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Matrix metalloproteinases as a marker of cirrhotic portal vein thrombosis

[Internal diseases]
Temirlan Ruslanovich Dudov; Lalita Sidykovna Baisaeva; Pavel Koroy; Alexandr Yagoda;

In 159 patients with liver cirrhosis the relationship between matrix metalloproteinase-1 (MMP-1), MMP-9, tissue inhibitors metalloproteinases-1 (TIMP-1) with portal vein thrombosis (PVT) was studied. The prevalence of PVT among hospitalized patients with liver cirrhosis was 6.9 %. The patients with liver cirrhosis and PVT had a lower levels of MMP-9 in blood (p<0.05) and higher values of TIMP-1/MMP-9 ratio (p<0.05). An increased chance of PVT in liver cirrhosis was associated with MMP-9 less than 103 ng/ml (odds ratio (OR) 5.07; 95 % confidence interval (CI) 1.29–19.95), p<0.05) and TIMP-1/MMP-9 ratio above 7.4 (OR 5.44; 95 % CI 1.51–19.67), p<0.05). The diagnostic accuracy of above-mentioned indicators of MMP-9 and of TIMP-1/MMP-9 ratio in PVT prediction was 66.0 % and 74.8 %, respectively.

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Keywords: liver cirrhosis, portal vein thrombosis, matrix metalloproteinases


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Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
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