Sznurkowska Katarzyna, Plata-Nazar Katarzyna, Sikorska-Wiśniewska Grażyna, Gruszczyńska Ilona, Renke Joanna, Niedoszytko Marek, Gleń Jolanta, Kamińska Barbara
Department of Pediatrics, Pediatric Gastroenterology, Hepatology, and Nutrition, Medical University of Gdańsk, Gdańsk, Poland.
Department of Biochemistry, University of Gdańsk, Poland.
Pediatr Allergy Immunol Pulmonol. 2014 Jun;27(2):70-74. doi: 10.1089/ped.2013.0320. Epub 2014 Jun 3.
Mast cells are dispersed in many tissues, especially in digestive and respiratory-tract mucosal membranes. Tryptase, considered a marker of mast-cell activity, is the most important protease released from these cells during degranulation. Tryptase concentration is mainly accessed in anaphylaxis and mastocytosis, being one diagnostic criteria of this disease. There are no data concerning tryptase activity in healthy children in the current literature. The aims of this study were the analysis of concentrations of serum tryptase in healthy children, and determining reference values of the enzyme at different developmental ages. The investigated group consisted of 131 healthy children (75 girls, 56 boys) aged 3 months-18 years. The concentration of tryptase in the studied samples was evaluated by the fluoro-immuno-enzymatic method with UniCAP. The mean concentration of serum tryptase in the studied group was 2.8±2.2 ng/dL: 2.5±2.2 ng/dL in girls and 3.2±2.1 ng/dL in boys. The upper reference limit of 7.2 ng/dL was lower than in adults.
肥大细胞分散在许多组织中,尤其是在消化道和呼吸道黏膜中。类胰蛋白酶被认为是肥大细胞活性的标志物,是这些细胞在脱颗粒过程中释放的最重要的蛋白酶。类胰蛋白酶浓度主要在过敏反应和肥大细胞增多症中检测,是该疾病的诊断标准之一。目前文献中尚无关于健康儿童类胰蛋白酶活性的数据。本研究的目的是分析健康儿童血清类胰蛋白酶的浓度,并确定该酶在不同发育年龄的参考值。研究组由131名年龄在3个月至18岁的健康儿童组成(75名女孩,56名男孩)。采用UniCAP荧光免疫酶法评估研究样本中类胰蛋白酶的浓度。研究组血清类胰蛋白酶的平均浓度为2.8±2.2 ng/dL:女孩为2.5±2.2 ng/dL,男孩为3.2±2.1 ng/dL。7.2 ng/dL的参考上限低于成年人。