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红细胞胆固醇荧光测定法的建立及临床应用探讨

Establishment Fluorescence Determination in Erythrocyte Cholesterol and Clinical Application
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摘要 目的 建立红细胞胆固醇荧光测定法.方法 红细胞溶血后血液中的胆固醇、胆固醇酯与胆固醇酯酶(CEH)、胆固醇氧化酶(CHOD)作用生成△4-胆甾烯酮和过氧化氢(H2O2),H2O2在辣根过氧化物酶(HRP)的催化下使底物酪氨酸氧化,生成具有荧光的酪氨酸二聚体,荧光强度与胆固醇的浓度成正比,在标准曲线上查出或求出全血胆固醇浓度.经过(全血TC-血浆TC)/红细胞压积+血浆TC,计算出红细胞胆固醇浓度.结果 用此方法检测98例样本红细胞TC ±s,mmol/L):包括健康组40例,其中男性20例:4.63±0.56,女性20例:3.82±0.55;冠心病组18例:5.55±0.57;高脂血症40例:4.55±0.47.精密度:批内CV2.7%,批间CV3.2%.回收率96.1%~99.3%,平均97.5%.结论 成功建立了红细胞胆固醇荧光测定法,并在临床进行了初步应用,证实采用检测底物的荧光强度对胆固醇定量,具有较高精密度,微量快速,简便易行,重复性好,有着较好的临床适应性. Objective To establish a red blood cell cholesterol fluorescence. Methods Hemolysis after blood cholesterol, cholesterol esters and cholesterol esterase (CEH),cholesterol oxidase (CHOD) reacts A 4-Cholesteric Ketene and hydrogen peroxide (H2O2) ,H2O2 in the horseradish peroxidase (HRP) to catalyze the oxidation of tyrosine to produce a fluorescent dimer of tyrosine,the fluorescence intensity proportional to the concentration of cholesterol in the calibration curve or calculate the concentration of blood cholesterol. Through the (whole blood TC-plasma TC)/hematocrit and plasma+TC, calculated red blood cholesterol levels. The results with this sample of red blood cells were detected 98 cases of TC ( x± s, mmol/L) :including health group of 40 cases, of which 20 males : 4.63 ±0.56, femininity 20 : 3.82 ±0. 55 ; coronary heart disease group, 18 patients: 5.55 ± 0.57; hyperlipemia 40 cases: 4.55 ± 0. 47. Precision: The intra CV2.7% and inter CV3.2%. Recovery 96.1%±99.3%,average 97.5%. Conclusion The establishment of a red blood cell cholesterol fluorescence spectrometry,and a preliminary application in clinical ,confirmed by detection of the fluorescence intensity of substrate quantification of cholesterol,high precision,micro quick,simple and reproducible,with good clinical adaptation.
出处 《现代检验医学杂志》 CAS 2010年第5期54-55,58,共3页 Journal of Modern Laboratory Medicine
基金 陕西省卫生厅科研基金资助项目(2010H08)
关键词 红细胞胆固醇 酪氨酸 酪氨酸二聚体 荧光测定 erythrocyte cholesterol tyrosine tyrosine dimers fluorescence determination
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