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[浆细胞肿瘤中副蛋白的检测]

[Detection of paraprotein in plasma cell tumors].

作者信息

Rekhtina I G, Mendeleeva L P, Soboleva N P, Dubina I A, Pervakova M I, Lapin S V

机构信息

National Medical Research Center for Hematology.

Pavlov First Saint Petersburg State Medical University.

出版信息

Ter Arkh. 2022 Jan 15;94(1):135-144. doi: 10.26442/00403660.2022.01.201326.

Abstract

Paraprotein is a laboratory biomarker of plasma cell tumors and other lymphoproliferative diseases. Its determination is necessary for diagnosing, monitoring and assessment of therapy effectiveness. The lecture presents the main methods of qualitative and quantative analysis of monoclonal proteins: gel electrophoresis, capillary electrophoresis, immunofixation and nephelometry features, possibilities and limitations are reviewed. The main sources of errors and artifacts during these studies are considered. Also the difficulties in the diagnosis and interpretation of the results of serum and urine tests are highlighted.

摘要

副蛋白是浆细胞肿瘤和其他淋巴增殖性疾病的实验室生物标志物。其测定对于诊断、监测和评估治疗效果至关重要。本次讲座介绍了单克隆蛋白定性和定量分析的主要方法:凝胶电泳、毛细管电泳、免疫固定电泳以及散射比浊法,对其特点、可能性和局限性进行了综述。还考虑了这些研究过程中误差和假象的主要来源。同时也强调了血清和尿液检测结果诊断及解读方面的困难。

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