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[健康儿童和痉挛倾向儿童的降钙素水平]

[Katacalcin levels in healthy children and children with spasmophilia].

作者信息

Saggese G, Bertelloni S, Baroncelli G I, Buggiani B, Gualtieri M, Paci A

出版信息

Minerva Pediatr. 1989 Sep;41(9):459-66.

PMID:2685535
Abstract

The calcitonin (CT) gene encodes at least 3 peptides: CT, the 21-aminoacid carboxyl-terminal flanking peptide (katalcin or PDN-21) and CT-gene related peptide. Normal thyroid C-cells as well as malignant ones co-secrete CT and PDN-21 in response to hypercalcemia, so assay of PDN-21 may be an usefull method to assess C-cells secretion. Because of our knowledge no data are available on PDN-21 values in children, we measured this peptide in healthy children and in spasmophilia (Sp), a disease that has been related to CT deficiency. We studied 16 healthy children (9 males, 7 females; aging from 3.0 to 11.6 years) and in 21 patients with diagnosed Sp (8 males, 13 females, aging from 4.6 to 13.0 years). PDN-21 were assayed in whole serum by RIA using synthetic human PDN-21 for standards, 125I-PDN-21 for tracer and specific antiserum. CT was measured the serum of the same subjects by RIA using an ultrasensitive methods. In healthy children PDN-21 serum values were 12.3 +/- 2.0 pg/ml and no significant differences were found between males and females. Children with Sp showed slow higher PDN-21 concentrations (14.0 +/- 1.4 pg/ml) than normals, but the difference was not statistically significant. Also CT values were not significantly different between normal children (21.4 +/- 3.7 pg/ml) and patients with spasmophilia (22.5 +/- 1.8 pg/ml). A high significant positive relation was found between katalcacin and CT levels in normals as well as in spasmophilics. The physiological effects of PDN-21 are actually unknown.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

降钙素(CT)基因至少编码3种肽:降钙素、21个氨基酸的羧基末端侧翼肽(卡他钙素或PDN - 21)以及降钙素基因相关肽。正常甲状腺C细胞以及恶性C细胞在血钙过多时会共同分泌降钙素和PDN - 21,因此检测PDN - 21可能是评估C细胞分泌的一种有用方法。据我们所知,尚无关于儿童PDN - 21值的数据,我们对健康儿童以及与CT缺乏有关的痉挛症(Sp)患者的这种肽进行了测量。我们研究了16名健康儿童(9名男性,7名女性;年龄3.0至11.6岁)以及21名确诊为Sp的患者(8名男性,13名女性,年龄4.6至13.0岁)。采用放射免疫分析法(RIA),以合成人PDN - 21为标准品、125I - PDN - 21为示踪剂和特异性抗血清,在全血清中检测PDN - 21。采用超灵敏方法通过RIA在同一受试者的血清中检测降钙素。健康儿童的血清PDN - 21值为12.3±2.0 pg/ml,男性和女性之间未发现显著差异。患有Sp的儿童的PDN - 21浓度(14.0±1.4 pg/ml)比正常人略高,但差异无统计学意义。正常儿童(21.4±3.7 pg/ml)和痉挛症患者(22.5±1.8 pg/ml)的降钙素值也无显著差异。在正常人和痉挛症患者中,均发现卡他钙素与降钙素水平之间存在高度显著的正相关。PDN - 21的生理作用目前尚不清楚。(摘要截短至250字)

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