Porteder H, Matejka M, Kment G, Nell A, Sinzinger H
Dept. of Maxillo-Facial Surgery, University of Vienna.
Prog Clin Biol Res. 1987;242:123-9.
In 56 patients with histologically verified maxillo-facial cancer the plasma 6-oxo-PGF1-alpha was determined prior surgery using a specific RIA and the double antibody technique. Furthermore, the half-life of synthetic PGI2 has been assessed via the disappearance curve of biological activity on platelet aggregation inhibition. Part of the patients has been monitored by the same test different time intervals after radical surgery. Normal values of 6-oxo-PGF1-alpha amount below 1 pg/ml. - normal half-life of PGI2 in plasma in-vitro about 10 minutes. Prior surgery a significantly increased 6-oxo-PGF1-alpha can be seen, whereas the PGI2 half-life is unaffected. In patients without local or general recurrence normal 6-oxo-PGF1-alpha levels are monitored. No change occurred in the half-life of PGI2. These findings underline the additive value of 6-oxo-PGF1-alpha as a tumor marker. The data do not support the view presented earlier, that a change in plasmatic PGI2 half-life might favour the onset and the extent of recurrence at least in patients suffering on maxillo-facial cancer.
在56例经组织学证实的颌面癌患者中,术前采用特异性放射免疫分析(RIA)和双抗体技术测定血浆6-氧代-前列腺素F1α(6-oxo-PGF1-α)。此外,通过抑制血小板聚集的生物活性消失曲线评估了合成前列环素(PGI2)的半衰期。部分患者在根治性手术后的不同时间间隔通过相同检测进行监测。6-oxo-PGF1-α的正常含量值低于1皮克/毫升。血浆中PGI2的体外正常半衰期约为10分钟。术前可见6-oxo-PGF1-α显著升高,而PGI2半衰期未受影响。在无局部或全身复发的患者中,监测到6-oxo-PGF1-α水平正常。PGI2半衰期无变化。这些发现强调了6-oxo-PGF1-α作为肿瘤标志物的附加价值。数据不支持早期提出的观点,即血浆中PGI2半衰期的变化可能至少在颌面癌患者中有利于复发的发生和程度。