胃蛋白酶原亚群与胃部疾病相关性研究

为测定胃蛋白酶原亚群(pepsinogenI PGI,pepsinogenⅡPGⅡ)在健康体检者及胃部疾病患者的血清含量,探讨血清中PG亚群检测对萎缩性胃炎和胃癌早期诊断的临床意义,利用放射免疫法(radioimmunoassay RIA)检测35例健康体检者、18例胃溃疡、30例萎缩性胃炎和30例胃癌患者血清中PGⅠ、PGⅡ及PGⅠ/PGⅡ比值的变化,比较正常组与各疾病组的胃蛋白酶原含量。结果:(1)与正常组相比,胃溃疡组PGⅠ、PGⅡ升高,以PGⅡ增高明显,而PGⅠ/PGⅡ比值降低;萎缩性胃炎和胃癌组PGⅠ水平均呈下降趋势,而PGⅡ水平变化不明显,PGⅠ/PGⅡ比值下降。(2)与溃疡组相比,萎缩性胃炎和胃癌组PGⅠ、PGⅡ及PGⅠ/PGⅡ比值均明显降低。(3)与萎缩性胃炎组相比,胃癌组PGⅠ、PGⅡ及PGⅠ/PGⅡ比值虽略低于萎缩性胃炎,但差异无统计学意义。(4)当PGⅠ≤80 ng/mL和PGⅠ/PGⅡ≤6时,检出萎缩性胃炎的特异度和灵敏度分别为94.3%和53.3%。说明血清PGⅠ和PGⅠ/PGⅡ比值的降低,是萎缩性胃炎及胃癌人群筛查和辅助诊断的一项血清学指标。血清PGI≤80 ng/mL且PGⅠ/PGⅡ≤6时检测萎缩性胃炎具有较好的特异度和灵敏度。测定血清PG亚群的方法简单易行,适于初筛萎缩性胃炎及胃癌人群及胃镜检查禁忌者。     

Aspects of measurement and analysis of regulatory peptides

Summary Although almost all methods of mass measurement of regulatory peptides still depend on the high affinity antibody, the traditional Yalow and Berson radioimmunoassay technique is becoming outdated. Pure monoclonal antibodies allow excess antibody two site assay techniques with a variety of different labels (preferentially non-radioactive) of great sensitivity and speed. The large amounts of particular monoclonal antibodies available allow several different laboratories to use the same reagents and have increased comparability. Unfortunately many regulatory peptides exist in multiple molecular forms and attention must be paid to antibody region specificity. Improved methods of extraction of regulatory peptides from plasma tissue allow more accurate quantitation. New techniques for rapid high resolution chromatography make distinction of different molecular forms much easier than hitherto. Better education in techniques and/or attention to inter-assay standards are necessary to improve the comparability of regulatory peptide measurement in the future.     

吉林地区围绝经期妇女血中雌激素水平的检测

目的 了解吉林地区围绝经期妇女的雌激素水平．方法 采用放射免疫分析法(RIA)．结果 在被检测的50份标本中，发现5例行经期乳癌患者雌激素(E)水平偏高，1例乳癌患者正常．4例绝经后患乳癌的患者雌激素水平在正常范围内．结论 雌激素的检测可以为临床的激素替代疗法提供理论参考．     

Use of three specific radioimmunoassays in measuring neurohypophysial hormone content and plasma concentrations of vasopressin,oxytocin and DDAVP in rats after prolonged infusion of DDAVP

Summary Specific radioimmunoassays (RIA) were employed for measuring plasma and neurohypophysial concentrations of oxytocin (OT) and vasopressin (AVP) after administration of 1-deamino-8-D-Arg-vasopressin (DDAVP). DDAVP concentrations were measured by a newly-developed specific RIA. Through the use of minipumps, DDAVP was infused i.p. over a period of 3 days in normally hydrated rats. Despite decreased urine production and increased urine osmolality no changes could be observed in neurohypophysial and plasma hormone concentrations.