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急性心肌梗死患者PCI术前及术后血清基质金属蛋白酶-2与基质金属蛋白酶-9的相关性

[Correlation between serum MMP-2 and MMP-9 in patients with acute myocardial infarction before and after PCI].

作者信息

Dai Feng, Xiao Gui-lin, Pan Jing

机构信息

Department of Emergency, Xiangya Hospital, Central South University, Changsha 410008, China.

出版信息

Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2009 Aug;25(8):716-8.

Abstract

AIM

To investigate the correlation between serum MMP-2 and MMP-9 in patients with acute myocardial infarction (AMI) before and after PCI.

METHODS

The enzymatic activity and protein expression level of serum MMP-2 and MMP-9 in 56 patients with AMI and 20 control subjects were detected by the SDS-PAGE enzymograph and Western blot before and 1-7 days after PCI. The correlation between MMP-2 and MMP-9 was also analyzed.

RESULTS

The enzymatic activity and protein expression level of serum MMP-2 and MMP-9 in 56 patients with AMI were both significantly higher than those in the control subjects before and after PCI (P<0.01). The enzymatic activity and protein expression level of serum MMP-2 and MMP-9 in patients with AMI began to increase on the first day and were at peak on the third day (P<0.01). They began to decrease on the fifth day after PCI (P<0.05). The enzymatic activity of serum MMP-2 was correlated positively with that of MMP-9 (P<0.01). The protein expression level of serum MMP-2 was also correlated positively with that of MMP-9 (P<0.01).

CONCLUSION

The serum MMP-2 and MMP-9 may be related to inflammatory injuries after myocardial ischemia and reperfusion. MMP-2 can be regarded as an important marker of inflammation as MMP-9 in the pathogenesis of AMI.

摘要

目的

探讨急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)前后血清基质金属蛋白酶-2(MMP-2)和基质金属蛋白酶-9(MMP-9)之间的相关性。

方法

采用十二烷基硫酸钠-聚丙烯酰胺凝胶电泳酶谱法(SDS-PAGE)和蛋白质免疫印迹法(Western blot)检测56例AMI患者及20例对照者PCI术前及术后1~7天血清MMP-2和MMP-9的酶活性及蛋白表达水平,并分析MMP-2与MMP-9之间的相关性。

结果

56例AMI患者PCI术前及术后血清MMP-2和MMP-9的酶活性及蛋白表达水平均显著高于对照组(P<0.01)。AMI患者血清MMP-2和MMP-9的酶活性及蛋白表达水平于发病第1天开始升高,第3天达峰值(P<0.01),PCI术后第5天开始下降(P<0.05)。血清MMP-2的酶活性与MMP-9的酶活性呈正相关(P<0.01),血清MMP-2的蛋白表达水平与MMP-9的蛋白表达水平也呈正相关(P<0.01)。

结论

血清MMP-2和MMP-9可能与心肌缺血再灌注后的炎症损伤有关。在AMI发病机制中,MMP-2可作为与MMP-9一样重要的炎症标志物。

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