Stroke:高水平肝细胞生长因子增加卒中风险

2016-10-28 xing.T MedSci原创

循环中HGF水平与人群中卒中发病率呈正相关。该研究结果表明循环HGF是内皮损伤的标志物,提示HGF可能是一个评估卒中风险的重要预后指标。

肝细胞生长因子(HGF)与缺血性和出血性脑卒中的危险因素成正相关。然而,我们对HGF和卒中之间的相关性的认识正处于起步阶段。近日,卒中领域权威杂志《Stroke》上发表研究文章旨在探讨循环血液中HGF与卒中发生率之间的关系。在文中,研究者假设循环HGF与增加的卒中风险呈正相关。

研究者共纳入了6711名年龄在45-84岁的研究对象,并在2000年至2002之间对其进行HGF检测,其中233例研究对象一直随访到2013年,同时统计他们卒中的发生情况。采用Cox比例风险回归模型计算研究对象发生卒中的危险比和95%可信区间。另外,再根据卒中类型对研究结果进行分层分析(其中缺血型卒中有183例,出血型卒中有39例,其他类型卒中有11例)。


研究者发现,在调整潜在的混杂变量后,HGF水平每增加一个标准差,发生卒中的风险增高17%(危险比为1.17;95%置信区间为1.03–1.34)。而且,研究发现这种相关性主要是与缺血性脑卒中有关,而且排除的心脏血栓性卒中病例数很小,排除心脏血栓性卒中后并没有对这种相关性产生影响。少数出血型卒中和其他类型的脑卒中与HGF无关。

由此可见,循环中HGF水平与人群中卒中发病率呈正相关。循环HGF是内皮损伤的标志物,该研究结果提示HGF可能是一个评估卒中风险的重要预后指标。

原始出处:

Elizabeth J. Bell,et al. Hepatocyte Growth Factor Is Positively Associated With Risk of Stroke The MESA (Multi-Ethnic Study of Atherosclerosis). Stroke. 2016. http://dx.doi.org/10.1161/STROKEAHA.116.014172

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    2017-05-11 xjy02
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    2016-11-13 Inocent0218

    治疗方面呢

    0

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objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Sat Oct 29 10:29:03 CST 2016, time=2016-10-29, status=1, ipAttribution=)]
    2016-10-31 jyzxjiangqin

    高水平肝细胞生长因子增加卒中风险。

    0

  5. 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objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Sat Oct 29 10:29:03 CST 2016, time=2016-10-29, status=1, ipAttribution=)]
    2016-10-30 四爷无名

    学习了,非常好的文章,很详细,很实用

    0

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  8. 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  9. 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objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Sat Oct 29 10:29:03 CST 2016, time=2016-10-29, status=1, ipAttribution=)]
    2016-10-29 大旺旺

    学习了啊

    0

  10. 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    2016-10-29 doctorJiangchao

    继续关注

    0

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