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甲状腺球蛋白测定的临床意义及影响因素 被引量:21
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作者 戴庆靖 匡安仁 《同位素》 CAS 北大核心 2007年第2期120-124,100,共6页
甲状腺球蛋白(Tg)是分化型甲状腺癌(DTC)的肿瘤标志物。定期随访血清Tg有助于对DTC复发和转移的诊断、病人预后的评价和监测治疗效果。目前临床上常用放射免疫分析法(RIA)和非放射性的免疫量度分析法(IMA)测量血清Tg。但这些方法存在较... 甲状腺球蛋白(Tg)是分化型甲状腺癌(DTC)的肿瘤标志物。定期随访血清Tg有助于对DTC复发和转移的诊断、病人预后的评价和监测治疗效果。目前临床上常用放射免疫分析法(RIA)和非放射性的免疫量度分析法(IMA)测量血清Tg。但这些方法存在较多技术问题,使其临床应用受到了限制,主要有:方法间的变异较大、灵敏度不够高、批内精确度不够好、高浓度Tg的钩变效应(hook effect)、甲状腺球蛋白抗体(TgAb)的干扰等。其中TgAb的干扰是临床上最常见的问题。 展开更多
关键词 放射免疫分析法 甲状腺球蛋白 分化型甲状腺癌 甲状腺球蛋白抗体 免疫量度分析法
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Polymorphism of gonadotropin action:clinical implications
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作者 IlpoT.Huhtaniemi 《Asian Journal of Andrology》 SCIE CAS CSCD 2000年第4期241-246,共6页
It has recently became apparent that the stmctural heterogeneity of gonadotropin molecules can contribute to varia-tions of their action in different physiological and pathophysiological conditions. One reason for the... It has recently became apparent that the stmctural heterogeneity of gonadotropin molecules can contribute to varia-tions of their action in different physiological and pathophysiological conditions. One reason for the structural variationsof circulating gonadotropin molecules is the microheterogeneity caused by the variability of glycosylation of individualgonadotropin molecules. The carbohydrate moieties of gonadotropins are important for their intrinsic bioactivity, as re-flected by measurement of their bioactivity to immunoreactivity (B/I) ratios. We have reassessed this phenomenon byimproved in vitro bioassay and immunoassay methods, and it appears that the intrinsic bioactivity of gonadotropins, inparticular of LH, is more constant than previously assumed. Many of the previously documented differences, someeven considered diagnostic for certain clinical conditions, have tumed out to be methodological artifacts. The first partof this review summarizes our recent findings on the B/I ratios of LH, with special reference to the male. The second part of this review describes a common polymorphism that was recently discovered in the gene of theLH β-subunit. The variant LHβ allele contains two point mutations, which introduce to LH two amino acid changes andan extra glycosylation site. The LH variant is common world-wide, with carrier frequency varying from 0 to 52% invarious ethnic groups. The LH variant differs functionally from wild-type LH, and it seems to predispose its carders,both men and women, to mild aberrations of reproductive function. It is important for the clinician to be aware of thisvariant LH form, not detected by all immunoassays, because it may explain some aberrant results of LH measurementsin patient samples. (Asian J Androl 2000 Dec; 2: 241-246) 展开更多
关键词 LH FSH BIOassay immunometric assay mutation POLYMORPHISM GLYCOSYLATION
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