贵州医科大学学报

2020, v.45;No.239(08) 983-986+992

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OSAC患者血清和腹腔积液中IL-6、IL-8、MMP-2和MMP-9水平与临床病理分期及预后的关系
Relationship between Levels of IL-6,IL-8,MMP-2 and MMP-9 in Serum and Peritoneal Effusion and Clinicopathological Stage and Prognosis in Patients with Ovarian Serous Adenocarcinoma

高翠红;孙文杰;崔娇姣;
GAO Cuihong;SUN Wenjie;CUI Jiaojiao;Tangshan Women and Children's Health Hospital;

摘要(Abstract):

目的:探讨白细胞介素6(IL-6)、白细胞介素8(IL-8)和基质金属蛋白酶2(MMP-2)、MMP-9在浆液性卵巢癌(OSAC)患者血清及腹腔积液中的表达水平及相关性,并分析其与OSAC预后的关系。方法:选择经术后病理确诊为OSAC的56例患者为研究对象(OSAC组),同期因盆腔包块待查术后证实为卵巢良性肿瘤患者32例为对照组(良性肿瘤组),采用酶联免疫吸附法(ELISA)分别测定两组患者的血清及腹腔积液中IL-6、IL-8、MMP-2和MMP-9的水平;并采用Spearman等级相关分析以上指标在OSAC组血清与腹腔积液中的关系。结果:IL-6、IL-8、MMP-2和MMP-9在OSAC组患者的血清和腹腔积液中的表达高于良性肿瘤组(P <0.05); OSAC组Ⅲ、Ⅳ期患者腹腔积液中的IL-6、IL-8、MMP-2和MMP-9水平均高于Ⅰ、Ⅱ期患者,高、中分化组患者各指标水平低于低分化组,差异有统计学意义(P <0.05); IL-6、MMP-2和MMP-9在OSAC组血清和腹腔积液中的表达呈正相关(t=0.401,t=0.465,t=0.290,P <0.05)。结论:腹腔积液中IL-6、IL-8、MMP-2和MMP-9水平可用于鉴别卵巢良恶性病变,且与OSAC预后有关。
Objective: To investigate the expression level of interleukin-6( IL-6),interleukin-8( IL-8),matrix metalloproteinase 2( MMP-2) and matrix metalloproteinase-9( MMP-9) in serum and peritoneal effusion of patients with ovarian serous adenocarcinoma( OSAC),and to analyze their relationship with OSAC prognosis. Methods: Fifty-six OSAC patients confirmed by postoperative pathology were selected as the research object( OSAC group),and 32 patients with ovarian benign tumor confirmed after operation due to pelvic mass were selected as control group( benign tumor group). The levels of IL-6,IL-8,MMP-2 and MMP-9 in serum and peritoneal effusion of the two groups were measured by enzyme-linked immunosorbent assay( ELISA),and Spearman was used to detect the levels of IL-6,IL-8,MMP-2 and MMP-9 in serum and ascites of the two groups Grade correlation analysis was used to analyze the relationship between serum and ascites in OSAC group.Results: The expression of IL-6,IL-8,MMP-2 and MMP-9 in serum and peritoneal effusion of OSAC group was higher than that of benign tumor group( P < 0. 05); the levels of IL-6,IL-8,MMP-2 and MMP-9 in ascites of patients with stage III and IV in OSAC group were higher than those in stage I and II,while the levels of each index in high and medium differentiation group were lower than those in low differentiation group( P < 0. 05); the expressions of IL-6,MMP-2 and MMP-9 in serum and ascites of OSAC group were positively correlated( t = 0. 401,t = 0. 465,t = 0. 290,P < 0. 05). Conclusions:The levels of IL-6,IL-8,MMP-2 and MMP-9 in peritoneal effusion can be used to differentiate benign and malignant ovarian lesions,and are related to the OSAC prognosis.

关键词(KeyWords): 白细胞介素6;白细胞介素8;基质金属蛋白酶2;基质金属蛋白酶9;浆液性卵巢癌;腹腔积液
interleukin-6(IL-6);interleukin-8(IL-8);matrix metalloproteinase 2(MMPs-2);matrix metalloproteinase 9(MMPs-9);ovarian serous adenocarcinoma(OSAC);peritoneal effusion

Abstract:

Keywords:

基金项目(Foundation): 河北省2019年医学科学研究计划(20191531)

作者(Author): 高翠红;孙文杰;崔娇姣;
GAO Cuihong;SUN Wenjie;CUI Jiaojiao;Tangshan Women and Children's Health Hospital;

Email:

DOI: 10.19367/j.cnki.2096-8388.2020.08.022

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