张文宗, 张守彦, 何燕, 沈琳, 林钟香. 血浆SDF-1α、TGF-β1水平与不同类型冠心病患者和冠状动脉狭窄程度的相关性[J]. 心脏杂志, 2009, 21(2): 220-223.
    引用本文: 张文宗, 张守彦, 何燕, 沈琳, 林钟香. 血浆SDF-1α、TGF-β1水平与不同类型冠心病患者和冠状动脉狭窄程度的相关性[J]. 心脏杂志, 2009, 21(2): 220-223.
    Correlation between serum levels of SDF-1α and TGF-β1 and degree of coronary artery stenosis in patients with different types of coronary artery disease[J]. Chinese Heart Journal, 2009, 21(2): 220-223.
    Citation: Correlation between serum levels of SDF-1α and TGF-β1 and degree of coronary artery stenosis in patients with different types of coronary artery disease[J]. Chinese Heart Journal, 2009, 21(2): 220-223.

    血浆SDF-1α、TGF-β1水平与不同类型冠心病患者和冠状动脉狭窄程度的相关性

    Correlation between serum levels of SDF-1α and TGF-β1 and degree of coronary artery stenosis in patients with different types of coronary artery disease

    • 摘要: 目的 探讨血浆基质细胞衍生因子-1α(SDF-1α)、转化生长因子-β1 (TGF-β1)与不同类型冠心病和冠心病冠脉狭窄程度的相关性。方法 124 例患者分为:稳定型心绞痛(SAP)组32例、不稳定型心绞痛(UAP)组30例、急性心肌梗死(AMI)组32例及对照组30 例。ELISA法测定血浆SDF-1α、TGF-β1水平;并冠脉造影,用Gensini积分评定冠状动脉狭窄程度。结果 ①血浆SDF-1α、TGF-β1水平SAP组、UAP组、AMI组低于对照组(P<0.01),UAP组、AMI组低于SAP组(P<0.01),AMI 组低于UAP组(P<0.01);②血浆SDF-1α水平与SAP组、UAP组、AMI组Gensini积分的相关系数分别为:r=-0.31,P=0.0749;r=-0.69,P=0.0036;r=-0.76,P=0.0049;TGF-β1与各组Gensini积分的相关系数分别为:r=-0.19,P=0.1592;r=-0.71,P=0.0037;r=-0.77,P=0.0029;③血浆SDF-1α、TGF-β1水平在单支病变、双支病变和三支病变组间差异显著(P<0.01),与病变血管支数成负相关(r=-0.65,P=0.0218;r=-0.73,P=0.0065)。结论 冠心病患者血浆SDF-1α、TGF-β1水平降低,与冠心病严重程度及冠状动脉狭窄程度呈负相关。

       

      Abstract: AIM To explore the correlation between the serum levels of SDF-1α and TGF-β1 and different types of coronary artery diseases as well as the degree of stenosised coronary artery. METHODS A total of 124 patients were divided into four groups: 32 cases were diagnosed as stable angina pectoris (SAP), 30 cases as unstable angina pectoris (UAP), 32 cases as acute myocardial infarction (AMI), and a control group of 30 cases who had been identified by as having no coronary diseases by coronary angiography. The serum level of SDF-1α and TGF-β1 were determined by ELISA assay and following coronary angiography, the degree of coronary artery stenosis was determined by Gensini’s scores system. RESULTS ① The serum levels of SDF-1α and TGF-β1 in each coronary heart disease group were significantly lower than those in control group (P<0.01). The levels in UAP and AMI groups were lower than in those in SAP group (P<0.01) and the levels in AMI group were lower compared with those the UAP group (P<0.01). ②The correlation indexes in UAP, SAP and AMI groups were respectively -0.31 (P=0.0749), -0.69(P=0.0036) and -0.76(P=0.0049) between the serum levels of SDF-1α and the coronary artery Gensini’s scores. The correlation indexes in UAP, SAP and AMI groups were respectively -0.19(P=0.1529), -0.71(P=0.0037) and -0.77(P=0.0029) between the serum level of TGF-β1 and the coronary artery Gensini’s scores. ③The serum levels of SDF-1α and TGF-β1 were significantly different between unicoronary artery stenosis, bicoronary artery stenosis and tricoronary artery stenosis (P<0.01), and the serum levels of SDF-1α and TGF-β1 were negatively correlated with the number of stenosised coronary artery(r=-0.65, P=0.0218; r=-0.73, P=0.0065). CONCLUSION The serum levels of SDF-1α and TGF-β1 in the coronary heart disease group are lower than those in the control group and are negatively correlated with the severity of coronary artery disease and the stenosised degree of coronary arteries.

       

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