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[LEN(LISS-酶)技术在检测红细胞同种抗体中的价值]

[Value of the LEN (LISS-enzyme) technic in detection of alloantibodies to erythrocytes].

作者信息

Walewska I, Kuśnierz-Alejska G, Michalewska B

出版信息

Acta Haematol Pol. 1989 Jul-Dec;20(2):214-22.

PMID:2638541
Abstract

The reported study was done for assessment of the value of the enzymatic technique LSE/LISS Spin Enzyme proposed by Odell et al. using a solution of NaCl of low ionic strength (LISS) for detection of incomplete alloantibodies to erythrocytes, especially those from the Rh system. The results of the study demonstrated that the LSE test, called by the authors LEN (LISS-Enzyme) is a sensitive and specific method comparable in its effectiveness to the two-step papain test (2-Pap) used widely in this country. In routine studies the LEN technique is simple, easy and rapid. Washing of papain treated erythrocytes is not necessary. The time from enzyme addition to erythrocytes to result reading is about 15 minutes, that is it is four times shorter than the time in the 2-Pap technique (60 minutes). A significant was the preparation of one type of erythrocyte suspension in LISS solution for two tests: enzymatic and antiglobulin, carried out in parallel. For these reasons the LEN test may be recommended in place of 2-Pap for detection and identification of antibodies. It is also a practical methods for matching test in place of the one-step papain test. The LEN test should be widely introduced in laboratories of transfusiological immunology in this country. Attention is called ti various technical details necessary for obtaining of unequivocal and reproducible results.

摘要

所报道的这项研究是为了评估奥德尔等人提出的酶技术LSE/LISS旋转酶的价值,该技术使用低离子强度(LISS)的氯化钠溶液来检测针对红细胞的不完全同种抗体,尤其是来自Rh系统的抗体。研究结果表明,作者所称的LSE试验(LISS-酶试验)是一种敏感且特异的方法,其有效性与该国广泛使用的两步木瓜蛋白酶试验(2-Pap)相当。在常规研究中,LEN技术简单、易行且快速。无需洗涤经木瓜蛋白酶处理的红细胞。从向红细胞添加酶到读取结果的时间约为15分钟,即比2-Pap技术的时间(60分钟)短四倍。一个显著的特点是在LISS溶液中制备一种红细胞悬液用于两项平行进行的试验:酶试验和抗球蛋白试验。由于这些原因,LEN试验可被推荐用于替代2-Pap试验来检测和鉴定抗体。它也是替代一步木瓜蛋白酶试验进行配型试验的实用方法。LEN试验应在该国输血免疫学实验室中广泛推广。需要注意获得明确且可重复结果所需的各种技术细节。

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