阿托伐他汀对急性冠脉综合征患者血清MMP-9及IL-18的影响

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摘要目的探讨阿托伐他汀对急性冠脉综合征(acute coronary syndrome,ACS)患者血清基质金属蛋白酶-9(matrix metalloproteinase-9,MMP-9)、白介素-18(interleukin-18,IL-18)水平的影响。方法将ACS患者60例随机分为阿托伐他汀组(阿托伐他汀20 mg/d,连续用药14 d)和对照组(除未用阿托伐他汀外,余治疗同阿托伐他汀组)。药物治疗前及治疗14 d后检测血清MMP-9、IL-18水平。结果阿托伐他汀组治疗后MMP-9及IL-18 [分别是(295±110) mg/L和(399±115) pg/ml]与治疗前[分别是(368±97) mg/L和(471±105) pg/ml]比较有下降,差异均有统计学意义(P<0.05);阿托伐他汀组治疗后MMP-9及IL-18水平均明显低于同期对照组[分别是(358±95) mg/L和(466±109) pg/ml],差异有统计学意义(P<0.05)。结论阿托伐他汀可降低 ACS 患者血清 MMP-9、IL-18水平,抑制斑块内炎性反应,促进斑块的稳定性。

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关键词 ：急性冠脉综合征, 阿托伐他汀, 基质金属蛋白酶-9, 白介素-18

Abstract：Objective To investigate the effect of atorvastatin on plasma MMP-9 and IL-18 in patients with acute coronary syndrome (ACS). Methods Sixty patients with ACS were randomly divided into treatment group (taking atorvastatin 20 mg/d for 14 days), control group (no atorvastatin, other treatments were similar to treatment group). Before drug therapy and after 14 days, MMP-9 and IL-18 levels in serum were measured. Results Compared with pre-treatment, the levels of MMP-9 and IL-18 in treatment group were decreased [(295±110)mg/L vs(358±95)mg/L;(399±115)pg/ml vs(471±105)pg/ml ,respectively],these differences were statistically significant (P<0.05). Moreover, the levels of MMP-9 and IL-18 in treatment group were significantly lower than those in control group [(358±95)mg/L,(466±109)pg/ml, respectively], these differences were statistically significant (P<0.05). Conclusions Atorvastatin can decrease serum MMP-9 and IL-18 levels in patients with ACS, which contributes to inhibit plaque inflammation, to advance the stability of plaque. Early intensive atorvastatin treatment may yield more significant benefits to the patients with ACS.

Key words： acute coronary syndrome atorvastatin matrix metalloproteinase-9 interleukin-18

收稿日期: 2014-03-31

ZTFLH:

R541.4

通讯作者: 孟皓波,E-mail:zhao.peng007@sohu.com

作者简介: 胡晓辉,硕士,医师,E-mail:einfon37@sohu.com

引用本文:

胡晓辉,孟皓波,张世维. 阿托伐他汀对急性冠脉综合征患者血清MMP-9及IL-18的影响[J]. 武警医学, 2014, 25(9): 905-907. HU Xiaohui, MENG Haobo, , ZHANG Shiwei. Effect of atorvastatin on serum levels of matrix metalloproteinase-9 and interleukin-18 in patients with acute coronary syndrome. Med. J. Chin. Peop. Armed Poli. Forc., 2014, 25(9): 905-907.

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http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2014/V25/I9/905

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