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[正常妊娠中GM2及抗GM2抗体的分析]

[Analysis of GM2 and anti-GM2 antibody in normal pregnancy].

作者信息

Suzuki T, Adachi S, Aoki Y, Yuzawa H, Kanazawa K, Takeuchi S, Hirabayashi Y

机构信息

Department of Obstetrics and Gynecology, Koide Hospital, Niigata.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1990 May;42(5):429-36.

PMID:2373916
Abstract

Oncofetal antigen immunogenic (OFA-I), an antigen common to the fetal brain and some malignant tumors (derived from ectoderm), is immunogenic in man, and anti-OFA-I antibody appears in the sera of not only malignant patients but also pregnant women. Biochemical analysis revealed that OFA-I is ganglioside GM2 and GD2. In the present study, GM2 and anti-GM2 antibody were investigated as to the kinetics in pregnant sera and the tissue localization in placenta and decidua. The results obtained were as follows: 1. The concentration of GM2 was 76.7 pmol/ml (mean) in pregnant sera and 10.8 pmol/ml (mean) in cord sera. GM2 was not measurable in the sera of non-pregnant women. 2. GM2 was detected by thin layer chromatogram-immunostaining methods in the gangliosides extracted from decidua and term placenta. GM2 was, however, undetected from villi at an early stage. 3. In immunohistological analysis for GM2, positive findings were observed in decidua and in villous stroma of term placenta. In contrast, no distinct positive findings were observed in trophoblast at any stage. 4. Anti-GM2 antibody appeared in pregnant sera at an early stage and was detectable up to the 5th day postpartum.

摘要

癌胚抗原免疫原性物质(OFA-I)是一种存在于胎儿脑和某些恶性肿瘤(源自外胚层)中的共同抗原,在人体中具有免疫原性,不仅恶性肿瘤患者血清中会出现抗OFA-I抗体,孕妇血清中也会出现。生化分析表明,OFA-I是神经节苷脂GM2和GD2。在本研究中,对GM2和抗GM2抗体在孕妇血清中的动力学以及在胎盘和蜕膜中的组织定位进行了研究。结果如下:1. 孕妇血清中GM2的浓度平均为76.7 pmol/ml,脐带血清中为10.8 pmol/ml。非孕妇血清中未检测到GM2。2. 采用薄层色谱免疫染色法在从蜕膜和足月胎盘提取的神经节苷脂中检测到了GM2。然而,早期绒毛中未检测到GM2。3. 在对GM2的免疫组织学分析中,在蜕膜和足月胎盘的绒毛基质中观察到阳性结果。相比之下,在任何阶段的滋养层中均未观察到明显的阳性结果。4. 抗GM2抗体在孕早期出现在孕妇血清中,直至产后第5天均可检测到。

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