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乙酰胆碱酯酶与胎儿畸形:用于诊断神经管缺陷的改良定性技术

Acetylcholinesterase and fetal malformations: modified qualitative technique for diagnosis of neural tube defects.

作者信息

Haddow J E, Morin M E, Holman M S, Miller W A

出版信息

Clin Chem. 1981 Jan;27(1):61-3.

PMID:6160926
Abstract

A single-blind study involving amniotic-fluid samples from 214 pregnancies of known outcome confirms that an electrophoretically distinct isoenzyme of acetylcholinesterase is associated with fetal open neural tube defects. Furthermore, only one of 13 amniotic-fluid samples with false-positive results for alpha-fetoprotein showed the characteristic isoenzyme, indicating that qualitative acetylcholinesterase assessment can decrease the proportion of false positives from the alpha-fetoprotein assay. We have also identified this characteristic isoenzyme in amniotic fluids from pregnancies in which other serious fetal defects occurred. A detailed electrophoresis protocol for identifying this characteristic isoenzyme is described.

摘要

一项针对214例已知妊娠结局的羊水样本的单盲研究证实,一种电泳性质不同的乙酰胆碱酯酶同工酶与胎儿开放性神经管缺陷有关。此外,在13份甲胎蛋白检测结果为假阳性的羊水样本中,只有一份显示出这种特征性同工酶,这表明乙酰胆碱酯酶的定性评估可以降低甲胎蛋白检测假阳性的比例。我们还在发生其他严重胎儿缺陷的妊娠羊水中鉴定出了这种特征性同工酶。本文描述了一种用于鉴定这种特征性同工酶的详细电泳方法。

相似文献

1
Acetylcholinesterase and fetal malformations: modified qualitative technique for diagnosis of neural tube defects.乙酰胆碱酯酶与胎儿畸形:用于诊断神经管缺陷的改良定性技术
Clin Chem. 1981 Jan;27(1):61-3.
2
[Prenatal diagnosis of abnormalities of the neuroectodermal tube. Limitations of the assay of amniotic alpha fetoprotein and acetylcholinesterase and value of the qualitative study of cholinesterases. Apropos of 6 cases of anencephaly].[神经外胚层管异常的产前诊断。羊水甲胎蛋白和乙酰胆碱酯酶测定的局限性及胆碱酯酶定性研究的价值。附6例无脑儿病例]
Pathol Biol (Paris). 1985 Mar;33(3):169-72.
3
Amniotic fluid acetylcholinesterase isoenzyme patterns in the diagnosis of neural tube defects.羊水乙酰胆碱酯酶同工酶谱在神经管缺陷诊断中的应用
Clin Chim Acta. 1980 Mar 28;102(2-3):147-51. doi: 10.1016/0009-8981(80)90027-3.
4
Prenatal diagnosis of open neural tube defects using the amniotic fluid acetylcholinesterase assay.应用羊水乙酰胆碱酯酶测定法进行开放性神经管缺陷的产前诊断。
Obstet Gynecol. 1982 Jan;59(1):1-5.
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[The usefulness of the level of alpha-fetoprotein (AFP) and electrophoresis of amniotic acetylcholinesterase for the detection of selected congenital malformations].[甲胎蛋白(AFP)水平及羊膜乙酰胆碱酯酶电泳在某些先天性畸形检测中的应用]
J Gynecol Obstet Biol Reprod (Paris). 1990;19(3):280-4.
6
Predictive value of amniotic acetylcholinesterase analysis in the diagnosis of fetal abnormality in 3700 pregnancies.
Prenat Diagn. 1984 Sep-Oct;4(5):329-40. doi: 10.1002/pd.1970040503.
7
Amniotic-fluid acetylcholinesterase as a possible diagnostic test for neural-tube defects in early pregnancy.羊水乙酰胆碱酯酶作为孕早期神经管缺陷的一种可能诊断检测方法。
Lancet. 1979 Mar 31;1(8118):685-8. doi: 10.1016/s0140-6736(79)91144-9.
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False-positive amniotic fluid acetylcholinesterase results: the need for a multifacet approach to the prenatal diagnosis of neural tube defects.羊水乙酰胆碱酯酶假阳性结果:神经管缺陷产前诊断需采取多方面方法
Obstet Gynecol. 1985 Sep;66(3 Suppl):22S-24S.
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Routine amniotic fluid alpha-fetoprotein measurement in 34,000 pregnancies.
Am J Obstet Gynecol. 1984 Aug 1;149(7):744-7. doi: 10.1016/0002-9378(84)90115-7.
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Densitometry as an aid in amniotic fluid gel acetylcholinesterase analysis.密度测定法辅助羊水凝胶乙酰胆碱酯酶分析
Am J Obstet Gynecol. 1983 Feb 1;145(3):317-8. doi: 10.1016/0002-9378(83)90717-2.

引用本文的文献

1
Screening for neural tube defect: false positive findings on ultrasound and in amniotic fluid.
Br Med J (Clin Res Ed). 1983 Jul 2;287(6384):24. doi: 10.1136/bmj.287.6384.24.
2
Comparison of the modified gel disc electrophoresis of amniotic fluid cholinesterase with other methods in the prenatal diagnosis of neural tube defects.羊水胆碱酯酶改良凝胶盘状电泳与其他方法在神经管缺陷产前诊断中的比较。
J Tongji Med Univ. 1986;6(2):124-6. doi: 10.1007/BF02861662.
3
Vitamin A effects on fetal mouse cephalic acetylcholinesterase and choline acetyltransferase.维生素A对胎鼠头部乙酰胆碱酯酶和胆碱乙酰转移酶的影响。
Arch Environ Contam Toxicol. 1988 Sep;17(5):665-71. doi: 10.1007/BF01055836.