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因甲胎蛋白水平假性升高对一名患者进行化疗。确定相关因素。

Chemotherapy of a patient because of spuriously elevated alpha-fetoprotein levels. Identification of the responsible factor.

作者信息

Dahlmann N, Hartlapp J H

机构信息

Institut für Klinische Biochemie, Universität Bonn.

出版信息

Klin Wochenschr. 1989 Apr 3;67(7):408-12. doi: 10.1007/BF01711270.

DOI:10.1007/BF01711270
PMID:2473243
Abstract

Because of spuriously elevated alpha-fetoprotein levels, a course of polychemotherapy was given to a patient. We purified and identified the serum factor responsible for falsely high AFP levels as an IgG directed against mouse IgG. On gel filtration it behaves differently from true AFP, exhibiting a molecular weight of around 150,000. Chromatography on 'Protein A-Sepharose' revealed properties indistinguishable from those of IgG. The patient had never been treated with mouse antibodies, neither for diagnostic nor therapeutic purposes and he had had no contact with animals professionally.

摘要

由于甲胎蛋白水平假性升高,对一名患者进行了多药化疗疗程。我们纯化并鉴定出导致甲胎蛋白水平假性升高的血清因子为一种抗小鼠IgG的IgG。在凝胶过滤中,它的行为与真正的甲胎蛋白不同,分子量约为150,000。在“蛋白A-琼脂糖”上的色谱分析显示其性质与IgG无法区分。该患者从未接受过小鼠抗体治疗,无论是用于诊断还是治疗目的,并且他在职业上没有与动物接触过。

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本文引用的文献

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Incidence and mechanism of spurious increase in serum thyrotropin.血清促甲状腺激素假性升高的发生率及机制
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2
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5
Synthesis of serum albumin, prealbumin, alpha-foetoprotein, alpha-1-antitrypsin and transferrin by the human yolk sac.人卵黄囊合成血清白蛋白、前白蛋白、甲胎蛋白、α1-抗胰蛋白酶及转铁蛋白。
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Towards a network theory of the immune system.迈向免疫系统的网络理论。
Ann Immunol (Paris). 1974 Jan;125C(1-2):373-89.
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Alpha-fetoprotein in ontogenesis and its association with malignant tumors.甲胎蛋白在个体发生中的作用及其与恶性肿瘤的关联。
Adv Cancer Res. 1971;14:295-358. doi: 10.1016/s0065-230x(08)60523-0.
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Interference in a two-site immunoradiometric assay for thyrotropin in a child.儿童促甲状腺激素两点免疫放射分析中的干扰
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9
False positive immunometric assays caused by anti-immunoglobulin antibodies: a case report.抗免疫球蛋白抗体导致的免疫比浊法假阳性:一例报告
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10
Circulating antibodies to mouse monoclonal immunoglobulins in normal subjects--incidence, species specificity, and effects on a two-site assay for creatine kinase-MB isoenzyme.
Clin Chem. 1986 Mar;32(3):476-81.