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目的:研究血吸虫病患者 T G Fβ1 m R N A 水平及其临床意义。方法:用 R T P C R 加 dotblot法测定血吸虫病患者 P B M C中 T G Fβ1 m R N A 水平,与肝硬变和肝癌患者作比较,并研究了部分肝脏组织(肝癌患者16 例,肝血管瘤患者正常肝组织 5 例)中 T G Fβ1 m R N A 水平与 P B M C中水平的关系。同时,测定血清中 H A、 L N、 ColⅠⅤ和 P CⅢ水平,作为衡量肝纤维化活动与否的指标。结果: P B M C内 T G Fβ1 m R N A 水平在晚期血吸虫病患者组(n= 21,126±014),肝硬变患者组(n= 15,205±081)和肝癌患者组(n= 25,183±129)均显著高于正常对照组(n= 16,062±040)( P< 005)。其中晚期血吸虫病患者组又显著低于肝硬变患者组或肝癌患者组( P< 005),后两组差异无显著性( P> 005)。肝组织与 P B M C内 T G Fβ1 m R N A 水平差别无统计学意义( P> 005)。血清 H A、 ColⅣ和 L N 异常组的 T G Fβ1 m R N A 水平显著高于正常组( P< 005)。结论: P
Objective: To study the level of T G F β 1 m R N A in patients with schistosomiasis and its clinical significance. Methods: RT-PCR and Dotblot were used to determine the level of T G F -β1 m R N A in patients with schistosomiasis, compared with patients with cirrhosis and hepatocellular carcinoma. Some liver tissues (hepatocellular carcinoma 16 cases of patients, liver hemangiomas in patients with normal liver tissue in 5 cases) T G F β1 m R N A level and the relationship between the level of PBMC. At the same time, serum H A, L N, Col Ⅰ V and P C Ⅲ levels were measured as a measure of liver fibrosis activity or not. Results: The level of T G F -β1 m R N A in PBMC was significantly higher in patients with advanced schistosomiasis (n = 21,126 ± 014), patients with cirrhosis (n = 15,205 ± 081) and liver cancer patients (n = 25,183 ± 129) were significantly higher than the normal control group (n = 16,0 62 ± 040) (P <0 05). Among them, the group of patients with advanced schistosomiasis was significantly lower than those with cirrhosis or hepatocellular carcinoma (P <005). There was no significant difference between the two groups (P> 0.05). There was no significant difference in T G F β1 m R N A level between liver tissues and PBMCs (P> 005). The levels of T G F -β1 m R N A in serum H A, Col Ⅳ and L N abnormalities group were significantly higher than those in normal group (P <005). Conclusion: P