首页|Munc 18-1相互作用蛋白3变化对严重肝纤维化患者肝癌发病率和死亡率的影响

Munc 18-1相互作用蛋白3变化对严重肝纤维化患者肝癌发病率和死亡率的影响

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目的:探讨Munc18-1 相互作用蛋白3(Mint3)对肝纤维化患者进展为肝癌的影响.方法:对230 例肝纤维化患者以发生肝癌为结局分为发生肝癌组(82 例)、未发生肝癌组(148 例),以发生肝癌死亡和未死亡作为亚组,监测血清Mint3 表达情况,并针对Mint3 与肝纤维化发生肝癌和肝癌患者生存情况进行分析.结果:发生肝癌组及其死亡亚组患者Mint3 水平在入院至36 个月监测期间呈升高趋势(P<0.05),且均高于未发生肝癌组和发生肝癌未死亡组(P<0.05).发生肝癌组患者肝纤维化指标和甲胎蛋白(AFP)显著高于未发生肝癌组(P<0.05).Mint3 与肝纤维化患者发生肝癌、肝癌相关死亡、肝纤维化指标和AFP水平呈正相关性(P<0.05),且以上指标均是肝纤维化患者发生肝癌的危险因素(P<0.05).Mint3 预测肝纤维化发生肝癌及肝癌相关死亡的AUC值、灵敏度和特异度均较高.肝纤维化患者发生肝癌后,Mint3 低水平患者生存率高于高水平患者(P<0.001).结论:Mint3升高可能促进肝纤维化进展为肝癌,监测Mint3 值有助于肝纤维化进展为肝癌的早期诊断和预后.
Impact of Mint3 variations on the incidence and mortality rate of liver cancer in patients with severe liver fibrosis
Objective:To investigate the effect of Mint3 on the progression of liver fibrosis patients to liver cancer .Methods:230 patients with liver fibrosis were monitored for Mint3 expression in liver tissue with HCC as the outcome ,divided into liver cancer group (82 cases) and non liver cancer group (148 cases),with liver cancer death and non death as subgroups .monitor Mint3 levels and analyze the relationship between Mint3 and liver fibrosis,as well as the survival of liver cancer patients .Results:The Mint3 levels in the group with liver cancer and the subgroup with liver cancer death showed an upward trend (P <0.05) during the monitoring period from admission to 36 months,and were both higher than those in the group without liver cancer and the group without liver cancer death (P <0.05).The liver fibrosis indicators and AFP in the group with liver cancer were significantly higher than those in the group without liver cancer (P <0.05).Mint3 was positively correlated with whether liver cancer occurs and whether liver cancer death occurs in patients with liver fibrosis ,liver fibrosis indicators,and AFP (P <0.05),and all of the above indicators were risk factors for liver cancer in patients with liver fibrosis (P <0.05).The AUC value, sensitivity, and specificity of Mint3 in predicting the occurrence of liver cancer and liver cancer -related death in patients with liver fibrosis were high.the survival rate of low-level Mint3 patients with liver fibrosis after liver cancer was higher than that of high -level patients (P = 0.000).Conclusion:Elevated Mint3 levels may promote the progression of liver fibrosis to liver cancer ,and monitoring Mint3 values can help in the early diagnosis and prognosis of liver fibrosis to liver cancer .

liver cancerMint3liver fibrosis

闫会君、齐双玉、贺红晶、崔琳琳、许丙辉

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衡水市人民医院肝胆胰外科(河北 衡水,053000)

衡水市第四人民医院脑电图科

肝癌 Mint3 肝纤维化

衡水市科技计划项目

2020214005A

2024

中西医结合肝病杂志
中国中西医结合学会,湖北中医学院

中西医结合肝病杂志

CSTPCD
影响因子:0.908
ISSN:1005-0264
年,卷(期):2024.34(2)
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