Zain B K, Haquani A H, Qureshi N, el Nisa I
Am J Clin Nutr. 1977 Jul;30(7):1094-7. doi: 10.1093/ajcn/30.7.1094.
Hair root protein and DNA, serum nonessential amino acid/essential amino acid ratio, serum total protein, albumin, globulin and albumin/globulin ratio were estimated in children suffering from portein-calorie malnutrition (PCM) and the values compared to those obtained from healthy children. The data were presented in two ways: 1) classified as early malnutrition, marasmus, marasmic kwashiorkor, or kwasiorkor and the parameters compared 2) all the malnourished children were divided into four groups on the basis of percentage of body weight for age and the parameters compared. There was a progressive decrease in the content of hair root DNA and protein with the severity of PCM with these values decreasing to less than half of the normal values. In all types of PCM the serum albumin decreased significantly and the globulin increased while the total protein was altered only in the more severe stages. Differences in the serum consituents between groups were more pronounced when classified clinically than when grouped as percentage of normal body weight. Since hair root changes are progressive and of greater magnitude than those in the serum, hair root DNA and proteins might be useful chemical criteria in detectinc various stages of PCM, and further to help understand the pathogenesis of the condition.
对患有蛋白质 - 热量营养不良(PCM)的儿童进行了发根蛋白质和DNA、血清非必需氨基酸/必需氨基酸比值、血清总蛋白、白蛋白、球蛋白及白蛋白/球蛋白比值的测定,并将这些值与健康儿童的测定值进行比较。数据以两种方式呈现:1)分为早期营养不良、消瘦、消瘦型夸希奥科病或夸希奥科病,并对各项参数进行比较;2)所有营养不良儿童根据年龄的体重百分比分为四组,并对各项参数进行比较。随着PCM严重程度的增加,发根DNA和蛋白质含量逐渐下降,这些值降至正常值的一半以下。在所有类型的PCM中,血清白蛋白显著降低,球蛋白升高,而总蛋白仅在较严重阶段发生改变。临床分类时各组血清成分的差异比按正常体重百分比分组时更为明显。由于发根变化是渐进性的,且比血清变化幅度更大,发根DNA和蛋白质可能是检测PCM各个阶段有用的化学指标,进而有助于了解该病的发病机制。