https://scholars.lib.ntu.edu.tw/handle/123456789/438984
Title: | Quantification of Serum Matrix Metallopeptide 7 Levels May Assist in the Diagnosis and Predict the Outcome for Patients with Biliary Atresia | Authors: | JIA-FENG WU YUNG-MING JENG HUEY-LING CHEN YEN-HSUAN NI HONG-YUAN HSU MEI-HWEI CHANG |
Issue Date: | 2019 | Publisher: | Mosby Inc. | Journal Volume: | 208 | Start page/Pages: | 30-37 | Source: | Journal of Pediatrics | Abstract: | Objective: To assess the diagnostic and prognostic usefulness of the serum matrix metallopeptidase-7 (MMP-7) level for biliary atresia in infants with cholestasis after hepatoportoenterostomy. Study design: We enrolled 100 infants with cholestasis (age, 43.56 ± 1.97 days; 62 males) with a direct bilirubin level of >1 mg/dL, of whom 36 (36%) were diagnosed with biliary atresisa. The MMP-7 levels in serum samples collected during the cholestasis workup and 6 months after hepatoportoenterostomy were assessed by enzyme-linked immunosorbent assay. We quantified liver fibrosis by Picro Sirius red staining of collagen in specimens from the 81 infants with cholestasis. Results: Infants with biliary atresisa had a significantly higher serum MMP-7 level than that of non–biliary atresisa infants with cholestasis of equivalent age (P <.0001). Receiver operating characteristic analysis showed that a serum MMP-7 level of >1.43 ng/mL was predictive of biliary atresisa in infants with cholestasis (diagnostic accuracy, 88%). There was a positive correlation between the serum MMP-7 level and the severity of liver fibrosis (P =.0002). Survival analysis showed that the frequency of liver transplantation was significantly higher in infants with biliary atresisa with a serum MMP-7 level of >10.30 ng/mL compared with a serum MMP-7 level of ?10.30 ng/mL after hepatoportoenterostomy (hazard ratio, 4.22; P =.02). Conclusions: The serum MMP-7 level, which reflects the severity of liver fibrosis and can be determined noninvasively, may facilitate the diagnosis of biliary atresisa among infants with cholestasis. Moreover, the serum MMP-7 level after hepatoportoenterostomy is associated with a need for liver transplantation in infants with biliary atresisa. ? 2019 Elsevier Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062472846&doi=10.1016%2fj.jpeds.2018.12.006&partnerID=40&md5=4a2c20a6067c0dbc9b879747751a9650 https://scholars.lib.ntu.edu.tw/handle/123456789/438984 |
ISSN: | 0022-3476 | DOI: | 10.1016/j.jpeds.2018.12.006 | SDG/Keyword: | alanine aminotransferase; aspartate aminotransferase; bilirubin; collagen; matrilysin; matrilysin; age; Article; aspartate aminotransferase blood level; bile duct atresia; bilirubin blood level; cholestasis; controlled study; diagnostic accuracy; diagnostic test accuracy study; disease severity; enzyme linked immunosorbent assay; esophagus varices; female; human; infant; jaundice; liver fibrosis; liver transplantation; major clinical study; male; portoenterostomy; priority journal; prognosis; protein blood level; splenomegaly; thrombocytopenia; adverse event; bile duct atresia; blood; cohort analysis; complication; enzymology; liver cirrhosis; predictive value; receiver operating characteristic; Biliary Atresia; Cholestasis; Cohort Studies; Female; Humans; Infant; Liver Cirrhosis; Liver Transplantation; Male; Matrix Metalloproteinase 7; Portoenterostomy, Hepatic; Predictive Value of Tests; ROC Curve |
Appears in Collections: | 醫學教育暨生醫倫理學科所 |
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