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金属蛋白酶 2 和 9 及其组织抑制剂 1 和 2 在外阴硬化性苔藓中增加。

Metalloproteinases 2 and 9 and their tissue inhibitors 1 and 2 are increased in vulvar lichen sclerosus.

机构信息

Programa de Biologia Estrutural, Instituto de Bioquímica Médica, Centro Nacional de Ressonância Magnética Nuclear Jiri Jonas, Universidade Federal do Rio de Janeiro, 21941-590 Rio de Janeiro, RJ, Brazil.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2012 Mar;161(1):96-101. doi: 10.1016/j.ejogrb.2011.12.003. Epub 2011 Dec 24.

Abstract

OBJECTIVES

To evaluate the expression of different matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) in vulvar lichen sclerosus (LS), a chronic dermatosis in women, histologically characterized by a zone of collagen remodeling in the superior dermis.

STUDY DESIGN

Analysis of the expression of different MMPs (MMP-1, -2, -9 and -13) and TIMPs (TIMP-1 and -2) by reverse transcriptase-polymerase chain reaction (RT-PCR) in vulvar biopsies from patients with LS (n=11), classified according to Hewitt histological criteria and compared with clinically normal vulvar tissue (n=5), and the immunohistochemistry of MMP-2 and -9 and TIMP-1 and -2 distribution in the remodeling zone of LS (n=31) and in clinically normal vulvar tissue (n=28).

RESULTS

Although no statistically significant difference between LS and normal skin groups at the mRNA level of MMP and TIMP transcripts was shown, an increase in the immunodistribution of MMP-2 and -9 and TIMP-1 and -2 in LS compared to normal vulvar skin was observed.

CONCLUSIONS

These results suggest that these molecules could be related to the process of cutaneous collagen remodeling in LS pathology.

摘要

目的

评估不同基质金属蛋白酶(MMPs)和金属蛋白酶组织抑制剂(TIMPs)在女性慢性皮肤病外阴硬化性苔藓(LS)中的表达,其组织学特征为真皮上层存在胶原重塑区。

研究设计

通过逆转录-聚合酶链反应(RT-PCR)分析 LS 患者(n=11)外阴活检组织中不同 MMPs(MMP-1、-2、-9 和 -13)和 TIMPs(TIMP-1 和 -2)的表达情况,并根据 Hewitt 组织学标准进行分类,与临床正常外阴组织(n=5)进行比较,并对 LS 重塑区(n=31)和临床正常外阴组织(n=28)中 MMP-2 和 -9 以及 TIMP-1 和 -2 的免疫分布进行免疫组化分析。

结果

尽管 LS 组和正常皮肤组在 MMP 和 TIMP 转录本的 mRNA 水平上没有统计学差异,但与正常外阴皮肤相比,LS 中 MMP-2 和 -9 以及 TIMP-1 和 -2 的免疫分布增加。

结论

这些结果表明,这些分子可能与 LS 病理中的皮肤胶原重塑过程有关。

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