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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1990-5-14
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pubmed:abstractText |
Liver fibrogenesis involves the synthesis of collagen fibrils and proteoglycans by various types of liver cells, including Ito cells, transitional cells, myofibroblasts and hepatocytes. Synthesis of collagen fibrils follows a complex metabolic pathway with intermediate products such as type III procollagen (III-PC). Serum levels of III-PC may reflect the activity of the fibrogenetic process. We analysed the relationship between the serum levels of III-PC (N-terminal peptide) and diverse clinical, biochemical and histological parameters of 77 alcoholic patients (27 cirrhotics), comparing them with those of 15 age- and sex-matched controls. A highly significant difference was obtained between controls and patients (P less than 0.0001), but no differences were observed between cirrhotics and non-cirrhotics. Serum III-PC significantly correlated with clinical and biochemical data of liver function derangement (prothrombin activity, serum albumin, bilirubin, gynecomastia, ascites, encephalopathy, edema, splenomegaly); with the duration of ethanol addiction and with MCV. Sixty patients were followed up for a period ranging between 3 and 1056 days (mean = 356 days); 9 of them died. Patients with III-PC levels above 38 ng/ml had a significantly higher mortality (P = 0.006) than those with levels under 38 (log rank test). Thus, serum III-PC may be a useful tool in the clinical evaluation and prognostic assessment of patients with chronic alcoholic liver disease.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0376-8716
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
91-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2323314-Adult,
pubmed-meshheading:2323314-Alcoholism,
pubmed-meshheading:2323314-Biopsy,
pubmed-meshheading:2323314-Female,
pubmed-meshheading:2323314-Humans,
pubmed-meshheading:2323314-Liver,
pubmed-meshheading:2323314-Liver Diseases, Alcoholic,
pubmed-meshheading:2323314-Liver Function Tests,
pubmed-meshheading:2323314-Male,
pubmed-meshheading:2323314-Peptide Fragments,
pubmed-meshheading:2323314-Procollagen,
pubmed-meshheading:2323314-Prognosis
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pubmed:year |
1990
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pubmed:articleTitle |
Clinical and prognostic value of serum procollagen levels in chronic alcoholic liver disease.
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pubmed:affiliation |
Department of Internal Medicine, University Hospital of the Canaries, La Laguna, Tenerife, Spain.
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pubmed:publicationType |
Journal Article
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