目的:探讨不同乙醛脱氢酶2(ALDH2)基因型对无水乙醇注射(PEI)术后肝功能的影响。方法:测定20例无水酒精注射的肝占位患者术前和术后的肝功能,谷丙转氨酶(ALT)、谷草转氨酶(AST)和谷氨酰转肽酶(GGT),并采用RFLP-PCR方法检测其ALDH2基因型,分析ALDH2遗传型与PEI术后肝功能变化的关系。结果:PEI术后肝功能指标均升高,携带ALDH2*1基因型者术后肝功能ALT和AST的变化分别为25.64±13.24和28.36±19.21,与携带ALDH2*2基因型者的肝功能变化(ALT和AST分别为63.33±27.81和76.11±31.39)相比,其差异统计学有显著性(P值分别为0.022和0.017)。结论:该研究提示携带ALDH2*1基因型者PEI术后可明显增加肝损伤。
Objective: To explore the effect of ALDH2 genotypes on liver function after percutaneous absolute alcohol injection(PAAI). Methods: Serum ALT, aspartate aminotransferase (AST) and γ- glutamyhransferase (CCT) were examined before and after percutaneous absolute alcohol injection (PAAI), and aldehyde dehydrogenase-2 genome was detected using polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP) method. Results: All parameter of the liver function, after the PAAI, were increased and the results of ALT and AST in the ALDH2*1 genotype patients after PAAI were 25.64±13.24 and 28.36 ±19.21, respectively. In comparison with those in the ALDH2*2 genotype patients (63.33±27.81 and 76.11±31.39), there was a significant difference between the two (P=0.022 and P=0.017). Conclusion: The findings indicated that liver damage might increase largely in the ALDH2*1 genotypes patients after PAAI.