Ayşegül BÜKÜLMEZ, Deniz KAHRAMAN, Osman ÖZTEKİN, Ahmet Afşin KUNDAK, Tülay KÖKEN

Respiratuar Distres Sendromlu Pretermlerde Serumda Metalloproteinaz-2-8-9, ve Doku Proteaz İnhibitör-2 Düzeylerinin Belirlenmesi

Giriş ve Amaç: Son yıllarda preterm bebeklerde sıklıkla izlenen respiratuar distres sendromu'nun (RDS) patogenezinde metalloproteinazların rolü üzerinde durulmaktadır. Metalloproteinazlar (MMP); ekstrasellüler matriks ve bazal membranın yapısal ve fonk-siyonel işlevlerinde rol oynayarak bazı yapısal elemanların yıkımında görev alarak spesifik doku metalloproteinaz inhibitörü (TIMPs) tarafından inhibe edilirler. Önceki çalışmalarda RDS'li preterm hastaların BAL sıvılarında MMP 2-8-9 ve TIMP-2'nin düzeylerindeki değişiklikler gösterilmiştir. Bu çalışmadaki amacımız RDS'li preterm hastalardaki serum örneklerinde MMP 2-8-9 ve TIMP-2 düzeylerini belirlemektir. Gereç ve Yöntem: Gestasyon yaşları yeni ballard skalasına göre 37 haftanın al-tında RDS tanısı alan 24 hasta çalışma grubunu, solunum sıkıntısı gelişmeyen ve ek so-runu olmayan 21 hasta ise kontrol grubunu oluşturdu. Çalışmaya alınan tüm bebeklerden ilk 48 saat içerisinde 2cc venöz kan örneği alınarak MMP-2, MMP-8, MMP-9 ve TIMP-2 düzeyleri çalışıldı. Çalışma ve kontrol grubunda serum MMP 2-8-9 ve TIMP-2 düzeyleri arasında istatistiksel olarak anlamlı fark bulunmadı. Sonuç: Hafif-orta düzey RDS'li hastalarda MMP ve TIMP düzeylerinde değişik-lik olmadığını söyleyebilmek için başka çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Respiratuar distres sendromu, Metalloproteinazlar

Detection of matalloproteinase-2-8-9 and tissue protease inhibitor serum levels in preterm babies with respiratory distress syndrome

Introduction and purpose: Metalloproteinases (MMP) have an increasing attention in the pathogenesis of respiratory distress syndrome (RDS) that is frequently seen in preterm babies. MMPs are included in the structure and function of extracellular matrix and basal membrane and in the destruction of some structural elements. They are inhibited by specific tissue metalloproteinase inhibitor (TIMPs). In previous studies, changes in MMP 2-8-9 and TIMP-2 levels were reported. We aimed to detect MMP 2-8-9 and TIMP-2 levels in serum samples of preterm babies with RDS. Material and methods: Study group was formed by 24 RDS patients under 37 weeks of gestational age according to the new Ballard scale. Twenty-one baby without respiratory distress and any additional problem was established as control group. MMP-2, MMP-8, MMP-9 and TIMP-2 levels were studied in 2 cc blood samples which were collected in the first 48 hours of delivery of all included babies. Results: No significant difference was found between the levels of MMP 2-8-9 and TIMP-2 in study and control groups.Conclusion: Further studies are needed to suggest that there is no difference of MMP and TIMP levels in mild-moderate grade RDS patients.

Keywords:

respiratory distress syndrome, metalloproteinases,

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