Murayama T, Matsushita K, Takahashi T, Matozaki S, Nakagawa T, Isobe T
Department of Internal Medicine, Hyogo Medical Center for Adults.
Rinsho Ketsueki. 1992 Apr;33(4):413-7.
Cyclosporin A, a strong immunosuppressive agent, has been used to prevent rejection or graft-versus-host disease (GVHD) after organ transplantations including bone marrow transplantations. Monitoring of cyclosporin A concentration in whole blood is necessary for its high frequency of side effects. The authors to measured its concentration by means of radioimmunoassay (RIA) as well as fluorescence polarization Immunoassay (FPIA) a cases after bone marrow transplantation. There was a good correlation between these two methods. FPIA is less specific for cyclosporin A than RIA, but it is an easier method. It is important to measure the concentration of cyclosporin with FPIA because there are metabolites of cyclosporin A which cannot be measured with RIA. Thus FPIA can be applied to the routine monitoring of cyclosporin.
环孢素A是一种强效免疫抑制剂,已被用于预防包括骨髓移植在内的器官移植后的排斥反应或移植物抗宿主病(GVHD)。由于环孢素A副作用发生率高,监测全血中环孢素A的浓度很有必要。作者采用放射免疫分析法(RIA)以及荧光偏振免疫分析法(FPIA)测定了骨髓移植患者的环孢素A浓度。这两种方法之间存在良好的相关性。FPIA对环孢素A的特异性不如RIA,但它是一种更简便的方法。用FPIA测量环孢素浓度很重要,因为存在一些环孢素A的代谢产物无法用RIA测量。因此,FPIA可应用于环孢素的常规监测。