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评估血清Mac-2结合蛋白糖基化异构体作为丙型肝炎肝硬化患者肝细胞癌潜在标志物的作用。

Assessment of serum Mac-2 binding protein glycosylation isomer as a potential marker for hepatocellular carcinoma in cirrhotic hepatitis C patients.

作者信息

Gamal Mohamed, Moheyeldin Khaled, Wagdy Mona, Aposhady Nada, Elkady Aly

机构信息

Department of Tropical Medicine, Faculty of Medicine, Alexandria University, Egypt.

Department of Chemical and Clinical Pathology, Faculty of Medicine, Alexandria University, Egypt.

出版信息

Clin Exp Hepatol. 2024 Mar;10(2):90-97. doi: 10.5114/ceh.2024.139981. Epub 2024 Jun 18.

Abstract

AIM OF THE STUDY

To assess the serum level of Mac-2 binding protein glycosylation isomer as a potential biomarker for hepatocellular carcinoma (HCC) in hepatitis C virus (HCV) cirrhotic patients.

MATERIAL AND METHODS

Ninety patients were separated into two groups for the current research. Group I consisted of 45 patients with HCV that resulted in liver cirrhosis but no HCC. Group II consisted of 45 patients who had HCC and hepatic cirrhosis caused by HCV. Each patient underwent a complete clinical examination, thorough history taking, and laboratory tests, serum Mac-2 BPGI, abdominal ultrasound and triphasic computed tomography (CT) of the liver.

RESULTS

Serum Mac-2 BPGI was significantly higher in group II than group I and was statistically significantly higher in patients with portal vein invasion and in patients with lymph node metastases than those without, there was a statistically significant difference between mean values of serum M2BPGI, the BCLC score was higher in group C, and also a significant positive relation between tumor size and serum M2BPGI was found.

CONCLUSIONS

Serum Mac-2 BPGI can be used as diagnostic and prognostic markers for HCC.

摘要

研究目的

评估丙型肝炎病毒(HCV)肝硬化患者血清中Mac-2结合蛋白糖基化异构体水平作为肝细胞癌(HCC)潜在生物标志物的价值。

材料与方法

本研究将90例患者分为两组。第一组由45例因HCV导致肝硬化但无HCC的患者组成。第二组由45例患有HCC且由HCV引起肝硬化的患者组成。每位患者均接受了全面的临床检查、详细的病史采集以及实验室检查,包括血清Mac-2 BPGI检测、腹部超声检查和肝脏三期计算机断层扫描(CT)。

结果

第二组患者血清Mac-2 BPGI显著高于第一组,门静脉侵犯患者和有淋巴结转移患者的血清Mac-2 BPGI在统计学上显著高于无上述情况的患者,血清M2BPGI平均值之间存在统计学显著差异,C组的BCLC评分更高,且肿瘤大小与血清M2BPGI之间存在显著正相关。

结论

血清Mac-2 BPGI可作为HCC的诊断和预后标志物。

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