Evidence for altered hepatic matrix degradation in genetic haemochromatosis.

Abstract:

BACKGROUND:Altered matrix degradation contributes to fibrosis in some liver diseases but the role of matrix degradation in fibrogenesis associated with genetic haemochromatosis has not previously been addressed. AIMS:To measure serum concentrations of tissue inhibitor of metalloproteinase 1 (TIMP-1) and matrix metalloproteinases (MMP), MMP-1, MMP-2, and MMP-3 in patients with haemochromatosis and control subjects. PATIENTS:Forty patients with haemochromatosis and 19 healthy control subjects. Ten of the 40 patients were studied before and after venesection therapy. METHODS:Serum levels of TIMP-1, MMP-1, MMP-2, and MMP-3 were measured by enzyme immunoassay and correlated to hepatic iron concentration and degree of histological fibrosis. RESULTS:Serum TIMP-1 was increased in patients with haemochromatosis compared with controls (163 (30) versus 123 (28) ng/ml, p < 0.0002). Mean serum TIMP-1 concentration of patients with haemochromatosis without fibrosis was significantly higher than in controls (153 (16) versus 123 (28) ng/ml, p = 0.03). Serum TIMP-1 concentration correlated with both hepatic iron concentration and hepatic iron index (r = 0.42, p < 0.01; r = 0.42, p < 0.01). Serum MMP-2 concentrations correlated with increasing degree of fibrosis in patients with haemochromatosis (r = 0.38, p = 0.01). The mean MMP-1: TIMP-1, MMP-2:TIMP-1 and age/sex matched MMP-3:TIMP-1 ratios were significantly lower in patients with haemochromatosis than controls (0.11 (0.06) versus 0.2 (0.14), p = 0.02; 3.32 (0.9) versus 3.91 (0.81), p = 0.05; and 0.26 (0.12) versus 0.47 (0.27), p = 0.007, respectively). Following venesection, MMP-2 and MMP-3 concentrations increased by 11% (p = 0.03) and 19% (p = 0.03), respectively. CONCLUSIONS:This study provides the first evidence of an alteration in matrix degradation in haemochromatosis that may be a contributing factor to hepatic fibrogenesis in this disease.

journal_name

Gut

journal_title

Gut

authors

George DK,Ramm GA,Powell LW,Fletcher LM,Walker NI,Cowley LL,Crawford DH

doi

10.1136/gut.42.5.715

subject

Has Abstract

pub_date

1998-05-01 00:00:00

pages

715-20

issue

5

eissn

0017-5749

issn

1468-3288

journal_volume

42

pub_type

杂志文章

相关文献

GUT文献大全
  • Portal and peripheral blood short chain fatty acid concentrations after caecal lactulose instillation at surgery.

    abstract::The major end products of fermentation, short chain fatty acids (acetate, propionate, butyrate) were measured in portal and peripheral venous blood after the caecal instillation of lactulose at surgery in patients undergoing elective cholecystectomy. Blood samples for short chain fatty acid measurement were taken befo...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.9.1249

    authors: Peters SG,Pomare EW,Fisher CA

    更新日期:1992-09-01 00:00:00

  • Effect of the gastric balloon versus sham procedure on weight loss in obese subjects.

    abstract::The mechanism by which intragastric balloons induce weight loss is not known, although they may act simply by reducing the amount of food needed to induce satiety. The knowledge that a balloon is present may influence the patients' eating patterns and reduce caloric intake and weight. In order to test whether the ball...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.30.8.1054

    authors: Ramhamadany EM,Fowler J,Baird IM

    更新日期:1989-08-01 00:00:00

  • Evaluation of the nitrosamine hypothesis of gastric carcinogenesis in precancerous conditions.

    abstract::A 24 hour gastric aspiration study was carried out on nine Polya gastrectomy, eight pernicious anaemia, and nine matched control subjects. Intragastric pH, bacteria, nitrite, and N-nitroso compounds were assessed half hourly whilst ambulant and hourly when in bed. Both total and nitrate reducing bacterial counts were ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.5.491

    authors: Hall CN,Darkin D,Brimblecombe R,Cook AJ,Kirkham JS,Northfield TC

    更新日期:1986-05-01 00:00:00

  • Altered migrating myoelectrical complex in an animal model of cholesterol gallstone disease: the effect of erythromycin.

    abstract:BACKGROUND:The ground squirrel on a high cholesterol diet exhibits prolonged intestinal transit, a pathogenetic factor in cholesterol gallstone formation. AIMS:To examine the effect of a high cholesterol diet on the characteristics of the migrating myoelectrical complex (MMC) and the potential benefit of erythromycin....

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.6.817

    authors: Xu QW,Scott RB,Tan DT,Shaffer EA

    更新日期:1998-12-01 00:00:00

  • How well does stool form reflect colonic transit?

    abstract:BACKGROUND:Watery stools are equated with rapid and hard stools with slow intestinal transit; however, the relation between stool form and transit through specific regions of the gut is not clear cut. In addition, more information is needed on interindividual variability of these measurements. AIM:To examine the relat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.1.109

    authors: Degen LP,Phillips SF

    更新日期:1996-07-01 00:00:00

  • Motor activity recorded in the unprepared colon of healthy humans.

    abstract::A manometric method was developed to study the motor activity in the unprepared human colon, and the results in eight healthy subjects were compared with those obtained in the same subjects after bowel cleansing with a non-absorbable solution containing polyethylene glycol 4000 (PEG). A tube assembly (4.5 m long, 12 l...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.5.649

    authors: Lémann M,Flourié B,Picon L,Coffin B,Jian R,Rambaud JC

    更新日期:1995-11-01 00:00:00

  • Varicella-zoster virus DNA in the oesophageal myenteric plexus in achalasia.

    abstract::In a search for past or present infection with herpes viruses, serum antibody titres to herpes simplex type 1 virus, cytomegalovirus, and varicella-zoster virus were measured by complement fixation test in 58 patients with achalasia. Serum was also taken from 40 age and sex matched patients without oesophageal symptom...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.3.299

    authors: Robertson CS,Martin BA,Atkinson M

    更新日期:1993-03-01 00:00:00

  • HLA antigens and atopy in children with coeliac disease.

    abstract::HLA antigens and various aspects of atopy were studied in 42 Finnish children and adolescents with coeliac disease, and the results were compared with findings of recent population studies. The HLA associations were as expected: relative risks for coeliac disease in individuals with HLA-B8, DR3, and DR7 were 8 . 0, 18...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.24.4.306

    authors: Verkasalo M,Tiilikainen A,Kuitunen P,Savilahti E,Backman A

    更新日期:1983-04-01 00:00:00

  • Laboratory diagnosis of gastrointestinal bleeding.

    abstract::The value of four tests to detect occult alimentary blood loss has been compared in normal subjects, in patients with and without alimentary disease, and in patients with congestive heart failure, and the sensitivities of these tests have been compared using suspensions of blood alone and blood in faeces. The Occultes...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2.1.75

    authors: Steingold L,Roberts AA

    更新日期:1961-03-01 00:00:00

  • Release of vasoactive intestinal polypeptide from the cat small intestine exposed to cholera toxin.

    abstract::During a four hour observation period vasoactive intestinal polypeptide (VIP) is released in increasing amounts from the feline small intestine exposed to cholera toxin. As VIP is known to be located almost exclusively in the intestinal nerves, the present findings strongly suggest that cholera toxin activates the ent...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.22.11.958

    authors: Cassuto J,Fahrenkrug J,Jodal M,Tuttle R,Lundgren O

    更新日期:1981-11-01 00:00:00

  • Gastro-oesophageal reflux disease and Helicobacter pylori: an intricate relation.

    abstract::Heartburn is a common symptom affecting 21-44% of the adult population on a monthly basis. Oesophagitis is less common, affecting 2% of individuals. Epidemiological studies have shown that patients with gastro-oesophageal reflux disease (GORD) have similar incidence rates of Helicobacter pylori infection as do control...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.45.2008.i13

    authors: McNamara D,O'Morain C

    更新日期:1999-07-01 00:00:00

  • Effect of intragastric pH on antral gastrin and somatostatin release in anaesthetised, atropinised duodenal ulcer patients and controls.

    abstract::The synchronous change in the antral release of gastrin and somatostatin into a vein draining the stomach was studied during acidic and alkaline intragastric pH in six anaesthetised duodenal ulcer patients and six controls after atropinisation. No differences in the basal secretion of gastrin and somatostatin were obs...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.2.206

    authors: Jensen SL,Holst JJ,Christiansen LA,Shokouh-Amiri MH,Lorentsen M,Beck H,Jensen HE

    更新日期:1987-02-01 00:00:00

  • Anticomplement receptor activity in the serum of patients with primary biliary cirrhosis.

    abstract::Patients with primary biliary cirrhosis have a defect in the receptor mediated clearance of complement coated erythrocytes by fixed macrophages of the reticuloendothelial system. To investigate the probable mechanism of this defect peripheral blood monocytes were isolated from nine patients with primary biliary cirrho...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.3.324

    authors: Minuk GY,Vergalla J,Hanson RG,Hoofnagle JH,Frank MM,Jones EA

    更新日期:1986-03-01 00:00:00

  • Antiproliferative effects of interferon alpha on human pancreatic carcinoma cell lines are associated with differential regulation of protein kinase C isoenzymes.

    abstract:BACKGROUND:The molecular mechanisms mediating the antiproliferative effects of interferon alpha on human pancreatic carcinoma cells are poorly understood. AIM:To characterise the effects of interferon alpha on protein kinase C isoenzyme expression in interferon alpha sensitive and resistant human pancreatic tumour cel...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.2.255

    authors: Rosewicz S,Weder M,Kaiser A,Riecken EO

    更新日期:1996-08-01 00:00:00

  • Micrometastases: marker of metastatic potential or evidence of residual disease?

    abstract:BACKGROUND:Micrometastases within bone marrow have been shown to indicate a poor prognosis in patients with epithelial tumours. However, the degree to which micrometastases represent true residual disease or cell shedding and metastatic potential, is unclear. AIM:To explore whether micrometastases represent residual d...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.40.4.512

    authors: O'Sullivan GC,Collins JK,Kelly J,Morgan J,Madden M,Shanahan F

    更新日期:1997-04-01 00:00:00

  • Optimum bile acid treatment for rapid gall stone dissolution.

    abstract::To determine the optimum bile acid regimen for rapid gall stone dissolution, 48 gall stone patients were divided into four groups of 12 according to stone diameter and were randomly allocated to receive one of four treatment regimens: bedtime or mealtime chenodeoxycholic acid (CDCA, 12 mg/kg/day) and bedtime or mealti...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.33.3.381

    authors: Jazrawi RP,Pigozzi MG,Galatola G,Lanzini A,Northfield TC

    更新日期:1992-03-01 00:00:00

  • Development and validation of an endoscopic index of the severity for Crohn's disease: a prospective multicentre study. Groupe d'Etudes Thérapeutiques des Affections Inflammatoires du Tube Digestif (GETAID).

    abstract::The aim of this study was to develop and validate an endoscopic index for assessing the severity of Crohn's disease. Endoscopic findings were prospectively collected by a multicentre group in 75 patients with Crohn's colitis according to a previously validated procedure. The presence of nine preselected lesions was re...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1136/gut.30.7.983

    authors: Mary JY,Modigliani R

    更新日期:1989-07-01 00:00:00

  • Endotoxin, cytokines, and endotoxin binding proteins in obstructive jaundice and after preoperative biliary drainage.

    abstract:BACKGROUND:Obstructive jaundice is associated with postoperative complications related to increased endotoxaemia and the inflammatory response. In animals obstructive jaundice is associated with endotoxaemia and cytokine induction, which are reversed by internal biliary drainage. AIMS:To study endotoxaemia and the sub...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.5.725

    authors: Kimmings AN,van Deventer SJ,Obertop H,Rauws EA,Huibregtse K,Gouma DJ

    更新日期:2000-05-01 00:00:00

  • Effect of cimetidine on the human lower oesophageal sphincter.

    abstract::Lower oesophageal sphincter pressures in healthy volunteers were measured by a rapid pull-through technique during intravenous infusion of the histamine H2-receptor antagonist, cimetidine. No consistent effects on sphincter pressure were observed which are liable to be of clinical importance. Serum gastrin concentrati...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.18.2.99

    authors: Osborne DH,Lennon J,Henderson M,Lidgard G,Creel R,Carter DC

    更新日期:1977-02-01 00:00:00

  • Influence of somatostatin and bombesin on plasma enteroglucagon and cell proliferation after intestinal resection in the rat.

    abstract::The possible relationship between enteroglucagon and cellular proliferation in a rat model of intestinal adaptation after suppression and stimulation of enteroglucagon by somatostatin and bombesin has been investigated. Forty eight rats were divided into three groups of 16 animals, each group being further sub-divided...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.1.89

    authors: Sagor GR,Ghatei MA,O'Shaughnessy DJ,Al-Mukhtar MY,Wright NA,Bloom SR

    更新日期:1985-01-01 00:00:00

  • Hepatitis induced by traditional Chinese herbs; possible toxic components.

    abstract::Traditional Chinese herbal remedies are widely available in the United Kingdom for the treatment of chronic skin disorders. Their benefits are considerable, but their use is completely unregulated. Two patients are described here who suffered an acute hepatitic illness related to taking traditional Chinese herbs. Both...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.36.1.146

    authors: Kane JA,Kane SP,Jain S

    更新日期:1995-01-01 00:00:00

  • Personalised surveillance for serrated polyposis syndrome: results from a prospective 5-year international cohort study.

    abstract:BACKGROUND AND AIMS:Serrated polyposis syndrome (SPS) is associated with an increased risk of colorectal cancer (CRC). International guidelines recommend surveillance intervals of 1-2 years. However, yearly surveillance likely leads to overtreatment for many. We prospectively assessed a surveillance protocol aiming to ...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1136/gutjnl-2018-318134

    authors: Bleijenberg AG,IJspeert JE,van Herwaarden YJ,Carballal S,Pellisé M,Jung G,Bisseling TM,Nagtegaal ID,van Leerdam ME,van Lelyveld N,Bessa X,Rodríguez-Moranta F,Bastiaansen B,de Klaver W,Rivero L,Spaander MC,Koornstra JJ,B

    更新日期:2020-01-01 00:00:00

  • Mitochondrial damage: a possible mechanism of the "topical" phase of NSAID induced injury to the rat intestine.

    abstract:BACKGROUND:The "topical" effect of non-steroidal anti-inflammatory drugs (NSAIDs) seems to be an important cause of NSAID induced gastrointestinal damage. AIM:To examine the possible mechanism of the "topical" phase of damage in the small intestine. METHODS:Electron microscopy and subcellular organelle marker enzyme ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.41.3.344

    authors: Somasundaram S,Rafi S,Hayllar J,Sigthorsson G,Jacob M,Price AB,Macpherson A,Mahmod T,Scott D,Wrigglesworth JM,Bjarnason I

    更新日期:1997-09-01 00:00:00

  • An ultrastructural study of the liver in Indian childhood cirrhosis with particular reference to the structure of cytoplasmic hyaline.

    abstract::Ultrastructural features of the liver in eight cases of Indian childhood cirrhosis, a fatal and elusive liver disease in India, have been described. Severe parenchymal damage, diffuse creeping fibrosis, and other light microscopic alterations, including the frequent presence of cytoplasmic hyaline, reported earlier ar...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.12.9.693

    authors: Roy S,Ramalingaswami V,Nayak NC

    更新日期:1971-09-01 00:00:00

  • Availability of monoglutamyl and polyglutamyl folates in normal subjects and in patients with coeliac sprue.

    abstract::Intestinal folate absorption was assessed in six normal subjects and in four patients with coeliac sprue who were studied before and after treatment by dietary gluten exclusion. Comparisons were made of the luminal disappearance from the perfused jejunum of 3H-pteroylmonoglutamate and pteroyl 14C-glutamylhexaglutamate...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.19.10.886

    authors: Halsted CH,Reisenauer AM,Shane B,Tamura T

    更新日期:1978-10-01 00:00:00

  • Augmentation effect of postprandial hyperinsulinaemia on growth of human hepatocellular carcinoma.

    abstract:BACKGROUND:Cirrhotic patients with hepatocellular carcinoma (HCC) frequently have impaired glucose metabolism. AIMS:To investigate whether impaired glucose metabolism affects the growth rate of the tumour. PATIENTS AND METHODS:Tumour doubling time (DT), assessed by ultrasound imaging analysis, was measured in 60 pati...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.1.100

    authors: Saito K,Inoue S,Saito T,Kiso S,Ito N,Tamura S,Watanabe H,Takeda H,Misawa H,Togashi H,Matsuzawa Y,Kawata S

    更新日期:2002-07-01 00:00:00

  • Pentagastrin induced motility pattern in the human upper gastrointestinal tract is reversed by proglumide.

    abstract::The effects of pentagastrin and the putative gastrin antagonist proglumide on interdigestive motility of the upper small bowel were studied in a randomised double blind study in 10 healthy human volunteers. Intraluminal pressures were recorded manometrically in the duodenum and jejunum for five hours. Sixty minutes af...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.25.9.953

    authors: Erckenbrecht JF,Caspari J,Wienbeck M

    更新日期:1984-09-01 00:00:00

  • Risk factors for extensive ulcerative colitis and ulcerative proctitis: a population based case-control study.

    abstract::To examine socioeconomic factors, dietary and other personal habits, and medical history as risk factors for ulcerative colitis, we studied 167 (98%) of all prevalent cases of ulcerative colitis diagnosed in Uppsala county from 1945 to 1964 and 167 age and sex matched population controls. Ulcerative colitis patients w...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.12.1526

    authors: Samuelsson SM,Ekbom A,Zack M,Helmick CG,Adami HO

    更新日期:1991-12-01 00:00:00

  • Paraproteins with antibody activity in acute viral hepatitis and chronic autoimmune liver diseases.

    abstract::Of 27 patients with liver disease and cryoglobulinaemia 18 proved to have paraproteins. Six of these monoclonal immunoglobulins were shown to have antibody activity, directed to human gamma globulin, alpha(1)-fetoprotein, smooth muscle, and mitochondria.Eight of the patients suffered from acute viral hepatitis, five o...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.15.5.396

    authors: Roux ME,Florin-Christensen A,Arana RM,Doniach D

    更新日期:1974-05-01 00:00:00

  • Principles of applied neurogastroenterology: physiology/motility-sensation.

    abstract::Many of the symptoms characteristic of the functional gastrointestinal disorders (FGID) are consistent with dysfunction of the motor and/or sensory apparatus of the digestive tract. Those aspects of sensorimotor dysfunction most relevant to the FGID include alterations in: gut contractile activity; myoelectrical activ...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.45.2008.ii17

    authors: Kellow JE,Delvaux M,Azpiroz F,Camilleri M,Quigley EM,Thompson DG

    更新日期:1999-09-01 00:00:00