目的:探讨扩张性心肌病(DCM)患者外周血B细胞生促红素人肝细胞B2(EphB2)受体表达及其与心肌纤维化的关系。方法:选择2013年03-12月在我院住院的16例DCM患者为研究对象,同时以10例健康人为对照。分别应用流式细胞学和ELISA检测外周血B细胞EphB2受体表达和血清Ⅲ型胶原蛋白(PCⅢ)水平,并分析二者相关性。结果:DCM患者外周血B细胞EphB2表达和血清PCⅢ水平均明显高于对照组[(60.75±5.94)%∶(45.80±0.44)%,(15.11±5.24)μg/L∶(6.15±0.52)μg/L;均P〈0.05],并且二者呈正相关(r=0.76,P〈0.01)。结论:B细胞表面EphB2受体可能参与DCM心肌纤维化。
Objective:To explore the expressions of EphB2on B cells and their effects on myocardial fibrosis in dilated cardiomyopathy(DCM)patients.Method:Sixteen DCM patients in hospital were chosen for this study from March to December 2013,and 10healthy people were taken as the controls.The expressions of EphB2on B cells were detected by flow cytometry and the levels of serum procollagen typeⅢ(PCⅢ)were investigated by ELISA. The bivariate correlation analysis was used as a test of correlation between these two variables.Result:The levels of EphB2on B cells and serum PCⅢin DCM patients were higher than those of healthy controls[(60.75±5.94)% ∶(45.80±0.44)%,(15.11±5.24)μg/L∶(6.15±0.52)μg/L;both P0.05].And the levels of EphB2on B cells were positively correlated with serum PCⅢ(r=0.76,P0.01).Conclusion:EphB2on B cells might be associated with myocardial fibrosis in DCM.