Lake-Bakaar G, Tovoli S, Straus E, Yalow R S
J Lab Clin Med. 1982 May;99(5):740-5.
The effect of bile salts on RIAs of secretin, glucagon, insulin, and gastrin have been studied. Increasing concentrations of the sodium salts of taurocholic, glycochenodeoxycholic, taurochenodeoxycholic, glycocholic, and taurodeoxycholic acids progressively inhibit the binding of 125I-secretin to specific antibody, resulting in significant lowering of the B/F ratio at concentrations as low as 0.04 mM and almost complete inhibition at concentrations above 2.4 mM. The nonspecific inhibition by taurodeoxycholate results in a B/F vs. concentration curve resembling a secretion standard curve. The binding of 125I-secretin to charcoal is also inhibited by increasing concentrations of bile salts, although this effect is less marked than their effects on the immune reaction. The binding of 125I-glucagon, 125I-insulin, and 125I-gastrin to specific antisera is also inhibited by sodium taurocholate. Insulin binding is least affected. However, gastrin binding is inhibited by sodium taurocholate at a concentration as low as 0.2. The binding of 125I-insulin and 125I-gastrin to charcoal is also inhibited by sodium taurocholate. Thus bile salts interfere in the RIA of hormonal peptides by inhibiting both the immune reaction and the binding of labeled antigen to charcoal. These nonspecific effects must therefore be considered in RIA of body fluids containing high concentrations of bile salts. Treatment of plasma samples with anionic-binding resins can eliminate interference caused by high bile salt concentrations. However, these resins will also remove anionic hormonal peptides such as gastrin.
已对胆盐对促胰液素、胰高血糖素、胰岛素和胃泌素放射免疫分析(RIA)的影响进行了研究。牛磺胆酸、甘氨鹅脱氧胆酸、牛磺鹅脱氧胆酸、甘胆酸和牛磺脱氧胆酸的钠盐浓度增加,会逐渐抑制¹²⁵I - 促胰液素与特异性抗体的结合,导致在低至0.04 mM的浓度下B/F比值显著降低,而在高于2.4 mM的浓度下几乎完全抑制。牛磺脱氧胆酸盐的非特异性抑制作用导致B/F与浓度曲线类似于分泌标准曲线。¹²⁵I - 促胰液素与活性炭的结合也会受到胆盐浓度增加的抑制,尽管这种作用不如它们对免疫反应的影响明显。¹²⁵I - 胰高血糖素、¹²⁵I - 胰岛素和¹²⁵I - 胃泌素与特异性抗血清的结合也会受到牛磺胆酸钠的抑制。胰岛素结合受影响最小。然而,胃泌素结合在低至0.2的牛磺胆酸钠浓度下就会受到抑制。¹²⁵I - 胰岛素和¹²⁵I - 胃泌素与活性炭的结合也会受到牛磺胆酸钠的抑制。因此,胆盐通过抑制免疫反应和标记抗原与活性炭的结合来干扰激素肽的放射免疫分析。因此,在对含有高浓度胆盐的体液进行放射免疫分析时,必须考虑这些非特异性效应。用阴离子结合树脂处理血浆样本可以消除高胆盐浓度引起的干扰。然而,这些树脂也会去除阴离子激素肽,如胃泌素。