首都医科大学学报 ›› 1985, Vol. 6 ›› Issue (3): 199-203.

• 论著 • 上一篇    下一篇

尿β-萄葡糖醛酸苷酶与膀胱癌

狄华1, 徐婉珍1, 袁振铎1, 尔秀江2, 贾保祥2   

  1. 1. 北京市临床医学研究所生化研究室;2. 北京市临床医学研究所肾移植研究室
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1985-07-15 发布日期:1985-07-15

Change of Urinary β-G Activity in Patients with Carcinoma of Urinary Bladder

Di Hua1   

  • Received:1900-01-01 Revised:1900-01-01 Online:1985-07-15 Published:1985-07-15

摘要: 为确立尿酶测定作为一种有意义的临床和研究室的工具,本文研究了酚酞萄葡糖醛酸苷经人尿β-G水解作用的动力学。反应在37℃,0.2M醋酸缓冲液中最适pH是5.2,所需基质浓度3×10-3M,此酶米氏常数为1.6±0.39mM(X±SD)。此外,对释放酚酞的吸收光谱,尿样品冰箱贮存的影响和方法的重复性进行了实验。观察了45例膀胱癌患者和56例正常人尿β-G活性,膀胱癌患者尿β-G大多数增高,22例手术后1—10个月的膀胱癌患者,尿β-G活性大多降低至正常。关于尿β-G活性增高是膀胱癌的触发机制还是其结果,论述不一,有待进一步研究。

Abstract: In order to estsblish an urinary enzyme assay as an useful and significant clincal or investi-gative laboratory aid, the kinetics of the hydrolysis of phenolphthein mono-β-glucuronide by-G in human urine was investigated. In our study the optimum pH was 5.2 in 0.2M acetate buffer at 37℃. The substrate concentration required was found to be 3×10-3m and the enzyme had a Michlis constant of 1.6+0.39mM (X+SD) of phenol-phthalein glucuronide. The reac-tion velocity was constant within an observation period of 4-20 hours. in addition, the absorption spectrum of phenolphthalein liberated, the effect of urine samples storage in refrigerator and reproducibility of the results were tested aiso. Urinary β-G activity was observed in 45 patients with carcinoma of urinary bladder and 56 normal subjectl. It was found that the activity of β-G in the urine was usually increased in patients with bladder carcinoma and usually decreased 1-10 months after sur-gery in 22 patients. As to the question of whether the increased β-G is due to the trigger mech-anism causing the tumor or is the consepuence of the neoplasia remains to be studied.