Investigation of MMP-9 and E-Selectine Levels in Isolated Pediatric Head Trauma

Öz

Objective: Our aim in this study was to determine how Matrix Metalloproteinase-9 (MMP-9) and E-selectin levels are affected in the damage caused by isolated pediatric head trauma. At the same time, it was aimed to investigate the value of these biochemical parameters in these cases and to propose new opinions on the subject.

Material and Methods: Forty-nine patients with isolated pediatric head trauma under the age of 18 who were brought to the emergency department of the hospital constituted the patient group while 39 healthy children under the age of 18 were included in the study as the control group. Venous blood samples of the patients were taken. Serum MMP-9 and E-selectin levels were measured quantitatively by using ELISA method. The obtained results were evaluated in the SPSS program.

Results: While MMP-9 levels measured in our patient group were significantly higher than the control group (p<0.001), no statistically significant difference was found between the patient group and the control group in terms of E-selectin levels. In the classification made according to the Glasgow coma scale; no statistically significant difference was found in terms of MMP-9 levels. E-selectin levels were significantly higher in the severe patient group than the mild patient group (p=0.033).

Conclusion: Various tissue damages occured in the patient group. The release of MMP-9 by inflammatory cells indicates that serum MMP-9 levels are high in patients with intense inflammation and high inflammatory cell load. E-selectin level higher in the severe patient group than the mild patient group according to the Glasgow coma scale indicates endothelial cell damage.

Anahtar Kelimeler

• Pediatric Head Trauma
• E-Selectin
• matrix metalloproteinase-9

İZOLE PEDİATRİK KAFA TRAVMALARINDA MMP-9 VE E-SELEKTİN DÜZEYLERİNİN ARAŞTIRILMASI

Öz

Amaç: Bu çalışmadaki amacımız, izole pediatrik kafa travmalarında meydana gelen hasarda Matriks Metalloproteinaz-9 (MMP-9) ve E-selektintin düzeylerinin nasıl etkilendiğini tespit etmektir. Aynı zamanda bu parametrelerin bu vakalardaki biyokimyasal açıdan değerini araştırmak, konuyla ilgili yeni görüşler ileri sürebilmek hedeflenmiştir.

Gereç ve Yöntemler: Hastane acil servisine getirilen 18 yaş altındaki izole pediatrik kafa travmalı 49 çocuk hasta grubu olarak, 18 yaş altı 39 sağlıklı çocuk da kontrol grubu olarak çalışmaya alındı. Hastaların venöz kan örnekleri alındı. Serum MMP-9 ve E-selektintin düzeyleri ELISA yöntemi kullanılarak kantitatif olarak çalışıldı. Elde elden sonuçlar SPSS programında değerlendirildi.

Bulgular: Hasta grubumuzda ölçülen MMP-9 düzeyleri kontrol grubuna göre anlamlı derecede yüksek iken (p<0.001), E-selektintin düzeyleri açısından hasta grubu ile kontrol grubu arasında istatistiksel olarak herhangi bir anlamlılık tespit edilmedi. Glasgow koma skalasına göre yapılan sınıflandırmada; MMP-9 düzeyleri açısından istatistiksel olarak herhangi bir anlamlılık tespit edilmedi. E-selektintin düzeyleri ağır hasta grubunda hafif hasta grubuna göre istatistiksel olarak anlamlı derecede yüksek idi (p=0.033).

Sonuç: Travmaya maruz kalmış olan hasta grubunda çeşitli doku hasarları meydana gelmektedir. MMP-9’un inflamatuvar hücreler tarafından salınması nedeniyle, inflamasyonun yoğun olduğu ve inflamatuvar hücre yükünün fazla olduğu hastalarda serum MMP-9 düzeylerinin yüksek olduğunu görülmüştür. E-selektintin düzeylerinin Glasgow koma skalasına göre ağır dereceli hasta grubunda, hafif dereceli hasta grubuna göre anlamlı artışı endotel hücre hasarını göstermektedir.

Anahtar Kelimeler

• Pediatrik kafa travması
• matriks metalloproteinaz-9
• E-Selektin

Kaynakça

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