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慢性肾功能衰竭患者血小板胞浆游离钙浓度及血栓素B_2含量的观察

Observation of Platelet Cytosolic Free Calcium concentration and Thromboxane B_2 content in Uremic Patients
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摘要 用Fura-2荧光测定法和RIA,对24例慢性肾功能衰竭(CRF)维持血透患者(男16例,女8例,年龄26~71岁,平均50.9岁)血小板的胞浆游离钙浓度和血栓素B2(TXB2)含量进行了测定。CRF组透析前、后血小板胞浆游离钙浓度均高于正常对照组(P均<0.001),透析后低于透析前(P<0.002);透前、后血小板TXB2均低于正常(P分别小于0.001和0.05),透析后高于透析前(P<0.001)。血小板胞浆钙浓度变化与TXB2生成不相关。P<0.001:与透析前比,ΔP<0.05,ΔΔP<0.002在相关分析上,Pt[Ca2+]i与血小板TXB2在正常对照组不相关(r=-0.27,p<0.1),透析前、后也均不相关(r=0.34和-0.22,p分别<0.2和0.5)。讨论Ca2+是重要的细胞内信使,多种形式的细胞损伤或细胞处于病理生理状态下,常伴有胞浆钙水平的增高。血小板胞浆Ca2+在刺激信号的转导中发挥重要的作用,促使血小板的变形、聚集、释放,调节血小板的花生四烯酸代谢[3]。有关研究已证实,血小板[Ca2+]i的变化能诱发内源性花生四烯酸代谢物的释放,参与TXA2生成的调节;而TXA2对[Ca? Platelet cytosolic free calcium (Pt[Ca2+]i) and thromboxane B2 (TXB2) contents in tweenty four uremic patients (male 16, female 18) on maintenance hemodialysis were determined by Fura-2 fluorometry and radioimmunoassay. Both pre-and post-dialysis Pt[Ca2-]i concentrations in uremic group were higher than that of the control group (P<0.001) and the post-dialytic content was lower than the pre-dialytic one. On the contrary ,TXB2 contents were decreased in both pre-and post-dialysis periods (P<0.001 and 0.05 ,respectively) and post-dialytic Pt[Ca2+]i concentration was not correlated with TXB2 content.
出处 《标记免疫分析与临床》 CAS 1995年第4期200-201,204,共3页 Labeled Immunoassays and Clinical Medicine
关键词 血小板 血栓素B2 肾功能衰竭 血液透析 Calcium/platelet Thromboxane B_2 Renal failure. chronic Hemodialysis
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