Kiyohara H, Menjo M
Gastroenterol Jpn. 1983 Jun;18(3):252-4. doi: 10.1007/BF02774968.
Several investigators have failed to confirm any specificity of elevated serum ribonuclease (RNase) in the diagnosis of pancreatic cancer. Although RNase had been known to be present in two forms, free and inhibitor-bound, in various tissues of the rat, little was known about it in the human pancreas. The object of this report was to explore the presence of RNase inhibitor in the human pancreas through the assay of both active (= free) and total (= sum of free and inhibitor-bound) RNases. Inhibitor-bound RNase is also referred to as latent RNase. RNase was classified into three types according to pH (acid, neutral, and alkaline RNases) in the pancreatic supernatant fraction. An inhibitor was separated from latent RNase by p-chloromercuribenzoic acid (PCMB), and the latent RNase was changed to an active form. Latent RNase was more active on the alkaline side with a maximum at pH 7.5. Hence, the presence of RNase inhibitor was highly probable in the pancreatic supernatant fraction. RNase inhibitor is most likely a protein, which is bound with both neutral and alkaline RNases. RNase inhibitor may be a cause of nonspecificity and/or low sensitivity of RNase in the serum as a diagnostic marker for pancreatic cancer.
几位研究者未能证实血清核糖核酸酶(RNase)升高在胰腺癌诊断中的任何特异性。尽管已知RNase在大鼠的各种组织中以游离和与抑制剂结合两种形式存在,但对其在人胰腺中的情况却知之甚少。本报告的目的是通过检测活性(=游离)和总(=游离和与抑制剂结合的总和)RNase来探索人胰腺中RNase抑制剂的存在。与抑制剂结合的RNase也称为潜在RNase。根据胰腺上清液部分的pH值(酸性、中性和碱性RNase),RNase被分为三种类型。通过对氯汞苯甲酸(PCMB)从潜在RNase中分离出一种抑制剂,潜在RNase转变为活性形式。潜在RNase在碱性一侧更具活性,在pH 7.5时达到最大值。因此,胰腺上清液部分极有可能存在RNase抑制剂。RNase抑制剂很可能是一种蛋白质,它与中性和碱性RNase都结合。RNase抑制剂可能是血清中RNase作为胰腺癌诊断标志物时出现非特异性和/或低敏感性的一个原因。