Takeuchi T, Kozu T, Watanabe S, Morita M, Shiratori K, Shibata I
Gastroenterol Jpn. 1978;13(5):395-400. doi: 10.1007/BF02776017.
Substrates commonly used for the determination of amylase activity include potato starch, corn starch and dye-labeled starch. Determination of the amylase activity of serum using these different starches has shown that the measured value varies depending upon the ratio of isoamylases present, namely between pancreatic amylase (P-type) and salivary amylase (S-type), contained in the serum. With corn starch as substrate, the P-type dominant serum exhibited an apparently higher value than the S-type dominant serum. In the use of blue-starch which is employed as a chromogenic method, the P-type dominant serum gave a higher value than the S-type dominant serum. Red-starch which is also used as a chromogenic method, however, did not cause the P-type dominant serum to show such a high level of amylase activity as blue-starch. These differences in amylase activity can be also shown by determining the Km values of pancreatic amylase and salivary amylase using these substrates. Thus, corn starch and blue-starch showed smaller Km values to pancreatic amylase than to salivary amylase. They were thus proved to have a strong affinity for pancreatic amylase. In contrast, potato starch, red-starch and glycogen had good affinity for salivary amylase. In pancreatic disease in which pancreatic amylase is increased without much elevation in the total amylase level in the serum, it might be possible to detect the abnormality of pancreatic amylase activity if either corn starch or blue-starch is used as a substrate for measurement of the serum amylase activity.
常用于测定淀粉酶活性的底物包括马铃薯淀粉、玉米淀粉和染料标记淀粉。使用这些不同淀粉测定血清淀粉酶活性的结果表明,测量值会因血清中存在的异淀粉酶比例而有所不同,即胰腺淀粉酶(P型)和唾液淀粉酶(S型)的比例。以玉米淀粉为底物时,P型占主导的血清显示的值明显高于S型占主导的血清。在使用作为显色法的蓝色淀粉时,P型占主导的血清的值高于S型占主导的血清。然而,同样作为显色法使用的红色淀粉,并未使P型占主导的血清显示出与蓝色淀粉一样高的淀粉酶活性水平。通过使用这些底物测定胰腺淀粉酶和唾液淀粉酶的米氏常数,也可以显示出这些淀粉酶活性的差异。因此,玉米淀粉和蓝色淀粉对胰腺淀粉酶的米氏常数比对唾液淀粉酶的小。因此,它们被证明对胰腺淀粉酶具有很强的亲和力。相比之下,马铃薯淀粉、红色淀粉和糖原对唾液淀粉酶具有良好的亲和力。在胰腺疾病中,胰腺淀粉酶增加而血清总淀粉酶水平没有太大升高,如果使用玉米淀粉或蓝色淀粉作为底物来测量血清淀粉酶活性,可能能够检测到胰腺淀粉酶活性的异常。