Koike K, Fukutake K
Department of Clinical Pathology, Tokyo Medical College.
Nihon Rinsho. 1995 Sep;53(9):2269-76.
Various types of immunoassays are at present applied to inspection items in clinical aspect of blood coagulation and fibrinolysis, in which EIA is acting as one of the major methods. Commercial EIA kits, available in Japan, can be itemized into categories of blood coagulation, fibrinolysis, endothelial cell injury, and platelet activation systems, along with other types of immunoassays and enzymatic activity assays, itemized for comparison. Assay methods suitable for an objective antigen should be selected, based on its biological, biochemical characteristics, such as plasma concentrations, and even clinical demands. The matters to be solved range over making reliable standard materials, using monoclonal antibody to detect absolute concentrates of specific antigen, and then further discovery of molecular markers that specifically reflect coagulative or fibrinolytic activation, leading to thrombotic or bleeding tendency.
目前,各种类型的免疫测定法被应用于血液凝固和纤维蛋白溶解临床方面的检测项目,其中酶免疫测定法(EIA)是主要方法之一。在日本可买到的商用EIA试剂盒,可分为血液凝固、纤维蛋白溶解、内皮细胞损伤和血小板激活系统等类别,还有其他类型的免疫测定法和酶活性测定法,也进行了分类以便比较。应根据目标抗原的生物学、生化特性,如血浆浓度,甚至临床需求,选择适合该抗原的测定方法。有待解决的问题包括制备可靠的标准物质、使用单克隆抗体检测特定抗原的绝对浓度,进而进一步发现能特异性反映凝血或纤维蛋白溶解激活以及血栓形成或出血倾向的分子标志物。