Expression of matrix metalloproteinase-2 in liver tissues of children with biliary atresia
10.3760/cma.j.issn.2095-428X.2013.23.014
- VernacularTitle:基质金属蛋白酶2在胆道闭锁患儿肝组织中的表达
- Author:
Chun-Qiang DONG
1
;
Kun DONG
;
Ti-Quan YANG
Author Information
1. 广西医科大学第一附属医院小儿外科
- Keywords:
Matrix metalloproteinase-2;
Biliary atresia;
Liver fibrosis;
Prognosis;
Child
- From:
Chinese Journal of Applied Clinical Pediatrics
2013;28(23):1801-1804
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relation of matrix metalloproteinase-2(MMP-2) expressed in liver tissue of biliary atresia(BA) and liver fibrosis,jaundice free,cholangitis onset and survival time with native liver after Kasai hepatoenterostomy (KH).Methods Clinical and pathological data were collected in 65 cases of BA,with a completely 2 years' follow-up after KH(BA group) from Jan.2009 to Dec.2010 and 15 cases of children without hepatobiliary disease (control group) were compared at the same time,while expression of MMP-2 in liver tissue was measured by adopting immunohistochemistry.Results Ohkuma's score of liver fibrosis was higher in BA group than that in control group(Z =-4.02,P ＜ 0.001).The staining positive rate and the expression of MMP-2 were higher in BA group than those in control group(x2 =33.88,P ＜ 0.001 ;Z =-5.14,P ＜ 0.001,respectively).With the increase of Ohkuma's score and the age at KH,the expression of MMP-2 was higher(r =0.686,0.465,P ＜ 0.001,respectively).With the higher expression of MMP-2,the rate of jaundice free was lower(r =-0.687,P ＜ 0.001) and the incidence of cholangitis was increased (r =0.361,P =0.003).Those with lower expression of MMP-2 increased 2 year's survival time of native liver 2 years after operation (x2 =64.000,P ＜ 0.001).Conclusions In BA,the expression of M MP-2 in liver is related to the development of liver fibrosis,jaundice clearawe,cholangitis occurrence and survival time of native liver and it can be used as an index to evaluate therapeutic effect and prognosis after KH.
