Oda R, Hirose G, Emori T
No To Shinkei. 1985 Feb;37(2):155-60.
beta-Glucuronidase (beta-GL) and beta 2-microglobulin (beta 2-m) of the cerebrospinal fluid (CSF) were assayed from the patients with various neurological diseases, in order to evaluate the difference of mean value of these enzyme activities in several groups of neurological diseases, diagnostic usefulness for one of the central nervous system tumor markers, and the usefulness to differentiate carcinomatous meningitis from infectious meningitides. The subjects were 99 patients with various neurological diseases, and these were classified in the following eight diagnostic groups, central nervous system degenerative diseases (6 cases), cervical spondylotic radiculomyelopathy (15 cases), Guillain-Barre syndrome (8 cases), subarachnoid hemorrhage secondary to ruptured aneurysm (6 cases), infectious meningitides (21 cases), carcinomatous meningitis (9 cases), metastatic extradural spinal cord tumors (10 cases) and brain tumors (24 cases). CSF was also obtained from 13 subjects without any known neurological diseases for beta-GL and beta 2-m as the normal control values. beta-GL and beta 2-m were measured by Tsukamoto's method and the radioimmunoassay method (Phadebas, beta 2-m test) respectively. The statistical analyse were done by using the student t-test and expressed as p values. In the normal control group of 13 individuals without any obvious neurological diseases, the mean values +/- standard error of means (SEM) of beta-GL and beta 2-m were 122.5 +/- 10.8 micrograms/dl/hr, and 0.99 +/- 0.15 mg/l respectively.(ABSTRACT TRUNCATED AT 250 WORDS)
对患有各种神经系统疾病的患者的脑脊液(CSF)中的β-葡萄糖醛酸酶(β-GL)和β2-微球蛋白(β2-m)进行了检测,以评估这些酶活性在几组神经系统疾病中的平均值差异、作为中枢神经系统肿瘤标志物之一的诊断效用,以及区分癌性脑膜炎和感染性脑膜炎的效用。研究对象为99例患有各种神经系统疾病的患者,这些患者被分为以下八个诊断组:中枢神经系统退行性疾病(6例)、颈椎病性神经根脊髓病(15例)、格林-巴利综合征(8例)、动脉瘤破裂继发蛛网膜下腔出血(6例)、感染性脑膜炎(21例)、癌性脑膜炎(9例)、转移性硬膜外脊髓肿瘤(10例)和脑肿瘤(24例)。还从13名无任何已知神经系统疾病的受试者中获取了脑脊液用于β-GL和β2-m检测,作为正常对照值。β-GL和β2-m分别采用冢本方法和放射免疫分析法(Phadebas,β2-m检测)进行测定。采用学生t检验进行统计分析,并以p值表示。在13名无任何明显神经系统疾病的正常对照组中,β-GL和β2-m的平均值±平均标准误差(SEM)分别为122.5±10.8微克/分升/小时和0.99±0.15毫克/升。(摘要截短为250字)