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Method to diagnose the presence and / or severity of a liver pathology in a subject and / or to control the effectiveness of the treatment of said pathology
Method to diagnose the presence and / or severity of a liver pathology in a subject and / or to control the effectiveness of the treatment of said pathology
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机译:诊断受试者中肝脏病理的存在和/或严重性和/或控制所述病理的有效性的方法
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摘要
Method for diagnosing the presence and / or severity of a liver pathology, in particular a liver fibrosis in a subject comprising the establishment of at least one non-invasive diagnostic score of portal and septal fibrosis by performing the following stages: a ) measuring in a sample of said subject three, four, five, six or seven variables chosen in the group consisting of α-2 macroglobulin (A2M), hyaluronic acid (AH or hyaluronate), apoliprotein Al (ApoAl), N-terminal propeptide of type III procollagen (P3P), gamma-glutamyltranspeptidase (GGT), bilirubin, gamma globulins (GLB), platelets (PLQ), prothrombin rate (TP), aspartate amino transferase (ASAT), alanine amino transferase (ALAT ), urea, sodium (NA), glycemia, triglycerides, albumin (ALB), alkaline phosphatases (PAL), YKL-40 (human cartilage glycoprotein 39), Tissue matrix 1 metalloproteinase inhibitor (TIMP-1), metalloproteinase of matrix 2 (MMP-2), Ferritin, one of at least three, four, five, six or seven variables that are chosen from the group consisting of platelets (PLQ) and prothrombin rate (TP); in the case where exactly three variables are measured, these three variables cannot be together platelets (PLQ), prothrombin rate (TP) and bilirubin; and, the three, four, five, six or seven variables chosen do not together comprise α-2 macroglobulin (A2M), hyaluronic acid (AH or hyaluronate) and tissue inhibitor of matrix 1 metalloproteinase (TIMP-1), b) collect at least one clinical variable that characterizes said subject and; For the diagnostic score of portal and septal fibrosis, stages a) and b) above are such that at least 4 variables are measured or collected, c) combine, in a logical or linear function, the following variables: α-2 macroglobulin ( A2M) and prothrombin rate (TP) and at least two variables chosen among platelets (PLQ), aspartate amino transferase (ASAT), urea, hyaluronic acid (AH) and age, in order to obtain a diagnostic result of portal fibrosis and septal; d) diagnose the presence and / or severity of said pathology and / or the efficacy of said treatment from the result obtained during the combination of step (c).
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