Grulke Sigrid, Deby-Dupont Ginette, Gangl Monika, Franck Thierry, Deby Carol, Serteyn Didier
Anesthésiologie générale et Pathologie chirurgicale des Grands Animaux, B41, Faculté de Médecine Vétérinaire, Université de Liège, 4000 Sart Tilman, Belgium.
Vet Res. 2003 May-Jun;34(3):317-30. doi: 10.1051/vetres:2003007.
Shock is accompanied by generalised splanchnic hypoperfusion, and splanchnic organs like the pancreas can be damaged, as shown in animal experimental models and in humans, by the presence of high plasma concentrations of trypsin and other pancreatic enzymes. In order to design a radioimmunoassay technique (RIA) for the measurement of equine trypsin-like immunoreactivity (TLI) in biological fluids, trypsin was purified (with purity > or = 96%) from the equine pancreas by extraction in an acid medium, ammonium sulfate precipitations, gel filtration chromatography and, after activation of trypsinogen into trypsin, affinity chromatography. Gel polyacrylamide electrophoresis showed a monomeric enzyme with a molecular weight of 27 kDa. The purified equine trypsin served for the immunisation of rabbits in order to obtain a specific antiserum, and the labelled antigen was prepared by iodination of equine trypsin with 125I. The RIA was based on the binding of the antigen to the antibody followed by the separation of the antigen-antibody complex by immunoprecipitation in the presence of sheep anti-rabbit gammaglobulins and the assay of the radioactivity in the precipitate. The RIA showed good sensitivity, specificity, precision, accuracy and reproducibility. The reference mean value of TLI in the plasma of healthy horses (n = 20) was 30.01+/-6.84 ng/mL (upper confidence limit 50.52 ng/mL; p < 0.01). Three horses with non strangulating intestinal obstruction without shock showed TLI values within normal limits whereas 5 of 7 horses with strangulation obstruction showed TLI levels above the upper confidence limit. Further studies using the RIA and the enzymatic assay should be performed in order to confirm the role of the pancreas in equine intestinal obstruction.
休克伴有全身性内脏灌注不足,如动物实验模型和人体研究所示,胰腺等内脏器官会因血浆中高浓度的胰蛋白酶和其他胰腺酶而受损。为了设计一种放射免疫分析技术(RIA)来测量生物体液中的马胰蛋白酶样免疫反应性(TLI),通过在酸性介质中提取、硫酸铵沉淀、凝胶过滤色谱法,以及在胰蛋白酶原激活为胰蛋白酶后进行亲和色谱法,从马胰腺中纯化出胰蛋白酶(纯度≥96%)。聚丙烯酰胺凝胶电泳显示该酶为分子量27 kDa的单体酶。纯化后的马胰蛋白酶用于免疫兔子以获得特异性抗血清,标记抗原通过用125I对马胰蛋白酶进行碘化制备。该放射免疫分析基于抗原与抗体的结合,随后在羊抗兔γ球蛋白存在下通过免疫沉淀分离抗原 - 抗体复合物,并测定沉淀物中的放射性。该放射免疫分析具有良好的灵敏度、特异性、精密度、准确性和可重复性。健康马(n = 20)血浆中TLI的参考平均值为30.01±6.84 ng/mL(置信上限50.52 ng/mL;p < 0.01)。3匹无休克的非绞窄性肠梗阻马的TLI值在正常范围内,而7匹绞窄性肠梗阻马中有5匹的TLI水平高于置信上限。为了证实胰腺在马肠梗阻中的作用,应使用放射免疫分析和酶法进行进一步研究。