前列腺特异性抗原(PSA)免疫放射分析及临床应用

  • 摘要: 以125I-抗PSA单克隆抗体为示踪剂,抗PSA多克隆抗体为固相包被抗体,采用两步法,建立了PSA免疫放射分析方法。其灵敏度为0.5μg/L,批内变异系数为1.1%—3.7%,批间变异系数为1.4%—7.0%,平均回收率为97.5%。测定了100名63岁以下健康男性血清PSA含量,正常参考值<3.8μg/L;20例前列腺良性疾病患者血清PSA含量为24.3±13.8μg/L;9例前列腺癌患者血清PSA含量为87.0±56.3μg/L。本法与放射免疫分析法血清PSA测定值相关性良好,r=0.924(n=109),与PSA酶免疫分析法(MaximBiotech)相关系数为0.781(n=29)。

     

    Abstract: IMMUNORADIOMETRIC ASSAY AND ITS CLINICAL APPLICATION FOR PROSTATE SPECIFIC ANTIGEN(PSA)Cui Suzhen Wang Yuxiao Liu Yibing(Department of Isotope, China Institute of Atomic Energy, Beijing 102413)ABSTRACTThe immunoradiometric assay for PSA is developed. The assay involves both monoclonal antibody and polyclonal antibody. The monoclonal antibody is labeled with 125I,and the polyclonal antibody is coated on the plastic tubes. The sensitivity of assay is 0.5 μg/L, the CVs are 1.1%-3.7% for the intraassay and 1.4%-7.0% for the interassay and the average recovery is 97.5%.The reference interval established from 100 normal men are 0-3.8 μg/L. The clinical utility of PSA is evaluated in 20 cases of benign prostatic diseases and in 9 cases of prostatic cancers. Their data of sera PSA are 24.3±13.8 μg/L and 87.0±56.3 μg/L,respectively. The correlation coefficient comparing with the PSARIA is 0.924(n=109), and the correlation coefficient comparing with the PSAEIA(Maxim Biotech) is 0.781(n=29).Key words prostate specific antigen(PSA) prostate cancer(PCa) immunoradiometric assay(IRMA)

     

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