不同源性甲胎蛋白分子变异体的研究

近年来,随着蛋白质分离技术的发展和甲脸蛋白(AFP)分子结构的深人研究。已了解到AFP分子不均一性与分子表面电荷负载或蛋白质结合的各种基团特性相关。利用各种蛋白质分离技术可以测出不同数量的AFP分子变异体,现已报道人体或哺乳类动物各种组织或同一个体不同时期合成的AFP分子,无论其结构或糖基组成均存在差异“’。小鼠妊娠前期羊水中含有5种AFP分子,而后期只有一种,用刀豆球蛋白A(COnA)亲和电泳法分析人体     

岩藻糖糖链与肝癌细胞的迁移作用

通过凝集素印迹转移电泳和亲和层析技术,对岩藻糖糖基化蛋白在肝癌细胞中的作用进行了研究.在化学诱发的大鼠肝癌过程中, 分子质量在23 ku到40 ku范围内与荆豆凝集素(UEA)及扁豆凝集素(LCA)结合的岩藻糖糖基化蛋白显著减少, 诱癌至17～20周这些条带重新恢复,而分子质量为80 ku的条带却在诱癌过程中逐周增加.比较高、低转移性肝癌细胞的岩藻糖糖基化蛋白, 发现高转移性肝癌细胞具有多种增强的条带.利用橘果粉胞凝集素(AAL)和LCA亲和层析柱分离了这些岩藻糖基化糖蛋白, 并用这些糖蛋白直接作用于肝癌细胞,发现AAL-糖蛋白具有显著抑制肝癌细胞迁移的作用,迁移细胞数从对照的(100±4.9)%下降到(48.1±2.5)% (P＜0.01), LCA-糖蛋白也有类似作用.用胰酶和木瓜蛋白酶水解蛋白质部分后,形成的糖肽抑制肝癌细胞迁移的作用并不改变,甚至增强.此外直接用肝癌转移灶的组织测定了岩藻糖转移酶活性,发现α1,6岩藻糖基转移酶活性显著比正常肝组织高,而α1,3岩藻糖基转移酶活性没有显著的改变.用系列凝集素分析发现这些糖链主要能结合伴刀豆凝集素A, 也能结合E-型及L-型植物凝集素, 显示这种糖蛋白的糖链可能含有较多的高甘露糖型.这些结果提示糖链在诱癌过程中结构有了改变,使之在肝癌细胞的迁移和转移中起重要作用.     

血清GP73联合Dickkopf-1、AFP对肝细胞癌的诊断价值

目的:探讨血清高尔基体蛋白(GP73)联合Dickkopf-1、甲胎蛋白(AFP)对肝细胞癌的诊断价值。方法:收集2014年9月至2016年9月我院收治的117例肝细胞癌患者(肝细胞癌组)、80例乙型病毒性肝炎患者(肝炎组),以及随机选取的80例健康体检者(对照组)为研究对象,采用酶联免疫吸附法(ELISA)测定各组对象的血清GP73、Dickkopf-1、AFP水平,并分析其与临床病理特征之间的关系,分析GP73、Dickkopf-1、AFP联合对肝细胞癌的诊断价值。结果:肝细胞癌组血清GP73、Dickkopf-1、AFP水平高于肝炎组、对照组,且肝炎组血清AFP水平高于对照组,差异有统计学意义(P0.05)。Child Pugh分级中B~C级肝细胞癌患者GP73、Dickkopf-1、AFP水平高于A级,差异有统计学意义(P0.05),不同分化程度、肿瘤直径、肿瘤数目患者的GP73、Dickkopf-1、AFP水平差异无统计学意义(P0.05)。GP73+Dickkopf-1+AFP对肝细胞癌诊断的灵敏度、特异性、阳性预测值、阴性预测值、准确率均高于GP73、Dickkopf-1、AFP的诊断结果,差异有统计学意义(P0.05)。结论:血清GP73、Dickkopf-1、AFP在肝细胞癌中呈高表达水平,三者联合可明显提高对肝细胞癌的诊断价值,临床有重要的参考价值。     

癌变过程中酪氨酸转氨酶(TAT)和5′-核苷磷酸二酯酶(5′-NPDase)的变化

本文测定了大鼠及人体胚胎发育和癌变过程中TAT和5′-NPDase活力变化,所得结果表明: (一)5′-NPDase快速同工酶区带在甲胎蛋白(AFP)阴性肝癌患者血清中阳性率较高。(二)TAT,5′-NPDase和AFP也许可作为研究癌、胚以及肝癌癌变过程中基因表达的三个互补生化指标。     

癌基因及癌发育基因在裸小鼠人肝癌移植瘤中表达

本文采用Northern blot,斑点杂交,western Immunoblot,凝集素亲和电泳及聚丙烯酰胺梯度电泳方法分别检测裸小鼠肝癌移植瘤中C-ras基因簇(N-ras,H-ras及K-ras),甲种胎儿蛋白以及γ谷氨酰转肽酶(GGT)基因及其产物的表达。结果提示C-ras基因簇均有不同程度的表达,其中N-ras基因表达水平要比H-ras高8倍,比K-ras高20倍左右,同样AFP及GGT基因均有较高水平的表达。经ras-p21单克隆抗体检测,发现肝癌组织抽提液中p21呈现阳性反应;AFP亚型分析提示AFP分子变异体属肝癌特异性分子亚型;GGT同Ⅰ酶酶谱分析表明组织中仅合成肝癌特异性GGT同Ⅰ酶酶谱(Ⅰ’,Ⅱ’)。上述结果充分表明癌基因及癌发育基因的高表达可能与癌细胞去分化性,分裂旺盛程度及细胞恶性度相关。最后文内还对裸小鼠人肝癌移植瘤中二类基因的相关性作一定的讨论。     

AFP-L3蛋白芯片的建立与应用

目的:建立一种可同时检测血清中甲胎蛋白(AFP)及甲胎蛋白异质体(AFP-L3)的蛋白芯片方法,为AFP-L3检测提供经济、便捷、省时、有效的新途径。方法:将鼠源AFP单克隆抗体和小扁豆凝集素点样固定在醛基玻片上,制备出AFP抗体和小扁豆凝集素蛋白芯片。利用抗原抗体特异性结合以及盐藻糖与小扁豆凝集素特异性结合的原理,用蛋白芯片方法检测血清样本中的AFP和AFP-L3。结果:肝癌血清39份,其中37份检测到AFP;26份肝癌血清中同时检测到AFP和AFP-L3,2份肝癌血清均未检测到AFP和AFP-L3。肝细胞癌组血清样本中AFP和AFP-L3水平明显高于健康对照组(P0.001),健康对照组与空白对照组统计学上无差异(P0.05)。结论:本研究成功地建立AFP和AFP-L3同时检测的蛋白芯片方法,与ELISA法和凝集素微量离心柱法相比,是一种切实可行,经济、便捷、省时、有效的方法。     

大鼠3′-甲基-4,4′-二甲基氨基偶氮苯(3′-MeDAB)诱癌过程甲胎蛋白的动态变化和免疫酶标记定位观察

本工作采用放射火箭电泳自显术和免疫酶标记定位技术,对大鼠3'-MeDAB诱癌过程血清和肝组织甲胎蛋白(AFP)的动态变化和定位情况进行了观察。发现(1)肝硬化假小叶内的少数肝细胞、嗜碱性间变再生结节细胞、少数“幸存肝细胞”及少数“过渡性细胞”,具有合成AFP的能力。未见肝内其他类型细胞合成AFP。合成AFP的细胞大多具有胞浆嗜碱性、生长活跃和形态上去分化的特点。(2)未见胆管癌细胞合成AFP。肝细胞癌分化好的癌细胞绝大多数也未见合成AFP,分化差的癌细胞合成AFP的能力,基本上与其生长活跃程度呈正相关,与分化程度呈负相关,而与癌细胞是否处于核分裂阶段关系不大。(3)肝癌组织AFP酶标的强度和范围与血清AFP水平之间基本上有平行关系。此外,本文还就什么细胞合成AFP、血清AFP“马鞍型”变化的成因及病理组织学基础等进行了讨论,并根据实验结果,对大鼠3'-MeDAB肝癌的组织发生提出了初步的设想。     

AFP、AFU、β2-MG、CA199联合检测对原发性肝癌的早期诊断价值

目的:探讨原发性肝癌患者血清甲胎蛋白(AFP)、а-L岩藻糖苷酶(AFU)、β2-微球蛋白(β2-MG)、糖类抗原-199(CA199)的含量及其联合检测对原发性肝癌的早期诊断价值。方法:选择56例原发性肝癌患者、60名肝炎肝硬化患者和60名健康对照作为研究对象,分别应用比值法和化学发光法、生化法检测其血清AFP、AFU、β2-MG、CA199的含量。结果:原发性肝癌患者血清AFP、AFU、β2-MG、CA199含量均显着高于肝炎肝硬化组及健康对照组,差异均有统计学意义(P均<0.05);联合检测AFP、AFU、β2-MG、CA199四种肿瘤标志物,其阳性率达(85.7%)明显高于AFP(53.6%)、AFU(55.4%)、β2-MG(48.2%)和CA199(42.9%)单项检测组(P均<0.05);且AFP、AFU、β2-MG、CA199四种肿瘤标志物联合检测的敏感性均高于单一检测指标,差异有统计学意义(P<0.05),但其特异性显著低于AFU、β2-MG单项检测(P<0.05)。结论:联合检测血清AFP、AFU、β2-MG、CA199含量可以提高对原发性肝癌的阳性诊断率,对诊断及鉴别诊断原发性肝癌具有重要意义。     

肝癌血清标志物研究进展

肝癌是全球最常见的恶性肿瘤之一,多数患者确诊时已属中晚期。5年以上长期生存率仅为10%左右。肝癌的早期诊断成为提高患者长期生存率的最佳有效途径。近年来,血清肿瘤分子标志物已经成为肝癌早期诊断研究领域的研究热点之一血清甲胎蛋白(AFP)检测是当前诊断肝癌常用而又重要的方法。对肝癌的确诊、预后推测、疗效判断及复发转移的监测具有良好的临床价值。甲胎蛋白异质体(AFP-L3)和脱α-羧基凝血酶原(DCP)在预测肝癌预后方面可能优于AFP。磷脂酰基醇蛋白聚糖3(GPC-3)和α-L岩藻糖苷酶(AFU)作为AFP的补充,能够大幅提高肝癌诊断的正确率。血管内皮生长因子(VEGF)、胰岛素样生长因子Ⅱ(IGF-Ⅱ)和高尔基Ⅱ型跨膜蛋白(GP-73)过表达发生在肝癌早期,有可能成为肝癌早期诊断指标。凋亡早期蛋白(M30)可以作为监测癌细胞凋亡的重要生物标记。细胞质胸苷激酶(TK1)、肝细胞生长因子(HGF)和CD147抗原分子在多种癌组织包括肝癌中显著高表达。本文对国外近几十年来肝癌血清标志物研究的一些成果进行了总结和评价,以期为国内学者进行此类研究提供一定的借鉴。     

AFP阴性与阳性肝细胞癌免疫组化和免疫电镜的比较性研究

目的比较性研究AFP阴性与阳性原发性肝细胞癌超微结构特征及AFP和Tn (Thomsen-Friedenreich-related antigen)蛋白表达及意义.方法 43例原发性肝细胞癌组织和5例正常肝组织分为三组:对照组(正常肝组织,5例);AFP阳性肝细胞癌组 (血清AFP>10ng/ml,22例);AFP阴性肝细胞癌组(血清AFP<10ng/ml,21例).应用透射电镜、免疫组织化学和细胞图象分析技术对AFP阴性与阳性肝癌细胞超微结构及AFP和Tn蛋白表达进行观察,并进行AFP和Tn蛋白免疫电镜标记.结果 1. 免疫组织化学结果显示:在AFP阴性肝细胞癌组癌细胞中(1)Tn蛋白表达强度(0.1498±0.0371)明显高于AFP阳性肝细胞癌组(0.0685±0.0156)(P<0.01);(2)AFP蛋白表达强度(0.1269±0.0347) 低于AFP阳性肝细胞癌组(0.1852±0.0234)(P<0.01).2.透射电镜观察:在AFP阴性组肝癌细胞中,癌细胞最突出的形态特征是胞质内细胞器大多十分简单,唯游离多聚核糖核蛋白体十分丰富.而在AFP阳性组肝癌细胞中,癌细胞胞质内细胞器相对较多,特别是粗面内质网尤为丰富.此外,线粒体及高尔基器也较明显.3.免疫电镜标记显示:AFP蛋白阳性标记主要位于粗面内质网,Tn蛋白阳性标记多位于游离多聚核糖核蛋白体,粗面内质网仅见有散在阳性分布.结论 (1)AFP和Tn蛋白在AFP阴性与阳性肝细胞癌组织中具有差异性分布特征,Tn蛋白有望成为AFP阴性肝细胞癌诊断辅助指标之一.(2)透射电镜和免疫电镜观察表明:AFP和Tn蛋白在肝癌细胞中的合成部位明显不同.     

Characterization of human alpha fetoprotein charge microheterogeneity during fetal development.

Aliquotes of human amniotic fluid (AF), fetal serum (FS), and cord blood (CB) were obtained as by-products of routine clinical diagnostic procedures at term or in the second trimester of pregnancy. When samples of CB were applied to a pH 5.5-4 chromatofocusing gradient, three isoforms of AFP could be resolved; a pl 4.57 form (isoform IA, 52% AFP), a pl 4.27 form (isoform IB, 43% AFP), and one species that was bound to the column but could be eluted with 1.0 M NaCl (isoform II, pl less than 4.00, 5% AFP). Term AF displayed a profile similar to that observed in term CB. When samples of 15-20-week gestation AF were chromatofocused, the immunoreactive AFP recovered was distributed between isoform IA and IB (60%) and isoform II (40%). FS and AF obtained from same pregnancy (23-26 weeks) displayed an identical chromatofocusing profile. Aliquotes of AF subjected to conA revealed 83% reactive variants compared with greater than 95% reactive variants for CB. FS displayed a conA profile identical to CB. When individual CB charge isoforms were isolated and subjected to conA analysis, greater than 97% of the AFP bound to conA. In contrast, when AFP isoform IA and IB were isolated from midgestation AF, approximately 22% of the AFP did not bind to the lectin while 100% of isolated AFP isoform II eluted as the reactive variant. These data suggest that human AFP exists as at least three charge and two lectin variants and that the charge profile may change during fetal development.     

枸杞多糖对肝癌患者血清AFP、PHCA、VEGF及CTGF水平的影响

目的:探讨枸杞多糖对原发性肝癌患者血清中甲胎蛋白(AFP)、人肝癌抗原(PHCA)、血管内皮生长因子(VEGF)及结缔组织生长因子(CTGF)水平的影响。方法:选取我院诊治的原发性肝癌患者84例为研究对象,根据治疗方案分为两组,其中对照组41例给予肝动脉化疔栓塞术(TACE)治疗,实验组43例在对照组基础上给予枸杞多糖治疗。用酶联免疫吸附法对两组患者治疗前后血清中VEGF、CTGF及PHCA水平进行检测,应用电化学发光法对AFP进行检测,并比较两组患者的临床疗效。结果:干预前,两组的AFP以及PHCA水平无显著差异(P0.05);干预后,实验组AFP及PHCA水平显著低于对照组,差异具有统计学意义(P0.05);干预后,实验组患者VEGF和CTGF下降幅度显著明显高于对照组,差异具有统计学意义(P0.05);干预后,实验组治疗有效率(76.74%)显著高于对照组(60.98%),差异具有统计学意义(P0.05)。与同期对照组比较,实验组生存率较高,不良反应发生率较低,差异具有统计学意义,P0.05。结论:枸杞多糖能够降低原发性肝癌患者的血清AFP、PHCA、VEG以及CTGF水平,提高原发性肝癌治疗效果。     

血清miR-21 及AFP 在大鼠肝癌发生过程中的动态表达比较分析

目的:分析血清miR-21在肝癌发生过程中的表达水平并将其与传统肝癌血清标志物甲胎蛋白(AFP)比较,探索其成为肝癌早期诊断血清标志物的可能性。方法:二乙基亚硝胺(DENA)腹腔注射诱导建立大鼠肝癌模型,建模过程中收集造癌各个阶段的血清。Realtime-PCR检测血清miR-21的表达情况,ELISA法检测血清AFP水平。结果:与正常组及纤维化期大鼠相比,miR-21在肝硬化期、肝癌早期、肝癌晚期的大鼠血清均有不同程度上调(P<0.05),AFP在肝癌早、晚期的大鼠血清明显上调(P<0.05);与肝硬化期大鼠比较,肝癌早、晚期大鼠体内的miR-21表达显著上调(P<0.05),AFP在肝癌早期、肝癌晚期均显著上调(P<0.05)。结论:血清miR-21参与了肝癌发生的过程,对于肝癌发生的各个阶段均有很大的指示作用,可能作为肝癌预防和早期诊断的一个潜在标志物。     

Alterations of glycan branching and differential expression of sialic acid on alpha fetoprotein among hepatitis patients

The level of serum glycoproteins and their glycosylation pattern change in liver diseases including hepatocellular carcinoma (HCC). Some of them, especially alpha fetoprotein (AFP), serve as useful biomarkers for HCC. The present investigation showed high level of AFP in hepatitis B cirrhosis (HBV-LC) and hepatitis C cirrhosis (HCV-LC) patients. However, increase of AFP level was not significantly high in chronic hepatitis B (HBV-CH) as determined by ELISA using monoclonal anti-human AFP (mAb-AFP). The differential expression of sialic acid linkage was observed in HBV-CH and HCV-LC by ELISA; the former bound strongly with Sambucus nigra agglutinin (SNA), which has exclusive binding specificity for NeuAcα2-6-, whereas HCV-LC reacted preferably with Maackia amurensis agglutinin (MAA) which recognizes NeuAcα2-3-. There was significantly high glycan branching in HBV-LC and HCV-LC in comparison to controls as illustrated by concanavalin A. This was further confirmed by Phaseolus vulgaris erythroagglutinin (E-PHA) and Datura stramonium agglutinin (DSA). Enhanced fucosylation of AFP was observed in HBV-LC, HCV-LC and HCC patients by ELISA using fucose binding Aleuria aurantia lectin; however, maximum binding was found in HCC. Fucosylation with α1-6 linkage was further confirmed by Lens culinaris agglutinin (LCA). From the above results it is concluded that the changes in concentration of AFP, differential expression of sialic acid, increase of glycan branching and fucosylation have a prognostic value of hepatitis and it could be possible that lectin-based assay with AFP can aid in diagnosis of hepatitis diseases besides clinical examination and routine laboratory investigation.     

Galectin-9 Ameliorates Con A-Induced Hepatitis by Inducing CD4+CD25low/int Effector T-Cell Apoptosis and Increasing Regulatory T Cell Number

Background

T cell-mediated liver damage is a key event in the pathogenesis of many chronic human liver diseases, such as liver transplant rejection, primary biliary cirrhosis, and sclerosing cholangitis. We and other groups have previously reported that galectin-9, one of the β-galactoside binding animal lectins, might be potentially useful in the treatment of T cell-mediated diseases. To evaluate the direct effect of galectin-9 on hepatitis induced by concanavalin A (Con A) administration in mice and to clarify the mechanisms involved, we administered galectin-9 into mice, and evaluated its therapeutic effect on Con A-induced hepatitis.

Methodology/Principal Findings

Galectin-9 was administrated i.v. to Balb/c mice 30 min before Con A injection. Compared with no treatment, galectin-9 pretreatment significantly reduced serum ALT and AST levels and improved liver histopathology, suggesting an ameliorated hepatitis. This therapeutic effect was not only attributable to a blunted Th1 immune response, but also to an increased number in regulatory T cells, as reflected in a significantly increased apoptosis of CD4⁺CD25^low/int effector T cells and in reduced proinflammatory cytokine levels.

Conclusion/Significance

Our findings constitute the first preclinical data indicating that interfering with TIM-3/galectin-9 signaling in vivo could ameliorate Con A-induced hepatitis. This strategy may represent a new therapeutic approach in treating human diseases involving T cell activation.     

miR-200a 及AFP 在肝癌、肝硬化患者血清中表达比较分析*

目的:分析miR-200a及AFP在肝癌、肝硬化患者血清中的表达水平并进行比较,探索其成为肝癌早期诊断血清标志物的可能性。方法:临床收集肝正常、肝硬化、肝癌患者血液标本。运用实时定量PCR技术检测血清miR-200a的相对表达情况,血清AFP水平从临床资料中提取。结果:临床标本分析结果显示,miR-200a在肝硬化及肝癌患者中均显著下调(P<0.05),AFP仅在肝癌患者中出现异常表达。结论:血清miR-200a极大程度地参与了肝癌发生,对肝硬化及肝癌具有一定的诊断价值。     

Effect of transgenic expression of human alpha 1-acid glycoprotein (AGP) on the glycosylation of human and mouse AGP in various transgenic mouse sera.

The occurrence and the glycosylation of human alpha 1-acid glycoprotein (AGP) was studied in two classes of transgenic mice expressing either the A, B and B' genes (ABB'-mice) or only the A gene of human AGP (A-mice). The glycosylation of the human AGP molecules in the transgenic mouse sera was compared with the glycosylation of mouse AGP in the same animal and with human AGP in normal human serum by studying their heterogeneity in binding to concanavalin A (Con A), using crossed affino immunoelectrophoresis (CAIE) with Con A as the affinocomponent in the first dimension gel. Three to four different glycosylated fractions of human as well as mouse AGP were revealed by this method in all the transgenic mouse sera. A close relationship was apparent between the heterogeneities in Con A binding of human and mouse AGP in the same transgenic mouse. The magnitude of this so-called Con A reactivity was, however, strongly dependent on the transgenic mouse studied. Especially within the group of ABB'-mice dramatic changes in Con A reactivity were found when the human AGP genes were expressed. This indicates in the first place that the oligosaccharide chains of the human AGP molecules expressed also mouse-specific features. Secondly, and more importantly, these findings indicate that the expression of the human AGP genes affected the glycosylation process of the transgenic mouse liver. This organ is the source of the AGP forms occurring in serum. We do not know whether this effect has been caused by the introduction or the expression of the human gene(s) or by the presence of human AGP in the Golgi system or in serum.(ABSTRACT TRUNCATED AT 250 WORDS)     

甲胎蛋白受体的性质及其所介导的cAMP-PKA信号转导途径

研究HeLa细胞膜上甲胎蛋白 (alpha fetoprotein ,AFP)受体的存在情况及其介导的信号转导 .先用Na[12 5I]标记AFP ;标记的AFP和培养的HeLa细胞结合 ,Scatchard法和受体 配体结合法分析受体数目 ;再用放射免疫结合法分析在百日咳毒素 (pertussistoxin ,PTX)预处理前后AFP对细胞内环腺苷酸 (cAMP)浓度及细胞内蛋白激酶A(proteinkinaseA ,PKA)活性变化的影响 .在HeLa细胞膜表面存在 2种不同解离平衡常数 (Kd)的AFP受体 ,Kd1=5 2pmol L(2 10 0位点 细胞 ) ;Kd2 =2 3nmol L (114 0 0位点 细胞 ) .在AFP(2 0mg L)作用下 ,HeLa细胞内cAMP浓度变化及PKA活性的改变为与对照组比较 ,用PTX预处理前cAMP浓度升高 2 6 7% ,PKA活性增高 10 3 2 % ;用PTX预处理后升高 86 % ,PKA活性增高 2 5 3% .抗甲胎蛋白单克隆抗体可阻断AFP对细胞cAMP浓度和PKA活性的影响 .结果证明 ,在HeLa细胞膜上有 2种不同解离平衡常数的甲胎蛋白受体存在 ,受体有可能通过cAMP PKA途径介导信号转导 .     

AFP、AFU、β_2-MG、CA199联合检测对原发性肝癌的早期诊断价值

目的：探讨原发性肝癌患者血清甲胎蛋白（AFP）、а-L岩藻糖苷酶（AFU）、β2-微球蛋白（β2-MG）、糖类抗原-199（CA199）的含量及其联合检测对原发性肝癌的早期诊断价值。方法：选择56例原发性肝癌患者、60名肝炎肝硬化患者和60名健康对照作为研究对象,分别应用比值法和化学发光法、生化法检测其血清AFP、AFU、β2-MG、CA199的含量。结果：原发性肝癌患者血清AFP、AFU、β2-MG、CA199含量均显着高于肝炎肝硬化组及健康对照组,差异均有统计学意义（P均〈0.05）;联合检测AFP、AFU、β2-MG、CA199四种肿瘤标志物,其阳性率达（85.7%）明显高于AFP（53.6%）、AFU（55.4%）、β2-MG（48.2%）和CA199（42.9%）单项检测组（P均〈0.05）;且AFP、AFU、β2-MG、CA199四种肿瘤标志物联合检测的敏感性均高于单一检测指标,差异有统计学意义（P〈0.05）,但其特异性显著低于AFU、β2-MG单项检测（P〈0.05）。结论：联合检测血清AFP、AFU、β2-MG、CA199含量可以提高对原发性肝癌的阳性诊断率,对诊断及鉴别诊断原发性肝癌具有重要意义。     

奥沙利铂联合参芪扶正注射液对原发性肝癌患者AFP与GP73 水平的影 响及临床疗效

目的:探讨奥沙利铂联合参芪扶正注射液对原发性肝癌患者AFP,GP73及临床疗效的影响。方法:收集我院收治的原发性肝癌患者80例,随机分为对照组和实验组,每组各40例,对照组患者给予奥沙利铂联合卡培他滨化疗,实验组患者在此基础上给予参芪扶正注射液静脉滴注。观察并比较两组患者治疗前后血清AFP及GP73水平、生活质量以及临床疗效。结果:与治疗前相比,两组患者的AFP、GP73水平均下降,差异具有统计学意义(P0.05);与对照组相比,实验组患者的AFP、GP73水平较高,生活质量提高率较高,差异具有统计学意义(P0.05),临床治疗总有效率以及总稳定率较高,差异具有统计学意义(P0.05)。结论:奥沙利铂联合参芪扶正注射液能够降低原发性肝癌患者AFP,GP73水平,提高患者生活质量,临床疗效较好。