Prisco D
Recenti Prog Med. 1989 May;80(5):263-7.
Tests for measuring fibrinogen/fibrin degradation products (FDP) in serum have been employed for many years to study conditions in which fibrinolysis is activated. However, these tests can not differentiate between products of plasmin action on fibrinogen and fibrin stabilized by activated factor XIII because antibodies employed are not specific. Moreover, there is the possibility of false positive and false negative FDP tests. Recently new tests have been proposed which employ monoclonal antibodies interacting specifically with antigenic sites of cross-linked fibrin and its degradation products, making it possible to distinguish these degradation products from those of fibrinogen and to have a more precise evaluation of fibrinolysis. Some applications are discussed.
多年来,血清中纤维蛋白原/纤维蛋白降解产物(FDP)的检测一直被用于研究纤溶激活的情况。然而,由于所使用的抗体不具有特异性,这些检测无法区分纤溶酶作用于纤维蛋白原的产物和由活化因子XIII稳定的纤维蛋白的产物。此外,FDP检测存在假阳性和假阴性的可能性。最近,有人提出了新的检测方法,该方法使用与交联纤维蛋白及其降解产物的抗原位点特异性相互作用的单克隆抗体,从而有可能将这些降解产物与纤维蛋白原的降解产物区分开来,并对纤溶进行更精确的评估。本文讨论了一些应用。