Wakasugi K
Third Department of Internal Medicine, Yamagata University School of Medicine, Japan.
Nihon Naibunpi Gakkai Zasshi. 1989 May 20;65(5):483-96. doi: 10.1507/endocrine1927.65.5_483.
To evaluate the effect of glucagon degrading activity (GDA) on radioimmunoassay (RIA) of glucagon, I measured GDAs in plasma, serum, lysed red blood cells (RBC), and suspension of mononuclear cells and granulocytes. Serum levels of GDA in patients with various diseases were also examined. 1. Serum GDA values in normal subjects (control) measured by TCA precipitation method were 4.6 +/- 2.2% (mean +/- S.D.). GDA values in plasma treated with citrate and those in serum treated with aprotinin were not different from those in nontreated serum. GDAs in plasma treated either with EDTA and aprotinin or with EDTA alone were significantly lower than those in control serum, but the values in plasma treated with heparin were markedly higher than those in control serum. 2. GDAs in RBC lysate and suspension of mononuclear cells and granulocytes remained low up to the concentration of 23 X 10(4) RBC/microliters and 5000 mononuclear cells or granulocytes/microliters, respectively. GDAs in RBC lysate and mononuclear cells were markedly suppressed by the treatment with EDTA, whereas GDAs in granulocytes were inhibited by the treatment with aprotinin. 3. Markedly high values of GDA were obtained in serum of patients with pancreas diseases, liver diseases, renal diseases and hyperthyroidism. However, in four patients these elevated levels were restored to normal value after recovery from these disorders. The elevated GDA values in serum were suppressed to normal value by the addition of EDTA and aprotinin. 4. On Bio-Gel P-6 column chromatography, 125I-glucagon incubated with patient serum containing high GDA values revealed several peaks eluted after 125I-glucagon. 5. In healthy subjects, immunoreactive glucagon (IRG) levels in nontreated serum were not different from those in plasma treated either with EDTA and aprotinin or with heparin. 6. In patients showing high serum GDA levels, serum GDA levels were not significantly related to IRG levels in plasma treated with EDTA and aprotinin. These results indicate that a series of treatment of blood samples before assay: addition of EDTA and aprotinin to the blood samples, immediate separation of plasma from blood cells, and storage at 4 degrees C is recommended to avoid breakdown of glucagon by GDAs.
为评估胰高血糖素降解活性(GDA)对胰高血糖素放射免疫测定(RIA)的影响,我测定了血浆、血清、裂解红细胞(RBC)以及单核细胞和粒细胞悬液中的GDA。还检测了患有各种疾病患者的血清GDA水平。1. 用三氯乙酸沉淀法测定的正常受试者(对照组)血清GDA值为4.6±2.2%(均值±标准差)。用柠檬酸盐处理的血浆中的GDA值以及用抑肽酶处理的血清中的GDA值与未处理血清中的GDA值无差异。用乙二胺四乙酸(EDTA)和抑肽酶处理的血浆或仅用EDTA处理的血浆中的GDA显著低于对照血清中的GDA,但用肝素处理的血浆中的GDA值明显高于对照血清中的GDA值。2. RBC裂解物以及单核细胞和粒细胞悬液中的GDA在RBC浓度高达23×10⁴个/微升以及单核细胞或粒细胞浓度高达5000个/微升时仍保持较低水平。RBC裂解物和单核细胞中的GDA经EDTA处理后受到显著抑制,而粒细胞中的GDA经抑肽酶处理后受到抑制。3. 在患有胰腺疾病、肝脏疾病、肾脏疾病和甲状腺功能亢进症的患者血清中获得了明显较高的GDA值。然而,在4例患者中,这些升高的水平在疾病康复后恢复到了正常水平。血清中升高的GDA值通过添加EDTA和抑肽酶被抑制到正常水平。4. 在Bio - Gel P - 6柱色谱上,与含有高GDA值的患者血清一起孵育的¹²⁵I - 胰高血糖素显示在¹²⁵I - 胰高血糖素之后洗脱的几个峰。5. 在健康受试者中,未处理血清中的免疫反应性胰高血糖素(IRG)水平与用EDTA和抑肽酶处理或用肝素处理的血浆中的IRG水平无差异。6. 在血清GDA水平高的患者中,血清GDA水平与用EDTA和抑肽酶处理的血浆中的IRG水平无显著相关性。这些结果表明,建议在检测前对血样进行一系列处理:向血样中添加EDTA和抑肽酶,立即将血浆与血细胞分离,并在4℃下储存,以避免GDA对胰高血糖素的分解。