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[使用单克隆抗体的癌胚抗原酶免疫测定法]

[Enzyme immunoassay of CEA using monoclonal antibody].

作者信息

Arai K, Kanikawa S, Isomura M, Takemori Y, Kanda Y, Ishii M

出版信息

Gan To Kagaku Ryoho. 1982 Dec;9(12):2161-7.

PMID:6764098
Abstract

Carcinoembryonic antigen (CEA) is important as one of the tumor markers, and enzyme-immunoassay using monoclonal anti-CEA, which is based on the Sandwich method and unnecessary for the treatment of CEA-extract from serum, was tried in this study. The standard curve obtained from this assay showed lineality on low CEA level. Sensitivity could allow to detect CEA below 5 ng/ml of CEA. Correlation between radioimmunoassay and this EIA was not found in especially high CEA-concentration. Reproducibility respect of Intra-assay and Inter-assay had good results. CEA value yielded by dilution of sample serum coincided with nearly expected value; this result indicated that dilution test was effective. CEA value determined by the assay to be necessary for treatment of extract was higher than that by the assay without treatment. Though the number of test samples used for assay of CEA in serum from various diseases were small, we considered it would be appropriate to set up a normal value range in 0.44-3.16 ng/ml (mean +/- 2 SD) and cut off value at 3.9 ng/ml (mean +/- 3 SD). We have been interested in cancer-specificity on monoclonal antibody, but we could not so for evaluate effects of the assay using monoclonal antibody.

摘要

癌胚抗原(CEA)作为肿瘤标志物之一很重要,本研究尝试了基于夹心法且无需处理血清中CEA提取物的使用抗CEA单克隆抗体的酶免疫测定法。该测定法得到的标准曲线在低CEA水平呈线性。灵敏度能够检测出低于5 ng/ml的CEA。在CEA浓度特别高时,未发现放射免疫测定法与这种酶免疫测定法之间存在相关性。批内和批间重复性方面结果良好。样品血清稀释产生的CEA值与预期值几乎一致;这一结果表明稀释试验有效。测定法确定的处理提取物所需的CEA值高于未处理测定法的结果。尽管用于检测各种疾病患者血清中CEA的测试样品数量较少,但我们认为将正常值范围设定在0.44 - 3.16 ng/ml(均值±2标准差)且临界值设定在3.9 ng/ml(均值±3标准差)是合适的。我们一直对单克隆抗体的癌症特异性感兴趣,但对于评估使用单克隆抗体的测定法的效果还无法做到。

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