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病毒性心肌炎猝死心肌MCP-1表达及其法医学意义

Expression of Monocyte Chemoattractant Protein-1 in Sudden Death due to Viral Myocarditis and Its Medicolegal Significance

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【作者】 宁娟李永宏张纯兵

【Author】 NING Juan1,2,LI Yong-hong1,ZHANG Chun-bing2(1.Department of Forensic Pathology,Wannan Medical College,Wuhu 241001,China;2.Forensic Expertise Center,East China University of Political Science and Law,Shanghai 200042,China)

【机构】 皖南医学院法医病理学教研室华东政法大学司法鉴定中心

【摘要】 目的探讨单核细胞趋化蛋白1(monocyte chemoattractant protein-1,MCP-1)在病毒性心肌炎(viral myocarditis,VMC)所致猝死者心肌组织中的表达及其意义。方法运用改良的免疫组织化学方法,观察VMC猝死组和对照组心肌组织中MCP-1的表达情况,应用统计学处理,比较两组间的表达差异。结果20例VMC猝死组中有17例MCP-1染色阳性;而20例非VMC猝死对照组仅4例局部散在MCP-1弱阳性表达,其余均阴性。VMC组MCP-1阳性表达率明显高于对照组(P<0.01)。结论MCP-1的免疫组织化学检测可作为法医病理学诊断VMC所致猝死较为客观的病理形态学指标之一。

【Abstract】 Objective To explore the expression and significance of monocyte chemoattractant protein-1(MCP-1) in myocardium in sudden death caused by viral myocarditis(VMC).Methods To investigate the expression of MCP-1 in VMC sudden death group and control group using improved immunohistochemical technique and to compare the difference of the expression of MCP-1 between two groups with statistical method.Results In VMC sudden death group,MCP-1 was positively expressed in 17 of 20 cases.While only 4 of the 20 cases in the control group showed a mildly positive expression sparsely in myocardium,and the rest cases were completely negative.The rate of positive expression of MCP-1 in VMC group was obviously higher than that of the control group(P<0.01).Conclusion The expression of MCP-1 detected by immunohistochemistry provides an objective morphologic evidence for the diagnosis of VMC sudden death in forensic pathology.

  • 【文献出处】 法医学杂志 ,Journal of Forensic Medicine , 编辑部邮箱 ,2009年05期
  • 【分类号】D919
  • 【被引频次】4
  • 【下载频次】132
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