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[良性前列腺增生患者血清胰岛素样生长因子-1及胰岛素样生长因子结合蛋白-3分析]

[Analysis of serum insulin-like growth factor-1 and insulin-like growth factor-binding protein-3 in benign prostatic hyperplasia].

作者信息

Yu Jing-Ping, Wu Xiu-Mei, Chen Jian-Guo, Liu Wei-Min, Yang Qi-Xian

机构信息

Department of Nuclear Medicine, Second Hospital of Changzhou, Nanjing Medical University, Changzhou, Jiangsu 213003, China.

出版信息

Zhonghua Nan Ke Xue. 2003 Aug;9(5):341-3.

Abstract

OBJECTIVES

To determine changes of insulin-like growth factor-1 (IGF-1) and IGF binding protein-3 (IGFBP-3) in serum samples from benign prostatic hyperplasia (BPH) patients and to evaluate the value of these molecules as possible etiologic factors for BPH.

METHODS

The serum IGF-1 and IGFBP-3 levels were measured with immunoradiometric assay(IRMA) in 64 cases of BPH and in 30 healthy subjects as controls. The cases of BPH were divided into 3 groups according to the prostate volume(PV). There were 18 cases(PV < or = 30 ml) in group A, 24 cases(PV31 approximately 50 ml) in group B, 22 cases(PV > or = 50 ml) in group C.

RESULTS

There were no statistical differences between the levels of Both IGF-1 and IGFBP-3 in BPH groups and healthy groups (both P > 0.05), but there were statistical differences among three groups of BPH. Both IGF-1 and IGFBP-3 levels in group C of BPH were significantly higher than those in group A (both P < 0.05). A positive correlation between the serum levels of IGF-1 and PV displayed(r = 0.58), as well as IGFBP-3 (r = 0.48).

CONCLUSIONS

Together these observations implicate IGF-1 and IGFBP-3 as important factors during the progression of BPH. It shows the value of non-operation treatment for this disease.

摘要

目的

测定良性前列腺增生(BPH)患者血清样本中胰岛素样生长因子-1(IGF-1)和IGF结合蛋白-3(IGFBP-3)的变化,并评估这些分子作为BPH可能病因学因素的价值。

方法

采用免疫放射分析(IRMA)法测定64例BPH患者和30例健康对照者血清中IGF-1和IGFBP-3水平。根据前列腺体积(PV)将BPH患者分为3组。A组18例(PV≤30ml),B组24例(PV 31~50ml),C组22例(PV≥50ml)。

结果

BPH组与健康组IGF-1和IGFBP-3水平均无统计学差异(P均>0.05),但BPH三组间有统计学差异。BPH的C组IGF-1和IGFBP-3水平均显著高于A组(P均<0.05)。血清IGF-1水平与PV呈正相关(r = 0.58),IGFBP-3与PV也呈正相关(r = 0.48)。

结论

这些观察结果共同表明IGF-1和IGFBP-3是BPH进展过程中的重要因素。显示了该疾病非手术治疗的价值。

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