Wiedermann D, Kríz J, Cídl K
Czech Med. 1980;3(3):239-47.
The report is concerned with the levels of 17 specific serum proteins in 46 women using plastic nonmedicated intrauterine contraceptive device (IUCD) Dana-Super. Blood samplings were carried out three times: just before the IUCD introduction, 30 and 54 weeks after the insertion of IUCD. The following proteins except haptoglobin were quantitatively determined by radial immunodiffusion: prealbumin, albumin, orosomucoid, alpha 1-antitrypsin, ceruloplasmin, alpha 2HS-glycoprotein, alpha 2-macroglobulin, hemopexin, C3-component, transferrin, beta 2-glycoprotein I, C-reactive protein and immunoglobulins IgG, IgA, IgM and IgD. Moderately increased values were found for alpha 2HS-glycoprotein and beta 2-glycoprotein I in sera taken 30 weeks after the insertion of IUCD. AT the same time the augmentation of alpha 1-antitrypsin was established. This might be evoked by the raised protease activity in biological fluids of genital region. The raise in consequence of IUCD application of transferrin and the decrease of haptoglobin at the first postinsertion examination and the decrease of hemopexin and albumin at the second may be associated with higher menstrual bleeding followed by iron deficiency. All other proteins as well as the acute phase proteins showed only minor if any differences as compared with the corresponding start values. Similarly, there is no evidence of a systemic immunoglobulin response to IUCD use.
该报告关注的是46名使用塑料无药宫内节育器(IUCD)Dana-Super的女性体内17种特定血清蛋白的水平。进行了三次血液采样:就在引入IUCD之前、插入IUCD后30周和54周。除触珠蛋白外,以下蛋白质通过放射免疫扩散法定量测定:前白蛋白、白蛋白、类粘蛋白、α1-抗胰蛋白酶、铜蓝蛋白、α2HS-糖蛋白、α2-巨球蛋白、血红素结合蛋白、C3成分、转铁蛋白、β2-糖蛋白I、C反应蛋白以及免疫球蛋白IgG、IgA、IgM和IgD。在插入IUCD后30周采集的血清中,发现α2HS-糖蛋白和β2-糖蛋白I的值适度升高。同时确定了α1-抗胰蛋白酶增加。这可能是由生殖区域生物体液中蛋白酶活性升高引起的。首次插入后检查时转铁蛋白因IUCD应用而升高,触珠蛋白降低,第二次检查时血红素结合蛋白和白蛋白降低,可能与月经量增加继而缺铁有关。与相应的起始值相比,所有其他蛋白质以及急性期蛋白即使有差异也很小。同样,没有证据表明使用IUCD会引起全身免疫球蛋白反应。