JOURNAL OF PRACTICAL HEPATOLOGY ›› 2018, Vol. 21 ›› Issue (2): 237-240.doi: 10.3969/j.issn.1672-5069.2018.02.020

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Expression of transforming growth factor β-1 in liver tissues of patients with primary biliary cirrhosis and its relationship with liver fibrosis

Qin Wei, Chen Yuping, Yang Zhao, et al   

  1. Dpartment of Liver Diseases,Infectious Disease Hospital,Baoding 017000,Hebei Province,China
  • Received:2017-07-12 Online:2018-03-10 Published:2018-03-19

Abstract: Objective To investigate the expression of transforming growth factor β-1(TGFβ-1) in liver tissues of patients with primary biliary cirrhosis(PBC) and its relationship with liver fibrosis. Methods 52 patients with PBC and 20 healthy persons were recruited in our hospital. The patients with PBC received liver biopsies and 20 normal liver tissues from the Department of Pathology in our hospital served as control. The expression of TGFβ-1 in liver tissues was detected immunohistochemistry and serum tumor necrosis factor α(TNF-α) and interleukin 6(IL-6) levels were detected by ELISA. Results TGFβ-1 was not expressed or little expressed in normal liver tissues,while it was highly expressed in cytoplasm of hepatic parenchyma cells in patients with PBC;serum TNF-α and IL-6 levels in patients with PBC were (28.71±13.54) pg/ml and (21.3±9.4) pg/ml,significantly higher than those in control group[(21.3±15.4) pg/ml and (2.1±1.6) pg/ml,respectively,P<0.01];The expression level of TGFβ-1 in liver tissues and serum levels of TNF-α and IL-6 in 7 patients with PBC with liver fibrosis stage S0 were(0.5±0.2) 10-2,(7.1±4.1) pg/ml and(5.1±1.0) pg/ml,significantly lower than those in 12 with stage S1 [(4.2±1.3) 10-2,(18.6±6.2) pg/ml and (11.5±3.6) pg/ml,P<0.01],or in 18 with stage S2 [(6.9±1.2) 10-2,(27.3±9.9) pg/ml and (19.4±4.1) pg/ml,P<0.01],or in 9 with stage S3[(13.3±15.1) 10-2,(39.7±15.18) pg/ml and(27.3±8.1) pg/ml,P<0.01] or in 6 with stage S4 [(21.2±17.1) 10-2,(53.4±17.3) pg/ml,(47.8±11) pg/ ml, respectively,P<0.01];the expression level of TGFβ-1 in liver tissues and serum levels of TNF-α and IL-6 in 15 patients with Child-Pugh class A were(1.9±1.6) 10-2,(12.2±3.1) pg/ml and(7.3±2.5) pg/ml,significantly lower than [(15.9±13.6) 10-2,(32.9±8.6) pg/ml an(21.8±6.3) pg/ml,P<0.01)] in 25 patients with Child-Pugh class B or [(22.6±18.5) 10-2,(49.1±19.3) pg/ml and(45.5±12.7) pg/ml,P<0.01] in 12 patients with Child-Pugh class C. Conclusion The expression of TGFβ-1 in liver tissues and serum TNF-α and IL-6 levels increase in patients with PBC,which might be related to the formation of liver fibrosis and the deteriorated liver function.

Key words: Primary biliary cirrhosis, Liver fibrosis, Transforming growth factor β-1;, Tumor necrosis factor α, Interleukin 6