研究了47例炎症性肺病患者(16例肺结核、18例肺炎和13例慢性阻塞性肺疾病(COPD))。将50名正常健康个体作为正常对照受试者进行分析。采用酶联免疫吸附测定(ELISA)法检测血清HGF水平。同时也检测了血清CRP水平。与正常对照受试者(0.36±0.02 ng/ml)相比,炎症性肺病患者血清HGF水平的平均值±标准误(4.33±0.41 ng/ml)显著升高(p<0.0001)。COPD患者的血清HGF水平显著低于肺结核或肺炎患者(p<0.05)。炎症性肺病患者血清HGF水平与CRP之间存在显著相关性(r=0.48,p=0.00087)。随后还观察到炎症性肺病病情改善的患者血清HGF水平显著降低。我们的结果表明,分泌的HGF可能在呼吸道炎症期间的支气管上皮重建中发挥重要作用。

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