Xu Xin, Li Yi-Ming, Ji Hong, Hou Chong-Zhi, Cheng Ying-Bo, Ma Fu-Ping
Department of General Surgery, Second Hospital, Xi'an Jiaotong University, 157 Northern street, Xi'an 710004, Shaanxi Province, China.
World J Gastroenterol. 2005 Apr 14;11(14):2184-7. doi: 10.3748/wjg.v11.i14.2184.
We aimed to observe the expression of extracellular matrix (ECM) and cellular adhesion molecules (CAM) in cirrhotic liver tissues after hepatitis C virus (HCV) infection.
Twelve patients with post HCV inflammatory liver cirrhosis were selected to evaluate their liver function and other virological, pathological parameters. Then three specimens of cirrhotic patients whose health assessment results and laboratory data were similar and three normal liver specimens explanted from liver grafts prepared for liver transplantation were chosen for investigating gene expression of ECM and CAM using cDNA expression array.
The cDNA array assay revealed 36.7% (36/96) of genes with changes, in which 26.3% (26/96) was up-regulated and 10.1% (10/96) was down-regulated. Integrin (ITGA), collagen (COL), ADAMTS were identified as the characteristic changes of ECM and CAM gene expression levels. ITGA were demonstrated beta1 and beta2 sub-section changed in liver cirrhosis.
ECM and CAM play an important role in the progression of liver cirrhosis after HCV infection. The capital mechanism is related to the inflammatory cells infiltration, the activation and transformation of ECM producing cells and the imbalance between production and elimination of ECM.
我们旨在观察丙型肝炎病毒(HCV)感染后肝硬化肝组织中细胞外基质(ECM)和细胞粘附分子(CAM)的表达情况。
选取12例HCV感染后炎症性肝硬化患者,评估其肝功能及其他病毒学、病理学参数。然后从健康评估结果和实验室数据相似的肝硬化患者中选取3份标本,以及从为肝移植准备的肝移植物中获取的3份正常肝脏标本,使用cDNA表达阵列研究ECM和CAM的基因表达。
cDNA阵列分析显示36.7%(36/96)的基因有变化,其中26.3%(26/96)上调,10.1%(10/96)下调。整合素(ITGA)、胶原(COL)、含血小板解聚蛋白基序的金属蛋白酶(ADAMTS)被确定为ECM和CAM基因表达水平的特征性变化。在肝硬化中,ITGA的β1和β2亚组出现变化。
ECM和CAM在HCV感染后肝硬化的进展中起重要作用。主要机制与炎症细胞浸润、ECM产生细胞的激活和转化以及ECM产生与清除之间的失衡有关。