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[功能性甲状腺良性肿瘤患者甲状腺球蛋白及甲状腺过氧化物酶活性的特征分析]

[Characterization of thyroglobulin and thyroid peroxidase activity in patients with functioning thyroid benign tumors].

作者信息

Tatutani O, Abe N, Ishida T, Izuo M, Takahashi N, Saito K, Kohno Y, Hiyama Y, Yoshimura H, Hosoya T

机构信息

Institute of Endocrinology, Gunma University, Maebashi.

出版信息

Nihon Naibunpi Gakkai Zasshi. 1988 May 20;64(5):390-401. doi: 10.1507/endocrine1927.64.5_390.

Abstract

The content and chemical and immunological properties of thyroglobulin (Tg) and the activity of thyroid peroxidase (TPO) were studied in nodular and extranodular (periphery) thyroid tissue from patients with functioning thyroid tumors (hot nodules). From the present observations, the tumor extracts contained fairly large amounts of Tg, similar to that in the periphery tissue, while the content of Tg was markedly decreased in non-functioning thyroid tumors (cold nodules). The iodine content of Tg was significantly higher in nodular tissue compared with periphery tissue. These observations were in contrast to the results seen in the cold nodules in which hormone synthesis was defective. On the nature of carbohydrate moiety as compared with normal tissue, oligosaccharides of Tg from the periphery tissues changed in a manner similar to that of tumor oligosaccharides. That is, high-mannose type oligosaccharides were markedly decreased whereas multiantennary and unidentified oligosaccharides were increased. These observations were similar to those of non-functioning tumors. The content of sialic acid decreased markedly both in the tumor and periphery tissues. Immunologically, Tg preparations of the tumor and periphery tissue did not show the same affinity to the antibodies, depending on the content of iodine. Therefore, it seems that the contribution of the iodine content and iodo-amino acid has little or no significance in the heterogeneous nature of Tg-immunogenecity. Benign tumors and the periphery tissue were subjected to assay for thyroid peroxidase activity by the method employing guaiacol as the second substrate. The specific activities of the tumors were generally higher than those of periphery tissues, both in functioning and non-functioning benign tumors. In non-functioning carcinoma, on the other hand, TPO activities were lower in tumor portions than in periphery portions. This indicates that non-functioning thyroid carcinomas have a different characteristic.

摘要

对患有功能性甲状腺肿瘤(热结节)患者的结节性和结节外(周边)甲状腺组织中的甲状腺球蛋白(Tg)的含量、化学及免疫学特性以及甲状腺过氧化物酶(TPO)的活性进行了研究。从目前的观察结果来看,肿瘤提取物中含有相当大量的Tg,与周边组织中的相似,而在无功能性甲状腺肿瘤(冷结节)中Tg的含量则显著降低。与周边组织相比,结节组织中Tg的碘含量显著更高。这些观察结果与在激素合成存在缺陷的冷结节中所见的结果形成对比。与正常组织相比,就碳水化合物部分的性质而言,周边组织中Tg的寡糖变化方式与肿瘤寡糖相似。也就是说,高甘露糖型寡糖显著减少,而多天线型和未鉴定的寡糖增加。这些观察结果与无功能性肿瘤的相似。肿瘤组织和周边组织中的唾液酸含量均显著降低。在免疫学方面,肿瘤组织和周边组织的Tg制剂对抗体的亲和力不同,这取决于碘的含量。因此,似乎碘含量和碘代氨基酸对Tg免疫原性的异质性贡献很小或没有意义。采用愈创木酚作为第二底物的方法对良性肿瘤和周边组织进行甲状腺过氧化物酶活性测定。无论是功能性还是无功能性良性肿瘤,肿瘤的比活性通常都高于周边组织。另一方面,在无功能性癌中,肿瘤部分的TPO活性低于周边部分。这表明无功能性甲状腺癌具有不同的特征。

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