孤立性髂动脉瘤并发髂动静脉瘘患者体内 TGF-β/Smad 通路相关指数的表达及其与预后的关系

IF 1.5 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Clinical and Experimental Hypertension Pub Date : 2024-12-31 Epub Date: 2024-07-30 DOI:10.1080/10641963.2024.2380291
ZiJia Zhu, Ye Yao, GuangHui Shen, HaiYang Wang
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引用次数: 0

摘要

研究目的该研究探讨了孤立性髂动脉瘤(IIAA)并发髂动静脉瘘(IAVF)患者TGF-β/Smad通路相关指标的表达及其与预后的关系:2016年1月至2022年6月,研究对象为83例并发髂动静脉瘘的孤立性髂动脉瘤患者(研究组)和54例未并发髂动静脉瘘的孤立性髂动脉瘤患者(对照组)。评估TGF-β/Smad通路的相关指标,分析各指标对IAVF形成的影响。将患者分为生存组(64 例)和死亡组(19 例),并分析了各指标的综合预后价值:结果:研究组的 TGF-β、p-Smad2、p-Smad3、p-JNK 和 p-ERK 均高于对照组。pSmad3表达的异常增加是IIAA患者IAVF形成的一个危险因素。死亡组的TGF-β水平高于存活组,p-Smad3和p-JNK蛋白也高于存活组。TGF-β/Smad通路中各指标的AUC值联合起来大于各指标单独的AUC值。pSmad3 的异常增高是 IIAA 并发 IAVF 患者预后的危险因素:结论:TGF-β/Smad通路相关指标的异常增高与IIAA并发IAVF患者的不良预后有关,所有指标的联合检测对患者的预后具有预测价值。
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Expression of TGF-β/Smad pathway-related indices in patients with isolated iliac artery aneurysms complicated with iliac arteriovenous fistula and their relationship with prognosis.

Objective: This study investigated the expression of TGF-β/Smad pathway-related indices in patients with isolated iliac artery aneurysms (IIAA) complicated with iliac arteriovenous fistula (IAVF) and their relationship with prognosis.

Methods: From January 2016 to June 2022, 83 patients with IIAA complicated with IAVF (Study group) and 54 patients with IIAA not complicated with IAVF (control group) were studied. The related indices of TGF-β/Smad pathway were evaluated, and the effects of each index on the formation of IAVF were analyzed. The patients were divided into the survival group (64 cases) and death group (19 cases), and the prognostic value of indices in combination was analyzed.

Results: TGF-β, p-Smad2, p-Smad3, p-JNK, and p-ERK in the study group were higher than those in the control group. Abnormal increase of pSmad3 expression was a risk factor for IAVF formation in patients with IIAA. TGF-β level in the death group was higher than that in the survival group, and p-Smad3 and p-JNK proteins were higher than those in the survival group. The AUC value of indices in the TGF-β/Smad pathway in combination was greater than that of each index alone. Abnormal increased expression of pSmad3 was a risk factor for prognosis of patients with IIAA complicated with IAVF.

Conclusion: The abnormal increase of TGF-β/Smad pathway-related indices is related to poor prognosis of patients with IIAA complicated with IAVF, and the combined detection of all indices has a predictive value for patients' prognosis.

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来源期刊
CiteScore
3.90
自引率
0.80%
发文量
66
审稿时长
6-12 weeks
期刊介绍: Clinical and Experimental Hypertension is a reputable journal that has converted to a full Open Access format starting from Volume 45 in 2023. While previous volumes are still accessible through a Pay to Read model, the journal now provides free and open access to its content. It serves as an international platform for the exchange of up-to-date scientific and clinical information concerning both human and animal hypertension. The journal publishes a wide range of articles, including full research papers, solicited and unsolicited reviews, and commentaries. Through these publications, the journal aims to enhance current understanding and support the timely detection, management, control, and prevention of hypertension-related conditions. One notable aspect of Clinical and Experimental Hypertension is its coverage of special issues that focus on the proceedings of symposia dedicated to hypertension research. This feature allows researchers and clinicians to delve deeper into the latest advancements in this field. The journal is abstracted and indexed in several renowned databases, including Pharmacoeconomics and Outcomes News (Online), Reactions Weekly (Online), CABI, EBSCOhost, Elsevier BV, International Atomic Energy Agency, and the National Library of Medicine, among others. These affiliations ensure that the journal's content receives broad visibility and facilitates its discoverability by professionals and researchers in related disciplines.
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