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胆汁酸的放射免疫测定:鹅去氧胆酸结合物测定法的开发、验证及初步应用

Radioimmunoassay of bile acids: development, validation, and preliminary application of an assay for conjugates of chenodeoxycholic acid.

作者信息

Schalm S W, van Berge-Henegouwen G P, Hofmann A F, Cowen A E, Turcotte J

出版信息

Gastroenterology. 1977 Aug;73(2):285-90.

PMID:873130
Abstract

A rapid, sensitive, precise radioimmunoassay for conjugates of chenodeoxycholic (chenic) acid has been developed and validated. Immunogen was prepared with chenylglycine couples to bovine serum albumin, emulsified in Freund's complete adjuvant, and injected intracutaneously in rabbits. Antibodies of moderate titer (used at 1:7500 final dilution) were obtained. Tracer of high specific activity was prepared by reductive tritiation of delta11-chenylglycine. The binding step required 1 hr at room temperature; separation of bound tracer was achieved by addition of ammonium sulfate. The limit of sensitivity of the assay was about 20 nmoles per liter, and the lower limit of the working range was 0.4 mumole per liter. The assay was validated by measuring levels in samples of fasting state serum to which known amounts of chenylglycine had been added; the assay was also validated by means of gas-liquid chromatography on sera from jaundiced patients. The median fasting state serum level in 56 Caucasians and blacks was 0.9 mumole per liter (upper limit of normal (95% confidence) being 2.3), which is in the same range as that reported by others using gas-liquid chromatography. A 5- to 10-fold increase in levels of chenyl conjugates was observed 1 hr after the ingestion of a liquid meal in healthy persons.

摘要

已开发并验证了一种用于鹅去氧胆酸结合物的快速、灵敏、精确的放射免疫分析方法。免疫原是通过将苯甘氨酸与牛血清白蛋白偶联制备的,在弗氏完全佐剂中乳化后,皮内注射到兔子体内。获得了滴度适中的抗体(最终稀释度为1:7500)。通过对δ11 - 苯甘氨酸进行还原氚标记制备了高比活度的示踪剂。结合步骤在室温下需要1小时;通过加入硫酸铵实现结合示踪剂的分离。该分析方法的灵敏度极限约为每升20纳摩尔,工作范围的下限为每升0.4微摩尔。通过测量添加了已知量苯甘氨酸的空腹状态血清样本中的水平来验证该分析方法;还通过对黄疸患者血清进行气液色谱分析来验证该方法。56名白种人和黑人空腹状态血清水平的中位数为每升0.9微摩尔(正常上限(95%置信区间)为2.3),这与其他人使用气液色谱法报告的范围相同。在健康人摄入流食1小时后,观察到苯结合物水平增加了5至10倍。

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Radioimmunoassay of bile acids: development, validation, and preliminary application of an assay for conjugates of chenodeoxycholic acid.胆汁酸的放射免疫测定:鹅去氧胆酸结合物测定法的开发、验证及初步应用
Gastroenterology. 1977 Aug;73(2):285-90.
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引用本文的文献

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Key discoveries in bile acid chemistry and biology and their clinical applications: history of the last eight decades.胆汁酸化学与生物学的关键发现及其临床应用:过去八十年的历史
J Lipid Res. 2014 Aug;55(8):1553-95. doi: 10.1194/jlr.R049437. Epub 2014 May 17.
2
Spectrofluorimetric determination of bile acid using a europium-doxycycline probe.使用铕-强力霉素探针荧光分光光度法测定胆汁酸
J Clin Lab Anal. 2007;21(4):207-12. doi: 10.1002/jcla.20137.
3
Clinical value of serum bile acid levels in chronic hepatitis.血清胆汁酸水平在慢性肝炎中的临床价值
Dig Dis Sci. 1981 Nov;26(11):978-83. doi: 10.1007/BF01314758.
4
Postprandial plasma concentrations of glycine and taurine conjugated bile acids in healthy subjects.健康受试者餐后血浆中甘氨酸和牛磺酸结合型胆汁酸的浓度。
Gut. 1983 Mar;24(3):249-52. doi: 10.1136/gut.24.3.249.
5
Description and simulation of a physiological pharmacokinetic model for the metabolism and enterohepatic circulation of bile acids in man. Cholic acid in healthy man.人体胆汁酸代谢和肠肝循环的生理药代动力学模型的描述与模拟。健康人体内的胆酸。
J Clin Invest. 1983 Apr;71(4):1003-22. doi: 10.1172/jci110828.
6
Diagnostic value of serum immunoreactive conjugated cholic or chenodeoxycholic acids in detecting hepatobiliary diseases. Comparison with levels of 3 alpha-hydroxy bile acids determined enzymatically and with routine liver tests.血清免疫反应性结合胆酸或鹅去氧胆酸在肝胆疾病检测中的诊断价值。与酶法测定的3α-羟基胆汁酸水平及常规肝功能检查的比较。
Dig Dis Sci. 1987 Aug;32(8):817-23. doi: 10.1007/BF01296702.
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Postprandial changes in serum concentrations of individual bile salts in normal subjects and patients with acute viral hepatitis.正常受试者和急性病毒性肝炎患者餐后血清中各胆汁盐浓度的变化。
Am J Dig Dis. 1978 Jul;23(7):599-608. doi: 10.1007/BF01072594.
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Determinants of fasting and postprandial serum bile acid levels in healthy man.健康男性空腹及餐后血清胆汁酸水平的决定因素
Am J Dig Dis. 1978 May;23(5):385-91. doi: 10.1007/BF01072919.
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Diurnal serum levels of primary conjugated bile acids. Assessment by specific radioimmunoassays for conjugates of cholic and chenodeoxycholic acid.初级结合胆汁酸的日间血清水平。通过针对胆酸和鹅去氧胆酸结合物的特异性放射免疫测定法进行评估。
Gut. 1978 Nov;19(11):1006-14. doi: 10.1136/gut.19.11.1006.
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Radioimmunoassay of primary bile salts in serum.血清中初级胆汁盐的放射免疫测定
J Clin Pathol. 1979 Jun;32(6):560-4. doi: 10.1136/jcp.32.6.560.