Scudla V, Bacovský J, Papajík T, Budíková M, Srovnalík K
III. interní klinika LF UP a FN Olomouc.
Vnitr Lek. 1994 Mar;40(3):151-6.
In a group of 74 patients with multiple myeloma the authors revealed elevated values of serum thymidine kinase (REA kit ADICO Praha, range of normal values 0-5 U/l) in 40% of the patients-incl. a group of 22 subjects examined at the time of diagnosis of the disease in 50%, and a group of 52 subjects examined in different stages of the disease in 36% of the patients. If the upper range of S-TK 10 U/l was used, the ratio of patients with a raised value declined to 15%, in selected groups to 18 and 14% resp. The authors found a satisfactory correlation of serum thymidine values and values of S-beta-microglobulin, S-albumin, with the percentage ratio of plasmocytes in bone marrow and a less significant correlation was found with the red cell sedimentation rate (in IgG and IgA type) to the index of paraprotein and the serum interleukin-6 level. The authors did not reveal significant differences of serum thymidine kinase levels with regard to age, sex and immunochemical type of M-protein and type of light chains. The authors did not reveal any correlation of thymidine kinase serum levels and haemoglobin values, S-ferritin levels, the beta 2-microglobulin index and the synthetic score of plasma cells. It was found that examination of S-thymidine kinase extends in a useful way the existing spectrum of laboratory tests which help to elucidate the individual character of multiple myeloma.
在一组74例多发性骨髓瘤患者中,作者发现40%的患者血清胸苷激酶(REA试剂盒,ADICO Praha,正常值范围0 - 5 U/l)值升高,其中包括在疾病诊断时检查的22名受试者中有50%,以及在疾病不同阶段检查的52名受试者中有36%。如果使用S - TK 10 U/l的上限值,值升高的患者比例降至15%,在选定组中分别降至18%和14%。作者发现血清胸苷值与S - β - 微球蛋白、S - 白蛋白的值,以及骨髓中浆细胞的百分比之间存在良好的相关性,与红细胞沉降率(IgG和IgA类型)、副蛋白指数和血清白细胞介素 - 6水平的相关性较弱。作者未发现血清胸苷激酶水平在年龄、性别、M蛋白的免疫化学类型和轻链类型方面存在显著差异。作者未发现胸苷激酶血清水平与血红蛋白值、S - 铁蛋白水平、β2 - 微球蛋白指数和浆细胞综合评分之间存在任何相关性。研究发现,S - 胸苷激酶检查以一种有用的方式扩展了现有的实验室检查范围,有助于阐明多发性骨髓瘤的个体特征。