评估血清二胺氧化酶作为对基因素不耐受性的诊断测试
Kristina Arih1, Nina Đorđević1, Mitja Košnik1,2
1Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.
Nutrients
|October 14, 2023
概括
胺不耐受性 (HIT) 诊断有助于血清二胺氧化酶 (DAO) 水平,但不应仅仅依赖于这种酶测试. 当与临床评估相结合时,DAO测量提供了额外的诊断价值.
科学领域:
- 胃肠病学 胃肠病学
- 临床生物化学 临床生物化学
- 免疫学 免疫学 免疫学
背景情况:
- 基因组胺不耐受 (HIT) 是由于基因组胺分解受损的结果,通常是由于减少胺氧化酶 (DAO) 活性.
- 积累的组胺会导致各种不同的临床症状.
- 血清DAO测量是HIT的常见但有争议的诊断工具.
研究的目的:
- 评估血清二胺氧化酶 (DAO) 水平在疑似基因组胺不耐症 (HIT) 患者的诊断有效性.
- 评估DAO水平与HIT临床概率之间的相关性.
主要方法:
- 对249名疑似HIT患者和50名健康对照者的回顾性分析.
- 对血清DAO水平的测量.
- 根据临床标准将患者分为高 (n=41) 和低 (n=208) 概率的HIT组.
主要成果:
- 患有高概率HIT的患者与低概率HIT (10 U/mL) 和健康对照 (18 U/mL) 相比,DAO中位数显著降低 (8 U/mL).
- DAO水平<10 U/mL在区分高概率HIT和低概率HIT方面表现出71%的灵敏度和97%的特异性.
- 制造商对DAO水平的截止值显示出不同的灵敏度和特异性,取决于对比组.
结论:
- 当与临床评估相结合时,血清DAO测定是诊断HIT的宝贵补充工具.
- 诊断HIT不应仅仅依赖于DAO测量;临床判断仍然至关重要.
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