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慢性肝炎和肝硬化患者血浆一氧化氮、内皮素-1与谷丙转氨酶相关性研究

Study on the correlation of plasma NO, ET-1 and ALT in the patients with chronic hepatitis and cirrhosis.

作者信息

Tong Q, Zeng L

机构信息

Department of Infectious Disease, Xiehe Hospital, Tongji Medical University, Wuhan 430030.

出版信息

J Tongji Med Univ. 2000;20(3):203-4. doi: 10.1007/BF02886989.

Abstract

The levels of plasma nitric oxide (NO), endothelin-1 (ET-1) and ALT in the patients with chronic hepatitis B and active cirrhosis and the correlation among them were observed and analyzed. NO3- was restored by using cadmium column assay and NO2- measured by heavy nitrogen assay. The primitive NO3- and total restored NO2- (NO3-/NO2-) in plasma of the patients with chronic hepatitis and cirrhosis. Plasma ET-1 and ALT levels were determined by using radioimmunological assay and Lai's assay, respectively. Compared with normal control group, the plasma levels of NO2-/NO2- and ET-1 in the patients with chronic active hepatitis and active cirrhosis were significantly increased (P < 0.05-0.01). There was a positive correlation between NO and ALT, and ET-1 and ALT in the patients with chronic active hepatitis and active cirrhosis respectively. It was suggested that elevation of both NO and ET-1 levels were closely related with injury severity of liver function.

摘要

观察并分析慢性乙型肝炎和活动性肝硬化患者血浆一氧化氮(NO)、内皮素-1(ET-1)和谷丙转氨酶(ALT)水平及其相关性。采用镉柱法还原NO₃⁻,重氮法测定NO₂⁻,检测慢性肝炎和肝硬化患者血浆中原始NO₃⁻和总还原NO₂⁻(NO₃⁻/NO₂⁻)。分别采用放射免疫法和赖氏法测定血浆ET-1和ALT水平。与正常对照组相比,慢性活动性肝炎和活动性肝硬化患者血浆NO₂⁻/NO₂⁻和ET-1水平显著升高(P<0.05 - 0.01)。慢性活动性肝炎和活动性肝硬化患者中,NO与ALT、ET-1与ALT分别呈正相关。提示NO和ET-1水平升高均与肝功能损伤严重程度密切相关。

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