血清腺苷脱氨酶检测在自身免疫性疾病诊断中的应用价值研究进展
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摘要
腺苷脱氨酶(adenosine deaminase,ADA)是在机体免疫反应的调控过程中发挥重要作用的一种酶。血清ADA水平的改变与一些自身免疫性疾病相关,国外多个研究认为系统性红斑狼疮、类风湿性关节炎等自身免疫性疾病患者血清ADA活性水平较健康对照有所升高(P<0.05)。许多研究认为血清ADA水平的升高与自身免疫性疾病的病情有一定相关性,但仍然存有争议。为探索血清ADA活性检测是否有助于自身免疫性疾病的诊断和病情监测,该文对血清ADA检测在几种自身免疫性疾病诊断中的应用研究进展作以综述。
Adenosine deaminase(ADA) plays an important role in the regulation of normal immune system.The altered activity of serum ADA could associate with some autoimmune diseases(AID).Various studies abroad have found the elevated activity of serum ADA compared with healthy controls in many kinds of AID such as systemic lupus erythematosus(SLE),rheumatoid arthritis(RA),et al(F<0.05).Many studies foused on the correlation of altered activity of serum ADA with the disease severity,but there is still controversy.To explore the diagnostic value of serum ADA in AID,make a review about the application research progress of ADA in several AID.
Adenosine deaminase(ADA) plays an important role in the regulation of normal immune system.The altered activity of serum ADA could associate with some autoimmune diseases(AID).Various studies abroad have found the elevated activity of serum ADA compared with healthy controls in many kinds of AID such as systemic lupus erythematosus(SLE),rheumatoid arthritis(RA),et al(F<0.05).Many studies foused on the correlation of altered activity of serum ADA with the disease severity,but there is still controversy.To explore the diagnostic value of serum ADA in AID,make a review about the application research progress of ADA in several AID.
引文
[1]吴长有,杨安钢.临床免疫学[M].北京:人民卫生出版社,20111:97-188.Wu CY,Yang AG.Clinical immunology[M].Beijing:People's Medical Publishing House,2011:97-188.
[2]Ungerer JP,Oosthuizen HM.Bissbort SH,et al.Serum adenosine deaminase:isoenzymes and diagnostic application[J].Clinical Chemistry,1992,38(7):1322-1326.
[3]Gakis C.Adenosine deaminase(ADA)isoenzymes ADA1 and ADA2;diagnostic and biological role[J].European Respiratory Journal,1996,9(4):632-633.
[4]Mehanovic-Nikolic J,Lalos-Miljus J,Stajic-Nalesnik M,et al.The diagnostic value of anti-cyclic citrullinated peptide antibodies,adenosine deaminase activity and other potential biomarkers for predicting and monitoring Rheumatoid Arthritis[J].Journal of Medical Biochemistry,2008,27(3):383-388.
[5]Pallinti V,Ganesan N,Anbazhagan M,et al.Serum biochemical markers in rheumatoid arthritis[J].Indian Journal of Biochemistry and Biophysics,2009,46(4):342-344.
[6]Nalesnik M,Nikolic JM,Jandric S.Adenosine deaminase and C-reactive protein in diagnosing and monitoring of rheumatoid arthritis[J].Med Glas,2011,8(1):163-168.
[7]Zamani B,Jamali R.Jamali A.Serum adenosine deaminase may predict disease activity in rheumatoid arthritis[J].Rheumatology International,2012,32(7):1967-1975.
[8]Salesi M,Ghazvini RA,Farajzadegan Z,et al.Serum adenosine deaminase in patients with rheumatoid arthritis treated with methotrexate[J].Journal of Research in Pharmacy Practice,2012,1(2):72-76.
[9]Gautam N,Archana J,Kumar R,et al.Serum total adenosine deaminase activity in Nepalese patients with Rheumatoid Arthritis[J].Asian Journal of Medical Sciences,2013,4(2):30-35.
[10]Osmani AM,Sayeed D,Ali GM.Study of serum adenosine deaminase and alkaline phosphatase in Rheumatoid Arthritis[J].Journal of Evolution of Medical and Dental Sciences,2015,4(3):312-317.
[11]Vinapamula K,Pemmaraju S,Bhattaram Sk,et al.Serum adenosine deaminase as inflammatory marker in Rheumatoid Arthritis[J].J Clin Diagn Res,2015,9(9):C8-C10.
[12]Taysi S.Polat M,Sari R,et al.Serum adenosine deaminase and cytidine deaminase activities in patients with systemic lupus erythematosus[J].Clinical Chemistry and Laboratory Medicine,2002,40(5):493-495.
[13]Saghiri R,Ghashghai N.Movaseghi S,et al.Serum adenosine deaminase activity in patients with systemic lupus erythematosus:a study based on ADA1and ADA2 isoenzymes pattern[J].Rheumatology International,2012,32(6):1633-1638.
[14]Lima I.Neri F,Barreto Santiago M.Levels of serum adenosine deaminase in systemic lupus erythematosus:lack of association with disease activity[J].Revista Brasileira de Reumatologia,2005,45(5):273-279.
[15]Turgay M.Durak I.Erten S,et al.Oxidative stress and antioxidant parameters in a Turkish group of patients with active and inactive systemic lupus erythematosus[J].Aplar Journal of Rheumatology,2007,10(2):101-106.
[16]胡志坚,荀春华,韩峰,等.26例成人Still'S患者腺苷脱氨酶分析[J].第三军医大学学报,2012,34(14):1473-1475.Hu ZJ,Xun CH,Han F,et al.Analysis of 26 cases of adult Still's diseases with adenosine deaminase[J].Journal of Third Military Medical University,2012,34(14):1473-1475.
[17]Petty RE.Southwood TR,Manners P,et al.International league of associations for rheumatology classification of juvenile idiopathic arthritis:second revision,Edmonton,2001[J].Journal of Rheumatology,2004,31(2):390-392.
[18]Doudkani-Fard M,Ziaee V,Moradinejad M,et al.Sensitivity and specificity of adenosine deaminase in diagnosis of juvenile idiopathic arthritis[J].Med J Islam Repub Iran,2014(28):113.
[19]Lehner 1.Immunopathogenesis of Behcet's disease[J].Ann de Med Interne,1999,150(6):483-487.
[20]马凯,郎筠渊.自身免疫性疾病实验诊断学[M].北京:人民军医出版社,2014:98-115.Ma K.Lang JY.Laboratory diagnosis of autoimmune diseases[M].Beijing:People's Military Medical Press,2014:98-115.
[21]Sogut S,Ay din E,Elyas H,et al.The activities of serum adenosine deaminase and xanthine oxidase enzymes in Behcet's disease[J].Clin Chim Acta,2002,325(1/2):133-138.
[2]Ungerer JP,Oosthuizen HM.Bissbort SH,et al.Serum adenosine deaminase:isoenzymes and diagnostic application[J].Clinical Chemistry,1992,38(7):1322-1326.
[3]Gakis C.Adenosine deaminase(ADA)isoenzymes ADA1 and ADA2;diagnostic and biological role[J].European Respiratory Journal,1996,9(4):632-633.
[4]Mehanovic-Nikolic J,Lalos-Miljus J,Stajic-Nalesnik M,et al.The diagnostic value of anti-cyclic citrullinated peptide antibodies,adenosine deaminase activity and other potential biomarkers for predicting and monitoring Rheumatoid Arthritis[J].Journal of Medical Biochemistry,2008,27(3):383-388.
[5]Pallinti V,Ganesan N,Anbazhagan M,et al.Serum biochemical markers in rheumatoid arthritis[J].Indian Journal of Biochemistry and Biophysics,2009,46(4):342-344.
[6]Nalesnik M,Nikolic JM,Jandric S.Adenosine deaminase and C-reactive protein in diagnosing and monitoring of rheumatoid arthritis[J].Med Glas,2011,8(1):163-168.
[7]Zamani B,Jamali R.Jamali A.Serum adenosine deaminase may predict disease activity in rheumatoid arthritis[J].Rheumatology International,2012,32(7):1967-1975.
[8]Salesi M,Ghazvini RA,Farajzadegan Z,et al.Serum adenosine deaminase in patients with rheumatoid arthritis treated with methotrexate[J].Journal of Research in Pharmacy Practice,2012,1(2):72-76.
[9]Gautam N,Archana J,Kumar R,et al.Serum total adenosine deaminase activity in Nepalese patients with Rheumatoid Arthritis[J].Asian Journal of Medical Sciences,2013,4(2):30-35.
[10]Osmani AM,Sayeed D,Ali GM.Study of serum adenosine deaminase and alkaline phosphatase in Rheumatoid Arthritis[J].Journal of Evolution of Medical and Dental Sciences,2015,4(3):312-317.
[11]Vinapamula K,Pemmaraju S,Bhattaram Sk,et al.Serum adenosine deaminase as inflammatory marker in Rheumatoid Arthritis[J].J Clin Diagn Res,2015,9(9):C8-C10.
[12]Taysi S.Polat M,Sari R,et al.Serum adenosine deaminase and cytidine deaminase activities in patients with systemic lupus erythematosus[J].Clinical Chemistry and Laboratory Medicine,2002,40(5):493-495.
[13]Saghiri R,Ghashghai N.Movaseghi S,et al.Serum adenosine deaminase activity in patients with systemic lupus erythematosus:a study based on ADA1and ADA2 isoenzymes pattern[J].Rheumatology International,2012,32(6):1633-1638.
[14]Lima I.Neri F,Barreto Santiago M.Levels of serum adenosine deaminase in systemic lupus erythematosus:lack of association with disease activity[J].Revista Brasileira de Reumatologia,2005,45(5):273-279.
[15]Turgay M.Durak I.Erten S,et al.Oxidative stress and antioxidant parameters in a Turkish group of patients with active and inactive systemic lupus erythematosus[J].Aplar Journal of Rheumatology,2007,10(2):101-106.
[16]胡志坚,荀春华,韩峰,等.26例成人Still'S患者腺苷脱氨酶分析[J].第三军医大学学报,2012,34(14):1473-1475.Hu ZJ,Xun CH,Han F,et al.Analysis of 26 cases of adult Still's diseases with adenosine deaminase[J].Journal of Third Military Medical University,2012,34(14):1473-1475.
[17]Petty RE.Southwood TR,Manners P,et al.International league of associations for rheumatology classification of juvenile idiopathic arthritis:second revision,Edmonton,2001[J].Journal of Rheumatology,2004,31(2):390-392.
[18]Doudkani-Fard M,Ziaee V,Moradinejad M,et al.Sensitivity and specificity of adenosine deaminase in diagnosis of juvenile idiopathic arthritis[J].Med J Islam Repub Iran,2014(28):113.
[19]Lehner 1.Immunopathogenesis of Behcet's disease[J].Ann de Med Interne,1999,150(6):483-487.
[20]马凯,郎筠渊.自身免疫性疾病实验诊断学[M].北京:人民军医出版社,2014:98-115.Ma K.Lang JY.Laboratory diagnosis of autoimmune diseases[M].Beijing:People's Military Medical Press,2014:98-115.
[21]Sogut S,Ay din E,Elyas H,et al.The activities of serum adenosine deaminase and xanthine oxidase enzymes in Behcet's disease[J].Clin Chim Acta,2002,325(1/2):133-138.