Fumagalli R, Pezzotta S, Bernini F, Racagni G
Minerva Med. 1984 May 19;75(21):1271-8.
Biological markers of tumors are compounds or enzymatic activities measurable in body fluids. Their presence or concentration must be linked to tumoral growth. The markers of the central nervous system tumors are detected in CSF. Alpha-feto-protein, carcinoembryonic antigen, human chorionic gonadotropin, adenohypophyseal peptide hormones, enzymes, etc., have found some application in the early diagnosis of leptomeningeal metastasis. Other applications involve the early detection and recurrency of primary brain tumors, as well as the evaluation of efficacy of their therapy. The tests based on the CSF content of desmosterol and polyamines have been studied extensively. Their rationale is discussed and specificity, sensitivity, efficiency and predictive value are considered. Experimental results concerning a new possible biochemical marker, based on CSF concentration of cyclic adenosine monophosphate, are reported.
肿瘤生物标志物是可在体液中测量的化合物或酶活性。它们的存在或浓度必须与肿瘤生长相关。中枢神经系统肿瘤的标志物可在脑脊液中检测到。甲胎蛋白、癌胚抗原、人绒毛膜促性腺激素、腺垂体肽激素、酶等已在软脑膜转移的早期诊断中得到一些应用。其他应用包括原发性脑肿瘤的早期检测和复发,以及其治疗效果的评估。基于脑脊液中麦角固醇和多胺含量的检测已得到广泛研究。讨论了其原理,并考虑了特异性、敏感性、效率和预测价值。报告了基于脑脊液中环磷酸腺苷浓度的一种新的可能生化标志物的实验结果。