单克隆蛋白检测的范式转变:从基于电泳的方法到基于质谱的方法
Jikyo Lee1,2, Sangmi Yoo3, Seojin Yang4
1Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Annals of laboratory medicine
|November 5, 2025
概括
质谱法 (MS) 与传统的电泳法相比,可以更灵敏,更准确地检测单克隆蛋白 (M-蛋白). 这些基于MS的诊断方面的进步正在改善对多发性骨髓瘤等血细胞疾病的监测.
科学领域:
- 临床化学 临床化学
- 分析化学 分析化学
- 生物标志物发现发现
背景情况:
- 单克隆蛋白 (M-蛋白) 是单克隆性骨髓瘤病的关键生物标志物,包括多发性骨髓瘤 (MM).
- 传统的基于电泳 (EP) 的方法缺乏对低M蛋白水平的敏感性和适当量化.
- 目前的EP方法通常被补充为无血清轻链量化.
研究的目的:
- 审查用于M蛋白检测和量化质谱 (MS) 的进展.
- 突出MS基方法在血细胞疾病中的临床应用和改进.
- 评估MS在临床环境中取代传统EP方法的潜力.
主要方法:
- 对使用基于MS的方法进行M蛋白分析的研究 (2014-2024) 的综述.
- 专注于自上而下的,中下而下的和自下而上的MS方法.
- 对多发性骨髓瘤和其他血细胞疾病中MS应用的分析.
主要成果:
- 基于MS的方法在M蛋白识别和定量方面表现出更好的灵敏度和准确性.
- 多发性骨髓瘤是研究最多的疾病,显示了治疗进展和改善的结果.
- 多发性硬化症显示出监测最小残留疾病和评估治疗反应的潜力.
结论:
- 基于MS的方法比EP具有显著的优势,包括高灵敏度,特异性和效率.
- 这些方法对于在治疗反应和预后监测中准确评估M蛋白至关重要.
- 基于MS的技术即将成为临床实验室M蛋白分析的标准.
更多相关视频
相关概念视频
Peptide Identification Using Tandem Mass Spectrometry
8.1K
Tandem mass spectrometry, also known as MS/MS or MS2, is an analytical technique that employs two mass analyzers. Essentially it is a series of mass spectrometers that helps isolate a particular biomolecule and then helps study its chemical properties.
This technique helps gather information regarding the protein from which the peptide was obtained and to study the peptides’ amino acid sequence. Identifying peptides from a complex mixture is an important component of the growing field of...
This technique helps gather information regarding the protein from which the peptide was obtained and to study the peptides’ amino acid sequence. Identifying peptides from a complex mixture is an important component of the growing field of...
8.1K
MALDI-TOF Mass Spectrometry
6.5K
Mass spectrometry is a powerful characterization technique that can identify and separate a wide variety of compounds ranging from chemical to biological entities, based on their mass-to-charge ratio (m/z). The instruments that allow this detection, known as mass spectrometers, have three components: an ion source, a mass analyzer, and a detector. These spectrometers differ based on the nature of their ion source and analyzers.Matrix-assisted laser desorption ionization (MALDI) is a commonly...
6.5K
Mass Spectrometry: Complex Analysis
1.6K
Mass spectrometry is an important technique for the identification of pure compounds. However, it has some limitations for the analysis of complex mixtures, often due to excessive fragmentation making the spectrum too complicated to decipher. Mass spectrometry can be combined with suitable separation methods in sequence, forming hyphenated methods, which are useful in the analysis of complex mixtures.
GC–MS is a powerful hyphenated method commonly used in forensics and environmental...
GC–MS is a powerful hyphenated method commonly used in forensics and environmental...
1.6K


