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高脂血症性胰腺炎中淀粉酶活性正常的可能机制。

Possible mechanisms of normal amylase activity in hyperlipemic pancreatitis.

作者信息

Mishkin S, Bates J, O'Hashi J, Schneider P, Sniderman A D, Wolf R O

出版信息

Can Med Assoc J. 1976 Nov 20;115(10):1016-9.

PMID:206333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1878885/
Abstract

Lipemic serum from three patients with acute pancreatitis and type IV hyperlipemia was fractionated into very-low-density lipoproteins and clear serum. Amylase activity (determined by the Phadebas method) in the component fractions did not exceed that in the original lipemic serum. Addition of these fractions or VLDL and chylomicrons from asymptomatic patients with hyperlipemia to nonlipemic serum from patients with "routine acute pancreatitis" did not inhibit amylase activity or alter the electrophoretic mobility of amylase isoenzymes. Therefore the normal amylase activity often observed in hyperlipemic pancreatitis does not result from an inhibition of amylase activity by serum lipoproteins.

摘要

从三名患有急性胰腺炎和IV型高脂血症的患者中获取的脂血血清被分离成极低密度脂蛋白和澄清血清。各组分中的淀粉酶活性(通过法德巴斯法测定)不超过原始脂血血清中的活性。将这些组分或来自无症状高脂血症患者的极低密度脂蛋白和乳糜微粒添加到“常规急性胰腺炎”患者的非脂血血清中,不会抑制淀粉酶活性,也不会改变淀粉酶同工酶的电泳迁移率。因此,高脂血症性胰腺炎中经常观察到的正常淀粉酶活性并非由血清脂蛋白对淀粉酶活性的抑制所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/295c/1878885/021db7ef263f/canmedaj01492-0061-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/295c/1878885/ea42d45b5546/canmedaj01492-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/295c/1878885/021db7ef263f/canmedaj01492-0061-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/295c/1878885/ea42d45b5546/canmedaj01492-0061-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/295c/1878885/021db7ef263f/canmedaj01492-0061-b.jpg

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本文引用的文献

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AUTOMATED DETERMINATION OF SERUM TOTAL CHOLESTEROL.血清总胆固醇的自动测定
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The distribution and chemical composition of ultracentrifugally separated lipoproteins in human serum.人血清中超离心分离的脂蛋白的分布及化学组成
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A new and rapid method for the clinical determination of alpha-amylase activities in human serum and urine. Optimal conditions.一种用于临床测定人血清和尿液中α-淀粉酶活性的快速新方法。最佳条件。
Clin Chim Acta. 1969 Dec;26(3):437-44. doi: 10.1016/0009-8981(69)90071-0.
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Acute pancreatitis with hyperlipemia.高脂血症性急性胰腺炎
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Suppression of amylase activity by hypertriglyceridemia.高甘油三酯血症对淀粉酶活性的抑制作用。
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Acute pancreatitis with hyperlipemia: the incidence of lipid abnormalities in acute pancreatitis.高脂血症性急性胰腺炎:急性胰腺炎中脂质异常的发生率。
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Letter: Amylase activity in hyperlipemic pancreatitis.信函:高脂血症性胰腺炎中的淀粉酶活性
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10
Inhibition of serum and urine amylase activity in pancreatitis with hyperlipemia.高脂血症性胰腺炎中血清和尿淀粉酶活性的抑制
Ann Surg. 1975 Jul;182(1):72-5. doi: 10.1097/00000658-197507000-00014.