ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2014, Vol. 23 ›› Issue (3): 294-298.

• 论文 • 上一篇    

应用两种Ⅳ型胶原α5抗体诊断Alport综合征的比较

  

  • 出版日期:2014-06-28 发布日期:2014-07-02

comparison of two different Ⅳ-collagenα5 antibody for diagnosis of Alport syndrome

  • Online:2014-06-28 Published:2014-07-02

摘要:

摘要:Ⅳ型胶原α5抗体在遗传性肾病Alport综合征的诊断中起到很重要的作用,很多肾病中心对于肾组织和皮肤进行免疫荧光染色来鉴别诊断Alport综合征。目前,有两家商品化的抗体试剂提供,Wieslab公司是通过认证的诊断试剂盒,在冰冻切片中利用两步间接免疫荧光法进行染色,Cosmo BioUSA是科研试剂,在冰冻切片中利用一步直接免疫荧光法进行染色。目的:利用本单位的组织比较不同抗体,不同方法间的差异。方法:选择2013年1月至3月共26例肾活检冰冻组织和15例皮肤石蜡组织,利用两家公司的抗体平行比较。单克隆鼠抗人Ⅳ型胶原α5抗体(Wieslab 克隆号ALP105)利用间接免疫荧光法,单克隆鼠抗人Ⅳ型胶原α5抗体(Cosmo BioUSA 克隆号CFT-45325)利用直接免疫荧光法。结果:两位病理医生随机盲看,对于肾脏冰冻组织,发现两种抗体染色结果对于诊断没有造成差异,仅有少量标本染色强度差别。对于皮肤石蜡组织,两种染色结果有较大差异。结论:Cosmo BioUSA公司抗体利用一步法省时,而且费用相对较低。染色肾脏冰冻组织可以替代Wieslab公司通过认证的诊断试剂盒。皮肤石蜡组织应选择Wieslab公司试剂盒。

关键词: Alporr综合征, Ⅳ型胶原, 遗传性疾病, 免疫荧光

Abstract:

Abstract: Objective:Ⅳ collagen α5 antibody hereditary nephrotic syndrome Alport play a very important role, in many renal centers for immunofluorescence staining skin differential diagnosis of hereditary nephropathy. Currently, there are two commercially available antibody reagents, Wieslab company is certified diagnostic kits, in frozen sections using a two-step indirect immunofluorescence staining, Cosmo BioUSA is research reagents in the frozen sections using a step direct immunofluorescence fluorescence staining. The aims of this paper is to compare the different organizational units of antibodies, and the differences between the different methods. Can research reagents for clinical diagnosis. Methodology: January 2013 to March were 26 cases of frozen tissue biopsy and 15 cases of paraffin skin tissue, the use of two antibodies parallel comparison companies. Monoclonal mouse anti-human collagen type Ⅳ α5 antibody (Wieslab clone ALP105) by indirect immunofluorescence, monoclonal mouse anti-human collagen type Ⅳ α5 antibody (Cosmo BioUSA clone CFT-45325) using direct immunofluorescence. Results: The two randomized, blinded pathologist look for kidney frozen tissue and found two kinds of antibody staining caused no difference in the results for the diagnosis, only a small amount of specimen staining intensity difference. For skin paraffin tissue, two kinds of staining was found quite different. Conclusion: Cosmo BioUSA company antibodies using the step-saving, and the cost is relatively low. Kidney frozen tissue staining can replace Wieslab company certified diagnostic kits. The skin should choose Wieslab companies paraffin tissue kit.

Key words: Alport syndrome, collagen type Ⅳ, hereditary disease, immunofluorescence