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恶性肿瘤患者尿液RBP和β2-MG检测的临床意义[J]. 肿瘤防治研究, 1999, 26(2): 120-122.
引用本文: 恶性肿瘤患者尿液RBP和β2-MG检测的临床意义[J]. 肿瘤防治研究, 1999, 26(2): 120-122.
Clinial Value of Detection of Urinary Retinal-Binding Protein And β2-Microglobulin in Cancer Patients[J]. Cancer Research on Prevention and Treatment, 1999, 26(2): 120-122.
Citation: Clinial Value of Detection of Urinary Retinal-Binding Protein And β2-Microglobulin in Cancer Patients[J]. Cancer Research on Prevention and Treatment, 1999, 26(2): 120-122.

恶性肿瘤患者尿液RBP和β2-MG检测的临床意义

Clinial Value of Detection of Urinary Retinal-Binding Protein And β2-Microglobulin in Cancer Patients

  • 摘要: 视黄醇结合蛋白(RBP)是反映肾小管损伤的较新指标。β2-微球蛋白是证实肾脏损伤的经典指标。为了解肿瘤患者尿中RBP和β2-MG与恶性肿瘤患者肾损害的关系,分别采用ELISA和RIA技术检测208例恶性肿瘤患者尿RBP和β2-MG。结果其测定值明显高于正常对照组。RBP和β2-MG检测阳性率分别为625%和6202%(P<0.05)。研究还表明手术明显降低了患者β2-MG和RBP检测阳性率(P<0.05)。而化疗则对患者肾功改善无太大帮助(P<0.05)。这可能与损伤肾脏化疗药物的广泛应用有关。RBP检测较少受肾外因素影响、在尿液中较β2-MG更稳定,检测方法更简便。RBP可优先作为肿瘤患者肾损害的一个监测指标。

     

    Abstract: It has been suggested that urinary retinal-binding protein(RBP)and (β2-microglobulin (β2-MG) excretion are very useful marker of proximal tubular defunction.To evaluate the relationship between RBP and β2-M Gin urine and proximal tubular impairment.The RBP and β2-MG levels in urine from 208 cancer patients were determined with RIA and ELISA separately. The results showed that the levels of RBP and β2-MG are significantly higher than control group. The positive rate of RBP and R2一MG is 62.50%and 62.02%respectively(P>0.05).The content of RBP in urine is less affected by extrarenal factor, RBP is more stable in urine than β2-MG, also the method detecting RBP is simpler than those of β2-MG.So we recommend that RBP may be more useful marker in diagnoseing the proximal tubular impairment in cancer patients.We condude that urinary RBP concentration can reflect the degree of renal damage in cancer patients sensitively.

     

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