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尿游离19-去甲脱氧皮质酮的放射免疫测定:促肾上腺皮质激素和钠缺乏的影响

Radioimmunoassay for urinary free 19-nor-deoxycorticosterone: effects of adrenocorticotropin and sodium depletion.

作者信息

Gomez-Sanchez C E, Gomez-Sanchez E P, Upcavage R J

出版信息

Endocrinology. 1983 Jun;112(6):2046-9. doi: 10.1210/endo-112-6-2046.

Abstract

A RIA for urinary free deoxycorticosterone (DOC) and 19-nor-deoxycorticosterone [21-hydroxy-19-nor-4-pregnene-3,20-dione (19-nor-DOC)] was developed and used to measure urinary free DOC and 19-nor-DOC in rats kept on normal and low sodium diets and before and after ACTH administration. The RIA required a preliminary high performance liquid chromatography purification using a Lichrosorb diol column before the eluates were assayed using highly specific antibodies. The intraassay variability was 9.8% for DOC and 10% for 19-nor-DOC; the interassay variabilities were 19% and 16%, respectively. Urinary free DOC excretion was 0.71 +/- 0.15 ng/day (mean +/- SD) in rats maintained on a normal sodium diet and 1.42 +/- 0.46 ng/day after 3 days of a sodium-restricted diet. Urinary free 19-nor-DOC was 10.5 +/- 5.5 ng/day in rats kept on the normal sodium diet and 28.6 +/- 11.5 ng/dl after 3 days of a sodium-restricted diet. ACTH increased the excretion of urinary free DOC from 0.72 +/- 0.2 to 4.62 +/- 2.3 ng/day and that of 19-nor-DOC from 5.37 +/- 2.8 to 10.15 +/- 2.5 ng/day. These data indicate that the adrenal precursor of 19-nor-DOC probably comes from both the zona fasciculata and the glomerulosa to explain the ACTH and sodium depletion responses.

摘要

建立了一种用于检测尿游离脱氧皮质酮(DOC)和19-去甲脱氧皮质酮[21-羟基-19-去甲-4-孕烯-3,20-二酮(19-去甲-DOC)]的放射免疫分析法(RIA),并用于检测正常饮食和低钠饮食的大鼠以及注射促肾上腺皮质激素(ACTH)前后尿游离DOC和19-去甲-DOC的水平。该RIA在使用高特异性抗体检测洗脱液之前,需要先用Lichrosorb二醇柱进行初步高效液相色谱纯化。DOC的批内变异率为9.8%,19-去甲-DOC的批内变异率为10%;批间变异率分别为19%和16%。维持正常钠饮食的大鼠尿游离DOC排泄量为0.71±0.15 ng/天(平均值±标准差),限钠饮食3天后为1.42±0.46 ng/天。维持正常钠饮食的大鼠尿游离19-去甲-DOC为10.5±5.5 ng/天,限钠饮食3天后为28.6±11.5 ng/天。ACTH使尿游离DOC排泄量从0.72±0.2 ng/天增加到4.62±2.3 ng/天,使19-去甲-DOC排泄量从5.37±2.8 ng/天增加到10.15±2.5 ng/天。这些数据表明,19-去甲-DOC的肾上腺前体可能来自束状带和球状带,以解释ACTH和钠耗竭反应。

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