PMID- 14609876 OWN - NLM STAT- MEDLINE DCOM- 20040105 LR - 20081121 IS - 0004-0010 (Print) IS - 0004-0010 (Linking) VI - 138 IP - 11 DP - 2003 Nov TI - Expression of transforming growth factor beta1 in patients with and without previous abdominal surgery. PG - 1249-52 AB - HYPOTHESIS: Transforming growth factor beta1 (TGF-beta1) plays an important role in the formation of adhesions after abdominal operations. DESIGN: Prospective, observational study. SETTING: University-based, tertiary referral center. PATIENTS: Patients undergoing elective open abdominal operations were recruited and divided into 2 groups. Twenty-two patients with a history of abdominal surgery were designated as study patients, and 10 patients with no history of abdominal surgery served as controls. INTERVENTIONS: Samples of normal peritoneum, peritoneal scar tissues, and serum were obtained from all patients at the time of surgery. MAIN OUTCOME MEASURES: Samples were assayed for total TGF-beta1 expression using an enzyme-linked immunosorbent assay. RESULTS: Scar tissues expressed significantly greater amounts of TGF-beta1 (0.47 pg/ micro L) compared with normal peritoneal tissue from both study patients (0.29 pg/ micro L; P =.03) and controls (0.17 pg/ micro L; P =.002). Serum TGF-beta1 levels were also higher in study patients (1.71 pg/ micro L) compared with controls (1.22 pg/ micro L; P =.02). Neither adhesion nor serum TGF-beta1 expression correlated with time since last operation, total number of previous operations, or severity of intra-abdominal adhesions. CONCLUSION: These results suggest that TGF-beta1 may play an important role in human peritoneal adhesion formation. FAU - Hobson, Kristina G AU - Hobson KG AD - Department of Surgery, University of California-Davis Medical Center, USA. FAU - DeWing, Michelle AU - DeWing M FAU - Ho, Hung S AU - Ho HS FAU - Wolfe, Bruce M AU - Wolfe BM FAU - Cho, Kiho AU - Cho K FAU - Greenhalgh, David G AU - Greenhalgh DG LA - eng PT - Journal Article PL - United States TA - Arch Surg JT - Archives of surgery (Chicago, Ill. : 1960) JID - 9716528 RN - 0 (TGFB1 protein, human) RN - 0 (Transforming Growth Factor beta) RN - 0 (Transforming Growth Factor beta1) SB - IM MH - Abdominal Cavity/*physiology/physiopathology/surgery MH - Cicatrix/*metabolism/physiopathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Peritoneum/*metabolism/physiopathology/surgery MH - Prospective Studies MH - Surgical Procedures, Operative/*adverse effects MH - Tissue Adhesions/etiology/*metabolism MH - Transforming Growth Factor beta/*biosynthesis MH - Transforming Growth Factor beta1 EDAT- 2003/11/12 05:00 MHDA- 2004/01/06 05:00 CRDT- 2003/11/12 05:00 PHST- 2003/11/12 05:00 [pubmed] PHST- 2004/01/06 05:00 [medline] PHST- 2003/11/12 05:00 [entrez] AID - 138/11/1249 [pii] AID - 10.1001/archsurg.138.11.1249 [doi] PST - ppublish SO - Arch Surg. 2003 Nov;138(11):1249-52. doi: 10.1001/archsurg.138.11.1249.