TGF-β1, Ghrelin, Neurexin, and Neuroligin are Predictive Biomarkers for Postoperative Prognosis of Laparoscopic Surgery in Children with Hirschsprung Disease
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- 作者：Xiao Shangjie ; Zhu Xiaochun ; Yang Wenyi ; Ge Wuping…
- 关键词：Transforming growth factor ; Protein expression ; Laparoscope ; Hirschsprung disease ; Prognosis ; Prediction
- 刊名：Cell Biochemistry and Biophysics
- 出版年：2015
- 出版时间：March 2015
- 年：2015
- 卷：71
- 期：2
- 页码：1249-1254
- 全文大小：556 KB
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文摘
The study was set to analyze the predictive values of transforming growth factor β1 (TGF-β1), Ghrelin, Neurexin, and Neuroligin protein expression on postoperative prognosis of laparoscopic surgery in children with Hirschsprung disease. 281 cases of children with Hirschsprung disease, admitted into Guangdong Women and Children Hospital and?Guangzhou women?and children’s medical center?from March 2009 to March 2014, were treated with laparoscopic radical surgery for Hirschsprung disease. They were divided into the good and the poor prognosis groups according to their recuperation and complications. Protein expressions of TGF-β1, Ghrelin, Neurexin, and Neuroligin were prospectively analyzed. The correlations between the expressions of these proteins and the prognosis were analyzed. There were 129 cases of children with poor prognosis, accounting for 45.9?%. There were no significant differences in the expressions of TGF-β1 mRNA and proteins within the group in both the groups (p?>?0.05). TGF-β1 mRNA and protein expressions of the poor prognosis group were significantly higher than those of the good prognosis group in each segment of intestine (p?p?p?TGF-β1 protein, decreasing expressions of Ghrelin, Neurexin, and Neuroligin proteins can induce the loss or dysfunction of ganglion cells in distal intestinal canal, which is closely correlated with the occurrences of adverse prognosis, such as increased intestinal peristalsis recovery time, increased complication rate etc., in children. It has a high value for predicting prognosis of children patients with Hirschsprung disease after surgical intervention.