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冠状动脉急性病变斑块内Toll样受体-4表达的研究
引用本文:陈新山,陈煌峰,黄恩泽. 冠状动脉急性病变斑块内Toll样受体-4表达的研究[J]. 中国法医学杂志, 2009, 24(2): 77-79
作者姓名:陈新山  陈煌峰  黄恩泽
作者单位:1. 华中科技大学同济医学院法医学系,湖北,武汉,430030
2. 华中科技大学同济医学院法医学系,湖北,武汉,430030;武汉市公安局刑事侦查局,湖北,武汉,430019
3. 华中科技大学同济医学院法医学系,湖北,武汉,430030;东莞市公安局刑警支队,广东,东莞,511700
摘    要:目的探讨Toll样受体4(TLR4)与冠状动脉粥样硬化(AS)斑块急性病变的关系。方法从本教研室2004~2007年尸检档案中挑选24例病例及其心脏标本。分为实验组(有冠脉急性病变的SCD者)、对照组Ⅰ(无冠脉急性病变的SCD者)和对照组Ⅱ(冠脉无严重AS的暴力死者)等3组,每组8例。用免疫组化SABC法和图像分析技术定量检测TLR4在各组冠状动脉AS斑块内表达的平均光密度值(OD),所得数据用SPSS14.0统计学软件进行分析处理并比较各组间的差异。结果实验组冠状动脉AS斑块中TLR4表达呈强阳性,对照组Ⅰ呈相对较弱的阳性表达,而对照组Ⅱ冠状动脉壁及轻度增厚的内膜处均未见阳性表达,其OD值(0.4662±0.0190)与两个对照组(分别为0.3361±0.0165,0.2463±0.0190)相比,对照组Ⅰ与对照组Ⅱ相比,其差异均具有统计学意义(P〈0.01)。结论冠状动脉AS斑块中TLR4的表达情况可视作为冠状动脉AS斑块发生急性病变的一个病理诊断指标,也是诊断冠心病猝死的重要依据之一。

关 键 词:法医病理学  冠心病猝死  Toll样受体-4  冠状动脉急性病变  冠状动脉粥样硬化斑块  免疫组化

A study of TLR4 expression in the coronary atherosclerotic plaque with acute coronary artery lesions
CHEN Xinshan,CHEN Huangfeng,HUANG Enzhe. A study of TLR4 expression in the coronary atherosclerotic plaque with acute coronary artery lesions[J]. Chinese Journal of Forensic Medicine, 2009, 24(2): 77-79
Authors:CHEN Xinshan  CHEN Huangfeng  HUANG Enzhe
Affiliation:CHEN Xinshan1,CHEN Huangfeng1,2,HUANG Enzhe1,3 /1.Faculty of Forensic Medicine,Tongji Medical College of Huazhong University of Science , Technology,Wuhan 430030,China,2.Wuhan Municipal Public Securiy Bureau,Hubei 430019,3.Dongguan Municipal Public Security Bureau,Guangdong 511700
Abstract:Objective To investigate the TLR4 expression in the coronary atherosclerotic plaque with acute coronary artery lesions and its relationship with the acute coronary artery lesions. Methods Twenty-four cases and heart samples autopsied in our department from 2004 to 2007 were selected and divided into 3 groups of the experimental group, control group A and control group B (8 cases in each group). The TLR4 expressive change in the coronary atherosclerotic plaque of each group and their average optical densitie...
Keywords:forensic pathology  sudden coronary death  toll like receptor- 4  acute coronary artery lesions  coronary atherosclerotic plaque  immunohistology  
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