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[通过体液、活检及尸检组织的脂质分析对先天性脂质沉积症进行鉴别诊断]

[Differential diagnosis of congenital lipidoses by lipid analyses of body fluids, biopsy and autopsy tissue].

作者信息

Pilz H, Heipertz R

出版信息

Fortschr Neurol Psychiatr Grenzgeb. 1975 Nov;43(11):602-17.

PMID:53174
Abstract
  1. Presentation of the commomly used procedures for the extraction and separation of total lipids, glycolipids and phosholipids from fresh and formalin-fixed organs tissues (brain, liver, spleen, kidney) as well as from serum, CSF and urine. II. Description of the qualitative and quantitative analysis of individual lipid fractions (glycolipids, gangliosides, phospholipids, neutral lipids) by thin-layer chromatograhy and photodensitometry. III. Results of investigations performed on biopsy material, autopsy material, serum and urine in the following diseases: 1. Infantile, juvenile and adult Gaucher's disease: accumulation of glucocerebroside in liver and spleen. 2. Infantile and adult Niemann-Pick disease: accumulation of sphingomyelin in liver, spleen, kidney and lung. 3. Fabry's disease: increased urinary excretion of trihexosyl-ceramide and dihexosyl-ceramide. 4. Infantile and adult metachromatic leukodystrophy: accumulation of sulfatides in the central and peripheral nervous system and kidney, increased urinary excretion of sulfatides. 5. Austin's variant of metachromatic leukodystrophy: besides an increase of sulfatides in the white matter of brain accumulation of glycolipids in the cerebral cortex. 6. Tay-Sachs disease (GM2-gangliosidosis): cerebral accumulation of GM2-ganglioside and trihexosylceramide (enzyme variant B), additional visceral accumulation (liver, spleen, kidney) of tetrahexosyl-ceramide = globoside (enzyme variant 0). 7. Infantile generalized GM1-gangliosidosis: cerebral (and visceral) accumulation of GM1-ganglioside and tetrahexosyl-ceramide. 8. Late infantile GM1-gangliosidosis: Cerebral accumulation of GM1-ganlioside and tetrahexosylceramide. 9. GM3-gangliosidosis (lactosyl-ceramidosis): neuronal accumulation of lactosyl-ceramide, GM2-ganglioside and GM3-ganglioside. 10. Refsum's disease: demonstration of phytanic acid esters of cholesterol in serum.
摘要
  1. 介绍从新鲜和福尔马林固定的器官组织(脑、肝、脾、肾)以及血清、脑脊液和尿液中提取和分离总脂质、糖脂和磷脂的常用方法。二、描述通过薄层色谱法和光密度测定法对单个脂质组分(糖脂、神经节苷脂、磷脂、中性脂质)进行定性和定量分析。三、在以下疾病的活检材料、尸检材料、血清和尿液上进行的研究结果:1. 婴儿型、青少年型和成人型戈谢病:肝和脾中葡糖脑苷脂蓄积。2. 婴儿型和成人型尼曼-皮克病:肝、脾、肾和肺中鞘磷脂蓄积。3. 法布里病:尿中三己糖神经酰胺和二己糖神经酰胺排泄增加。4. 婴儿型和成人型异染性脑白质营养不良:中枢和周围神经系统及肾中硫脂蓄积,尿中硫脂排泄增加。5. 奥斯汀变异型异染性脑白质营养不良:除脑白质中硫脂增加外,大脑皮质中糖脂蓄积。6. 泰-萨克斯病(GM2-神经节苷脂沉积症):脑内GM2-神经节苷脂和三己糖神经酰胺蓄积(酶变异型B),四己糖神经酰胺=球苷脂在内脏(肝、脾、肾)额外蓄积(酶变异型0)。7. 婴儿型全身性GM1-神经节苷脂沉积症:脑(和内脏)中GM1-神经节苷脂和四己糖神经酰胺蓄积。8. 晚婴儿型GM1-神经节苷脂沉积症:脑内GM1-神经节苷脂和四己糖神经酰胺蓄积。9. GM3-神经节苷脂沉积症(乳糖基神经酰胺沉积症):神经元内乳糖基神经酰胺、GM2-神经节苷脂和GM3-神经节苷脂蓄积。10. 雷夫叙姆病:血清中胆固醇植烷酸酯的检测。

相似文献

1
[Differential diagnosis of congenital lipidoses by lipid analyses of body fluids, biopsy and autopsy tissue].[通过体液、活检及尸检组织的脂质分析对先天性脂质沉积症进行鉴别诊断]
Fortschr Neurol Psychiatr Grenzgeb. 1975 Nov;43(11):602-17.
2
The lipidoses: morphologic changes in the nervous system in Gaucher's disease, GM2 gangliosidoses and Niemann-Pick disease.脂代谢障碍:戈谢病、GM2神经节苷脂贮积症和尼曼-匹克病中神经系统的形态学变化
Ann Clin Lab Sci. 1975 Nov-Dec;5(6):475-88.
3
Accumulation of ganglioside Gm2 in cerebrospinal fluid of a patient with the variant AB of infantile Gm2 gangliosidosis.婴儿型GM2神经节苷脂沉积症变异型AB患者脑脊液中神经节苷脂GM2的蓄积
Pediatrics. 1981 Jul;68(1):106-8.
4
Sphingolipidoses.鞘脂贮积症
Calif Med. 1971 Apr;114(4):1-6.
5
Heritable catabolic and anabolic disorders of lipid metabolism.脂质代谢的遗传性分解代谢和合成代谢紊乱。
Metabolism. 1977 Mar;26(3):329-45. doi: 10.1016/0026-0495(77)90080-4.
6
[Procedure for the diagnosis of sphingolipidoses or allied diseases in adult patients with neurological or psychiatric symptoms (author's transl)].成年神经或精神症状患者鞘脂类贮积病或相关疾病的诊断程序(作者译)
Nervenarzt. 1979 Dec;50(12):749-61.
7
Enzymological approaches to the lipidoses.脂代谢障碍的酶学研究方法。
Ann Clin Lab Sci. 1977 Mar-Apr;7(2):105-12.
8
Clinical, pathological, and biochemical studies on an infantile case of sulfatide/GM1 activator protein deficiency.关于一例婴儿硫酸脑苷脂/GM1激活蛋白缺乏症的临床、病理及生化研究。
Am J Med Genet. 1989 Jun;33(2):255-65. doi: 10.1002/ajmg.1320330223.
9
Determination of urinary sulfatides and other lipids by combination of reversed-phase and thin-layer chromatographies.通过反相色谱法和薄层色谱法联用测定尿硫脂及其他脂质。
Anal Biochem. 1999 May 1;269(2):304-11. doi: 10.1006/abio.1999.4002.
10
The liver in lipid storage disease: biochemical basis of pathogenesis and clinical features.脂质贮积病中的肝脏:发病机制的生化基础及临床特征
Prog Liver Dis. 1982;7:331-46.

引用本文的文献

1
Lysosome lipid storage disorder in NCTR-BALB/c mice: spleen and lung lysosomes store unesterified cholesterol but differ in their phospholipid composition.NCTR-BALB/c小鼠中的溶酶体脂质贮积症:脾脏和肺脏的溶酶体储存未酯化胆固醇,但磷脂组成不同。
Mol Cell Biochem. 2000 Nov;214(1-2):15-22. doi: 10.1023/a:1007180800941.
2
Late-onset metachromatic leukodystrophy: diagnostic problems elucidated by a case report.迟发性异染性脑白质营养不良:一例报告所阐明的诊断问题
J Neurol. 1981;226(2):119-24. doi: 10.1007/BF00313439.
3
Basic findings and current developments in sphingolipidoses.
鞘脂贮积病的基本研究结果与当前进展
Hum Genet. 1979 Mar 12;47(2):113-34. doi: 10.1007/BF00273194.