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[一项使用尿卟啉谱分析的自动化卟啉病诊断系统的研究]

[A study of an automated porphyria diagnosis system using urinary porphyrin profile analysis].

作者信息

Fujioka Y, Yanagisawa H, Kondo M

机构信息

Materials Characterization, Advanced Technology Research Laboratories, Nippon Steel Corporation.

出版信息

Nihon Rinsho. 1995 Jun;53(6):1395-401.

PMID:7616653
Abstract

Porphyrins are essential substances for the biosynthesis of heme. Porphyria results from a disorder in the metabolism of porphyrin. Patients suffering from Porphyria exhibit changes in their porphyrin profiles as measured in excretia and organs. A highly sensitive and simple analytical method using high-performance liquid chromatography (HPLC) for all porphyrin metabolites in urine was established. This method is able to separate porphyrins such as uroporphyrin, carboxylic acid porphyrins of hepta-, hexa-, penta-, and coproporphyrin isomers of I and III in a sample of human urine. In this study, the combination of HPLC with a computer system for automated porphyria diagnosis was investigated. The profile of all urinary porphyrins from patients with various Porphyria were measured by HPLC and diagnosed by the computer diagnostic system. This system enabled the estimation of 5 types of porphyrias with a high accuracy of diagnosis.

摘要

卟啉是血红素生物合成的必需物质。卟啉症是由卟啉代谢紊乱引起的。患有卟啉症的患者在排泄物和器官中所测的卟啉谱会发生变化。建立了一种使用高效液相色谱法(HPLC)分析尿液中所有卟啉代谢物的高灵敏度且简单的分析方法。该方法能够分离人尿样本中的卟啉,如尿卟啉、七羧基、六羧基、五羧基卟啉以及I型和III型粪卟啉异构体。在本研究中,对HPLC与用于自动诊断卟啉症的计算机系统的结合进行了研究。通过HPLC测量各种卟啉症患者的所有尿卟啉谱,并由计算机诊断系统进行诊断。该系统能够以高诊断准确率估计5种类型的卟啉症。

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