Cistola David P, Robinson Michelle D
Nanoparticle Diagnostics Laboratory, Institute for Cardiovascular and Metabolic Diseases, University of North Texas Health Science Center, Fort Worth, Texas 76107, USA; Departments of Clinical Laboratory Science and Biochemistry & Molecular Biology, College of Allied Health Sciences and Brody School of Medicine, East Carolina Diabetes & Obesity Institute, East Carolina University, Greenville, North Carolina 27834, USA.
Trends Analyt Chem. 2016 Nov;83(A):53-64. doi: 10.1016/j.trac.2016.04.020.
Nuclear magnetic resonance relaxometry is a uniquely practical and versatile implementation of NMR technology. Because it does not depend on chemical shift resolution, it can be performed using low-field compact instruments deployed in atypical settings. Early relaxometry studies of human blood were focused on developing a diagnostic test for cancer. Those efforts were misplaced, as the measurements were not specific to cancer. However, important lessons were learned about the factors that drive the water longitudinal (T) and transverse (T) relaxation times. One key factor is the overall distribution of proteins and lipoproteins. Plasma water T can detect shifts in the blood proteome resulting from inflammation, insulin resistance and dyslipidemia. In whole blood, T is sensitive to hemoglobin content and oxygenation, although the latter can be suppressed by manipulating the static and applied magnetic fields. Current applications of compact NMR relaxometry include blood tests for candidiasis, hemostasis, malaria and insulin resistance.
核磁共振弛豫测量法是核磁共振技术一种独特实用且用途广泛的应用。由于它不依赖化学位移分辨率,因此可以使用部署在非典型环境中的低场紧凑型仪器来进行。早期对人体血液的弛豫测量研究主要集中在开发癌症诊断测试上。但这些努力用错了地方,因为这些测量并非癌症所特有的。不过,关于驱动水纵向(T1)和横向(T2)弛豫时间的因素,人们学到了重要的经验教训。一个关键因素是蛋白质和脂蛋白的整体分布。血浆水T1可以检测由炎症、胰岛素抵抗和血脂异常导致的血液蛋白质组变化。在全血中,T2对血红蛋白含量和氧合敏感,不过通过控制静态磁场和外加磁场可以抑制后者的影响。紧凑型核磁共振弛豫测量法目前的应用包括念珠菌病、止血、疟疾和胰岛素抵抗的血液检测。