[化学烧伤后食管黏膜功能蛋白酶]。

T. Ishchuk, O. Savchuk, Y. Raetska, V. Vereschaka, L. Ostapchenko
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引用次数: 2

摘要

食管烧伤的主要结果是瘢痕的形成,瘢痕的形成是由于胶原合成过多,改变了金属蛋白酶及其组织抑制剂的平衡。研究了食管1度和2度碱烧伤中蛋白水解酶活性、金属蛋白酶及其组织抑制剂(TIMP)的参与情况。我们发现食管碱烧伤后匀浆中TIMP水平显著升高(根据烧伤程度平均为31-56%)。第1度烧伤第15、21天,丝氨酸蛋白酶活性分别下降35、18%;第2度烧伤第15、21天,丝氨酸蛋白酶活性分别下降54、50%。第1度烧伤后第15、21天MMP活性下降幅度分别为30、19%,第2度烧伤后第15、21天MMP活性下降幅度分别为30、37%。这些数据可能提示二级烧伤模拟后瘢痕形成的发展。进一步研究MMP和TIMP在伤口愈合过程中的作用,有助于创造有效的方法来防止食管瘢痕的形成。
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[FUNCTIONING PROTEASES IN THE ESOPHAGUS MUCOSA AFTER CHEMICAL BURNS].
The main result of esophagus burn is the formation of scars, that caused by excessive synthesis of collagen and changes the balance of metalloproteinases and their tissue inhibitors. It was studied the activity of proteolytic enzymes, participation of MMP (metalloproteinase) and their tissue inhibitors (TIMP) in alkali burns of the esophagus 1st and 2nd degrees. We have shown a significant increase of TIMP level in homogenate after alkali burns of the esophagus (an average of 31-56% depend on of burn degree). We observed a reduced activity of serine proteinase after 1st degree burns on 15th, 21st day 35 and 18% respectively, after burns 2nd degree on 15th, 21st day 54 and 50%. The decrease of activity MMP after 1st degree burns on 15th and 21st day 30, 19%, respectively, in conditions of chemical burns 2nd degree on 15th and 21st day 30, 37%. These data may indicate the development of scarring after burn simulation of 2nd degree. Further investigation of the MMP and TIMP in the process of wound healing can be useful in creating effective approaches to prevent formation of post scarring of the esophagus.
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