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肿瘤性B细胞产生的单克隆免疫球蛋白轻链的免疫等速电泳测定:用于疾病诊断、监测及残留病检测

Immuno-isotachophoretic determination of monoclonal immunoglobulin light chains produced by neoplastic B-cells: use in diagnosis, monitoring and detection of residual disease.

作者信息

Abelev G I, Karamova E R, Bragina E G, Andreeva N E, Kruglova G V

机构信息

Laboratory of Immunochemistry, All-Union Cancer Research Center, Academy of Medical Sciences, Moscow, USSR.

出版信息

Int J Cancer. 1990 Sep 15;46(3):351-5. doi: 10.1002/ijc.2910460302.

DOI:10.1002/ijc.2910460302
PMID:2118484
Abstract

We suggest that countercurrent isotachophoresis performed on cellulose acetate membranes (ITP-CAM) should be used for detecting trace amounts of Bence-Jones protein (BJP) in urine of patients with chronic lymphocytic leukemia (CLL), non-Hodgkin's lymphoma (NHL) and related diseases. ITP-CAM allows simultaneous concentration and electrophoretic separation of proteins present in highly diluted solutions, as well as easy immunological detection of separated substances. BJP was found in 24 out of 42 patients with CLL, 33 of 56 with NHL and 3 of 3 with Waldenström macroglobulinemia. Twenty-three patients were followed during the course of chemo- or radiotherapy. In 19 cases the BJP findings correlated well with clinical status. In no case of partial or complete clinical response did BJP completely disappear from the urine.

摘要

我们建议,应使用在醋酸纤维素膜上进行的逆流等速电泳(ITP-CAM)来检测慢性淋巴细胞白血病(CLL)、非霍奇金淋巴瘤(NHL)及相关疾病患者尿液中的微量本-周蛋白(BJP)。ITP-CAM可对高度稀释溶液中的蛋白质同时进行浓缩和电泳分离,还便于对分离出的物质进行免疫检测。在42例CLL患者中有24例检测到BJP,56例NHL患者中有33例,3例瓦尔登斯特伦巨球蛋白血症患者中有3例检测到BJP。23例患者在化疗或放疗过程中接受了随访。在19例患者中,BJP检测结果与临床状况高度相关。在部分或完全临床缓解的病例中,BJP从未在尿液中完全消失。

相似文献

1
Immuno-isotachophoretic determination of monoclonal immunoglobulin light chains produced by neoplastic B-cells: use in diagnosis, monitoring and detection of residual disease.肿瘤性B细胞产生的单克隆免疫球蛋白轻链的免疫等速电泳测定:用于疾病诊断、监测及残留病检测
Int J Cancer. 1990 Sep 15;46(3):351-5. doi: 10.1002/ijc.2910460302.
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The clinical spectrum of pure Bence Jones proteinuria. A study of 66 patients.单纯本-周蛋白尿的临床谱:66例患者的研究
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J Clin Lab Anal. 1990;4(6):443-8. doi: 10.1002/jcla.1860040610.
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Serum and urine monoclonal immunoglobulins in malignant non-Hodgkin's lymphoma.恶性非霍奇金淋巴瘤中的血清和尿液单克隆免疫球蛋白
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The urinary light-chain ladder pattern. A product of improved methodology that may complicate the recognition of Bence Jones proteinuria.尿轻链梯形图谱。这是一种改进方法的产物,可能会使本周氏蛋白尿的识别变得复杂。
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Can serum free light chains replace urine electrophoresis in the detection of monoclonal gammopathies?血清游离轻链能否替代尿液电泳用于单克隆丙种球蛋白病的检测?
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