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血清α2-HS-糖蛋白测定的诊断价值

[Diagnostic value of the determination of serum alpha2-HS-glycoprotein].

作者信息

Kalabay L, Cseh K, Jakab L, Pozsonyi T, Jakab L, Benedek S, Fekete S, Telegdy L

机构信息

III. sz. Belgyógyászati Klinika, Semmelweis Orvostudományi Egyetem, Budapest.

出版信息

Orv Hetil. 1992 Jun 21;133(25):1553-4; 1559-60.

PMID:1408055
Abstract

Opsonic glycoprotein, alpha 2-HS-glycoprotein concentration was studied in the serum of 753 patients with various hematological, malignant, immunological, metabolic, endocrine and liver diseases and 68 healthy controls. Decreased serum alpha 2-HS-glycoprotein levels were detected in patients with acute leukemias, chronic granulocyte and myelomonocyte leukemias, lymphomas, myelofibrosis, multiple myeloma, metastatizing solid tumors, systemic lupus erythematosus, rheumatoid arthritis, acute alcoholic hepatitis, fatty liver, chronic active hepatitis, liver cirrhosis, acute and chronic pancreatitis, and Crohn's disease. Elevated levels were measured in patients with B and NANB/C hepatitis. Further decreased levels were observed in some groups with secondary infections. Serum alpha 2-HS-glycoprotein levels are affected by many factors, influencing the synthesis and elimination of the protein. The detection of serum alpha 2-HS-glycoprotein concentration has no specific diagnostic value as a marker for tumors or other diseases, however, its determination can be useful for the assessment of a non-specific regulator of the host defence.

摘要

对753例患有各种血液学、恶性、免疫、代谢、内分泌和肝脏疾病的患者以及68名健康对照者的血清中调理素糖蛋白α2-HS-糖蛋白浓度进行了研究。在急性白血病、慢性粒细胞白血病和粒单核细胞白血病、淋巴瘤、骨髓纤维化、多发性骨髓瘤、转移性实体瘤、系统性红斑狼疮、类风湿性关节炎、急性酒精性肝炎、脂肪肝、慢性活动性肝炎、肝硬化、急性和慢性胰腺炎以及克罗恩病患者中检测到血清α2-HS-糖蛋白水平降低。在B型肝炎和非甲非乙型/丙型肝炎患者中检测到水平升高。在一些继发感染的组中观察到水平进一步降低。血清α2-HS-糖蛋白水平受多种因素影响,这些因素影响该蛋白的合成和清除。血清α2-HS-糖蛋白浓度的检测作为肿瘤或其他疾病的标志物没有特异性诊断价值,然而,其测定对于评估宿主防御的非特异性调节因子可能是有用的。

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