Clinical significance of serum transforming growth factor-[beta]1 and procollagen type I N-propeptide in post-tuberculosis tracheobronchial stenosis

Non-invasive strategies for monitoring post-tuberculosis (TB) tracheobronchial stenosis (PTTS) are clinically important but currently lacking. Transforming growth factor-[beta]1 (TGF-[beta]1) and procollagen type I N-propeptide (PINP) have been identified as markers of fibrosis. The present study ai...

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Veröffentlicht in:Experimental and therapeutic medicine 2021-06, Vol.21 (6)
Hauptverfasser: Wu, Yongchang, Li, Yishi, Bai, Yang, Jiang, Jinyue, Wang, Xiaohui, Chen, Yi, Wang, Xin, Huang, Guichuan, Gan, Yiling, Li, You, Guo, Shuliang
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container_issue 6
container_start_page
container_title Experimental and therapeutic medicine
container_volume 21
creator Wu, Yongchang
Li, Yishi
Bai, Yang
Jiang, Jinyue
Wang, Xiaohui
Chen, Yi
Wang, Xin
Huang, Guichuan
Gan, Yiling
Li, You
Guo, Shuliang
description Non-invasive strategies for monitoring post-tuberculosis (TB) tracheobronchial stenosis (PTTS) are clinically important but currently lacking. Transforming growth factor-[beta]1 (TGF-[beta]1) and procollagen type I N-propeptide (PINP) have been identified as markers of fibrosis. The present study aimed to investigate the clinical significance of serum TGF-[beta]1 and PINP in PTTS. Serum samples were collected from 119 patients with tracheobronchial TB after the condition was treated for at least 6 months (59 patients with airway stenosis and 60 patients with no stenosis). Serum TGF-[beta]1 and PINP levels were measured using ELISA and compared between the groups. Relationships between serum TGF-[beta]1 and PINP levels and clinical characteristics, interventional bronchoscopy and outcomes of airway stenosis were analysed. The correlation between TGF-[beta]1 and PINP, and their diagnostic efficacy for airway stenosis were also analysed. The TGF-[beta]1 and PINP levels in the airway stenosis group were higher than those in the non-stenosis group. Furthermore, airway stenosis with atelectasis or mucus plugging was associated with higher TGF-[beta]1 levels, and airway stenosis with atelectasis, mucus plugging, right main bronchus stenosis or severe airway tracheal stenosis was associated with higher PINP levels. In addition, TGF-[beta]1 and PINP levels increased after interventional bronchoscopy therapy and airway stenosis with recurrent stenosis was associated with higher baseline levels of both markers. Finally, TGF-[beta]1 levels were positively correlated with PINP levels in patients with airway stenosis. The area under the receiver operating characteristic curve of TGF-[beta]1 and PINP for distinguishing airway stenosis from non-stenosis cases was 0.824 (95% CI: 0.748-0.900) and 0.863 (95% CI: 0.796-0.930), respectively. Therefore, TGF-[beta]1 and PINP are potential biomarkers that may be useful for diagnosing and monitoring PTTS. Key words: tracheobronchial tuberculosis, fibrosis, biomarker, transforming growth factor-[beta]1, procollagen type I N-propeptide
doi_str_mv 10.3892/etm.2021.10002
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Transforming growth factor-[beta]1 (TGF-[beta]1) and procollagen type I N-propeptide (PINP) have been identified as markers of fibrosis. The present study aimed to investigate the clinical significance of serum TGF-[beta]1 and PINP in PTTS. Serum samples were collected from 119 patients with tracheobronchial TB after the condition was treated for at least 6 months (59 patients with airway stenosis and 60 patients with no stenosis). Serum TGF-[beta]1 and PINP levels were measured using ELISA and compared between the groups. Relationships between serum TGF-[beta]1 and PINP levels and clinical characteristics, interventional bronchoscopy and outcomes of airway stenosis were analysed. The correlation between TGF-[beta]1 and PINP, and their diagnostic efficacy for airway stenosis were also analysed. The TGF-[beta]1 and PINP levels in the airway stenosis group were higher than those in the non-stenosis group. Furthermore, airway stenosis with atelectasis or mucus plugging was associated with higher TGF-[beta]1 levels, and airway stenosis with atelectasis, mucus plugging, right main bronchus stenosis or severe airway tracheal stenosis was associated with higher PINP levels. In addition, TGF-[beta]1 and PINP levels increased after interventional bronchoscopy therapy and airway stenosis with recurrent stenosis was associated with higher baseline levels of both markers. Finally, TGF-[beta]1 levels were positively correlated with PINP levels in patients with airway stenosis. The area under the receiver operating characteristic curve of TGF-[beta]1 and PINP for distinguishing airway stenosis from non-stenosis cases was 0.824 (95% CI: 0.748-0.900) and 0.863 (95% CI: 0.796-0.930), respectively. Therefore, TGF-[beta]1 and PINP are potential biomarkers that may be useful for diagnosing and monitoring PTTS. Key words: tracheobronchial tuberculosis, fibrosis, biomarker, transforming growth factor-[beta]1, procollagen type I N-propeptide</description><identifier>ISSN: 1792-0981</identifier><identifier>DOI: 10.3892/etm.2021.10002</identifier><language>eng</language><publisher>Spandidos Publications</publisher><subject>Biological markers ; Care and treatment ; Cellular proteins ; Complications and side effects ; Development and progression ; Genetic aspects ; Health aspects ; Identification and classification ; Stenosis ; Transforming growth factors ; Tuberculosis</subject><ispartof>Experimental and therapeutic medicine, 2021-06, Vol.21 (6)</ispartof><rights>COPYRIGHT 2021 Spandidos Publications</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids></links><search><creatorcontrib>Wu, Yongchang</creatorcontrib><creatorcontrib>Li, Yishi</creatorcontrib><creatorcontrib>Bai, Yang</creatorcontrib><creatorcontrib>Jiang, Jinyue</creatorcontrib><creatorcontrib>Wang, Xiaohui</creatorcontrib><creatorcontrib>Chen, Yi</creatorcontrib><creatorcontrib>Wang, Xin</creatorcontrib><creatorcontrib>Huang, Guichuan</creatorcontrib><creatorcontrib>Gan, Yiling</creatorcontrib><creatorcontrib>Li, You</creatorcontrib><creatorcontrib>Guo, Shuliang</creatorcontrib><title>Clinical significance of serum transforming growth factor-[beta]1 and procollagen type I N-propeptide in post-tuberculosis tracheobronchial stenosis</title><title>Experimental and therapeutic medicine</title><description>Non-invasive strategies for monitoring post-tuberculosis (TB) tracheobronchial stenosis (PTTS) are clinically important but currently lacking. Transforming growth factor-[beta]1 (TGF-[beta]1) and procollagen type I N-propeptide (PINP) have been identified as markers of fibrosis. The present study aimed to investigate the clinical significance of serum TGF-[beta]1 and PINP in PTTS. Serum samples were collected from 119 patients with tracheobronchial TB after the condition was treated for at least 6 months (59 patients with airway stenosis and 60 patients with no stenosis). Serum TGF-[beta]1 and PINP levels were measured using ELISA and compared between the groups. Relationships between serum TGF-[beta]1 and PINP levels and clinical characteristics, interventional bronchoscopy and outcomes of airway stenosis were analysed. The correlation between TGF-[beta]1 and PINP, and their diagnostic efficacy for airway stenosis were also analysed. The TGF-[beta]1 and PINP levels in the airway stenosis group were higher than those in the non-stenosis group. Furthermore, airway stenosis with atelectasis or mucus plugging was associated with higher TGF-[beta]1 levels, and airway stenosis with atelectasis, mucus plugging, right main bronchus stenosis or severe airway tracheal stenosis was associated with higher PINP levels. In addition, TGF-[beta]1 and PINP levels increased after interventional bronchoscopy therapy and airway stenosis with recurrent stenosis was associated with higher baseline levels of both markers. Finally, TGF-[beta]1 levels were positively correlated with PINP levels in patients with airway stenosis. The area under the receiver operating characteristic curve of TGF-[beta]1 and PINP for distinguishing airway stenosis from non-stenosis cases was 0.824 (95% CI: 0.748-0.900) and 0.863 (95% CI: 0.796-0.930), respectively. Therefore, TGF-[beta]1 and PINP are potential biomarkers that may be useful for diagnosing and monitoring PTTS. 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Transforming growth factor-[beta]1 (TGF-[beta]1) and procollagen type I N-propeptide (PINP) have been identified as markers of fibrosis. The present study aimed to investigate the clinical significance of serum TGF-[beta]1 and PINP in PTTS. Serum samples were collected from 119 patients with tracheobronchial TB after the condition was treated for at least 6 months (59 patients with airway stenosis and 60 patients with no stenosis). Serum TGF-[beta]1 and PINP levels were measured using ELISA and compared between the groups. Relationships between serum TGF-[beta]1 and PINP levels and clinical characteristics, interventional bronchoscopy and outcomes of airway stenosis were analysed. The correlation between TGF-[beta]1 and PINP, and their diagnostic efficacy for airway stenosis were also analysed. The TGF-[beta]1 and PINP levels in the airway stenosis group were higher than those in the non-stenosis group. Furthermore, airway stenosis with atelectasis or mucus plugging was associated with higher TGF-[beta]1 levels, and airway stenosis with atelectasis, mucus plugging, right main bronchus stenosis or severe airway tracheal stenosis was associated with higher PINP levels. In addition, TGF-[beta]1 and PINP levels increased after interventional bronchoscopy therapy and airway stenosis with recurrent stenosis was associated with higher baseline levels of both markers. Finally, TGF-[beta]1 levels were positively correlated with PINP levels in patients with airway stenosis. The area under the receiver operating characteristic curve of TGF-[beta]1 and PINP for distinguishing airway stenosis from non-stenosis cases was 0.824 (95% CI: 0.748-0.900) and 0.863 (95% CI: 0.796-0.930), respectively. Therefore, TGF-[beta]1 and PINP are potential biomarkers that may be useful for diagnosing and monitoring PTTS. Key words: tracheobronchial tuberculosis, fibrosis, biomarker, transforming growth factor-[beta]1, procollagen type I N-propeptide</abstract><pub>Spandidos Publications</pub><doi>10.3892/etm.2021.10002</doi></addata></record>
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subjects Biological markers
Care and treatment
Cellular proteins
Complications and side effects
Development and progression
Genetic aspects
Health aspects
Identification and classification
Stenosis
Transforming growth factors
Tuberculosis
title Clinical significance of serum transforming growth factor-[beta]1 and procollagen type I N-propeptide in post-tuberculosis tracheobronchial stenosis
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