与血管生成相关的蛋白质作为外周动脉疾病的生物标志物
Ben Li1, Niousha Djahanpour1, Abdelrahman Zamzam1
1Division of Vascular Surgery, St. Michael's Hospital, Unity Health Toronto, University of Toronto, Canada.
Heliyon
|October 9, 2023
概括
血中的肝细胞生长因子 (HGF) 可以预测周围动脉疾病 (PAD) 患者的主要不良四肢事件 (MALE). 低HGF水平表明MALE,截肢和恶化PAD状态的风险更高.
科学领域:
- 血管生物学 血管生物学
- 生物标志物发现发现
- 周围动脉疾病研究研究
背景情况:
- 血管新生在周围动脉疾病 (PAD) 中至关重要.
- 与血管生成相关的蛋白质显示出潜在的PAD预后生物标志物.
- 这项研究调查了这些蛋白质对不良PAD事件的预测价值.
研究的目的:
- 评估血管生成相关蛋白质在预测PAD患者不良事件方面的潜力.
- 为了确定特定的蛋白质,可以作为PAD并发症的预后生物标志物.
主要方法:
- 一项涉及250名PAD患者和125名对照者的病例控制研究.
- 未来三年随访以监测主要不良四肢事件 (MALE) 和恶化的PAD状态.
- 测量了17种血管生成相关蛋白质的血度;多变量回归被用于分析.
主要成果:
- 在PAD患者中,有8种血管生成相关的蛋白质被差异表达.
- 肝细胞生长因子 (HGF) 成为MALE最可靠的预测因子 (调整后HR为0.79).
- 低HGF水平与三年内MALE,截肢,血管干预和PAD状况恶化的明显减少相关.
结论:
- 血HGF水平可以识别具有较高不良事件风险的PAD患者.
- 对高风险个体的HGF测量可以指导额外的评估和治疗.
- 这一发现支持HGF作为PAD管理中的宝贵预后生物标志物的作用.
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