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不同贫血患儿血清可溶性转铁蛋白受体变化及其临床意义

CHANGES OF SERUM TEANSFERRIN RECEPTOR ANDITS CLINICAL SIGNIFICANCE IN PATIENTS WITHVARIOUS ANEMIAS

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【作者】 李强廖清奎罗春华杨崇礼汪凤兰

【Author】 Li Qiang;Liao qingkui;Luo Chunhua et al.(Pediatric Laboratory of Hematology and Oncology , Sec-ond Affiliated Hospital, west China University of Med-ical Science, Chengdu, 610041)

【机构】 华西医科大学附属第二医院

【摘要】 用单克隆及多克隆双抗体夹心ELISA法测定15例正常小儿及46例不同贫血患儿血清可溶性转铁蛋白受体(sTfR),发现不同贫血患儿sTfR水平与对照(4.54±1.08mg/L)相比有显著性差异,溶血性贫血组(9.94±3.32mg/L)与缺铁性贫血组(13.92±4.45mg/L)显著升高;再生障碍性贫血(再障)组(2.06±0.82mg/L)显著降低,纯红再障最低,重型再障显著低于慢性再障值。sTfR水平可由机体含铁状况和红系生成率共同决定,在诊断缺铁及再障的病情预后估计方面有一定临床价值。

【Abstract】 erum transferrin receptor (sTfR) was determined bythe method of sandwich ELISA using monoclonal andpolyclonal antibodies in 15 normal children and 46 pa-tients with various anemias. There was a significant dif-ference between normal children and anemic subjects.The mean concentration of sTfR in normal children was4. 54 ±1. 08mg/L, and it was sharply elevated in pa-tients with hemolytic and iron deficiency anemia, butwas markedly reduced in patients with aplastic anemia .The lowest level was observed in two patients with purered cell aplasia and the level was much lower in patientswith severe aplastic anemia than that with chronic aplas-tic anemia. It is concluded that the serum concentrationof sTfR is defined by both iron status and erythropoiesisrate. Serurn sTfR may be of clinical value in the diagno-sis and prognosis of iron deficiency and aplastic anemia.

【关键词】 贫血转铁蛋白受体
【Key words】 Aenemia Receptor transferrin
【基金】 华西医科大学青年科学基金
  • 【文献出处】 中华血液学杂志 ,CHINESE JOURNAL OF HEMATOLOGY , 编辑部邮箱 ,1995年01期
  • 【分类号】R556.03
  • 【被引频次】14
  • 【下载频次】37
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