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解放军预防医学杂志  2016, Vol. 34 Issue (6): 904-906    
  研究论著 本期目录 | 过刊浏览 | 高级检索 |
血脑屏障中MMP-2、TIMP-2水平变化与脑神经胶质瘤侵袭能力的关系
李 峰
铜川矿务局中心医院神经外科, 陕西铜川 727000
Relationship of Blood MMP-2、TIMP-2 Brain Barrier and Glioma Invasion Ability
LI Feng
Department of Neurosurgery ,Tongchuan Mining Central Hospital,Tongchuan,Shaanxi 727000,China
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摘要 目的 探讨血脑屏障紧密连接变化对脑神经胶质瘤侵袭能力的影响,为评价病情进展提供依据。方法 选择到我院神经外科就诊的87例胶质细胞瘤患者,WHOⅠ级29例,Ⅱ级26例,Ⅲ级21例,Ⅳ级11例,对各级患者血清S-100、胶质纤维酸性蛋白(GFAP)、基质金属蛋白酶-2(MMP-2)及其抑制剂(TIMP-2)进行检测。结果 Ⅱ级患者S-100及GFAP水平显著高于Ⅰ级患者(P<0.05),Ⅲ级患者S-100及GFAP水平显著高于Ⅰ、Ⅱ级患者(P<0.05),Ⅳ级患者S-100及GFAP水平显著高于Ⅰ、Ⅱ、Ⅲ、Ⅳ级患者(P<0.05)。Ⅰ、Ⅱ、Ⅲ、Ⅳ级患者MMP-2/TIMP-2分别为0.107±0.016、0.147±0.018、0.211±0.030、0.409±0.051,各级之间比较,差异均有显著性(P<0.05)。S-100、GFAP与MMP-2、MMP-2/TIMP-2均呈显著正相关(P<0.05)。结论 随神经胶质瘤分级进展,血脑屏障紧密连接被破坏且与脑神经胶质瘤侵袭能力密切相关。
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关键词 神经胶质瘤 血脑屏障 侵袭能力    
AbstractObjective To investigate the effects of tight junction of the blood-brain barrier on the glioma invasion ability.Methods 87 cases of neurosurgery glioblastoma patients including grade Ⅰ 29 cases,26 cases of patients with grade Ⅱ ,Ⅲ grade 21 cases ,Ⅳ grade 11 patients were enrolled.Serum levels in patients of S-100,GFAP,MMP-2,TIMP-2 were detected.Results S-100,GFAP in patients with grade Ⅱ compared with Ⅰ appeared significantly higher level(P<0.05),S-100,GFAP of Ⅲ grade patients compared with gradeⅠ,Ⅱ grade were significantly higher(P<0.05),S-100,GFAP of Ⅳ grade compared with gradeⅠ,Ⅱgrade ,grade Ⅲ were significantly(P<0.05).MMP-2 / TIMP-2 in Ⅱ level patients compared with class Ⅰ was significantly higher(P<0.05),MMP-2 and TIMP-2 in Ⅲ grade patients compared with grade Ⅰ were any significant different(P<0.05),MMP-2 / TIMP -2 compared with grade Ⅰ ,grade Ⅱ patients were significantly higher(P<0.05),MMP-2 and TIMP-2 and MMP-2 / TIMP-2 of Ⅳ grade compared with grade Ⅰ ,Ⅱ,Ⅲ were any significant different(P<0.05).S-100,GFAP and MMP-2,MMP-2 / TIMP-2 were significantly correlated(P<0.05),while showing no effects on TIMP-2(P>0.05).Conclusion With the progress of glioma grading ,the tight junction of BBB were destroyed and were closely related to glioma invasion ability.
Key wordsglioma    blood brain barrier    invasive ability
收稿日期: 2016-02-28      出版日期: 2017-01-05
基金资助:陕西省科技攻关资助项目(No.2011Kw25-02)
引用本文:   
李 峰. 血脑屏障中MMP-2、TIMP-2水平变化与脑神经胶质瘤侵袭能力的关系[J]. 解放军预防医学杂志, 2016, 34(6): 904-906.
LI Feng. Relationship of Blood MMP-2、TIMP-2 Brain Barrier and Glioma Invasion Ability. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(6): 904-906.
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