Davidsson P, Fredman P, von Holst H, Wikstrand C J, He X, Bigner D D, Svennerholm L
Department of Psychiatry, St. Jörgen Hospital, Hisings Backa, Sweden.
Acta Neurol Scand. 1990 Sep;82(3):203-8. doi: 10.1111/j.1600-0404.1990.tb04489.x.
This study investigated whether tumor-associated gangliosides or glycoproteins may be markers for meningiomas in CSF. The concentrations of a number of gangliosides and sulphatide were determined with specific monoclonal antibodies and cholera toxin B-subunit in a thin-layer chromatography overlay technique. As compared to a reference group of 10 individuals (mean age 50 +/- 14 years), the CSF samples from 7 meningioma patients (mean age 55 +/- 12 years) were found to contain significantly increased concentrations of ganglioside GD3 [II3(NeuAc)2-LacCer], one of the major gangliosides in meningioma tissue specimens. Sulphatide was significantly increased in 6 of 7 patients. Tumor-associated glycoproteins detected by the lectin Ricinus communis 1 in meningioma tissue specimens, but not in normal human brain tissue, were also found in the CSF of the meningioma patients. An early diagnosis of meningiomas might be achieved by the combined assay in CSF of ganglioside GD3 and glycoproteins with Ricinus communis lectin.
本研究调查了肿瘤相关神经节苷脂或糖蛋白是否可能作为脑脊液中脑膜瘤的标志物。采用薄层色谱覆盖技术,用特异性单克隆抗体和霍乱毒素B亚基测定了多种神经节苷脂和硫脂的浓度。与10名个体(平均年龄50±14岁)的参考组相比,7名脑膜瘤患者(平均年龄55±12岁)的脑脊液样本中神经节苷脂GD3[II3(NeuAc)2-LacCer]的浓度显著升高,GD3是脑膜瘤组织标本中的主要神经节苷脂之一。7名患者中有6名的硫脂显著增加。在脑膜瘤组织标本中可检测到但在正常脑组织中未检测到的、由蓖麻凝集素1检测的肿瘤相关糖蛋白,也在脑膜瘤患者的脑脊液中被发现。通过联合检测脑脊液中的神经节苷脂GD3和蓖麻凝集素糖蛋白,可能实现脑膜瘤的早期诊断。