孕早期产前筛查孕妇血清ADAM12-S中位数倍数校正方法的建立
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南京市医学科技发展项目(ZKX08001,ZKX06011);南京市科技局项目(200801094)。


Establishment of adjusted value for multiple of median of ADAM12-S concentration in prenatal serum screening during early pregnancy
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    摘要:

    目的 建立孕早期产前筛查孕妇血清解整合素金属蛋白酶12分泌型(a disintegrin and metalloprotease,ADAM12-S)中位数倍数的校正方法。 方法 随机选择2008年在本中心自愿参加孕早期唐氏综合征(DS)产前筛查并经随访证实分娩健康儿的孕妇孕8~13周血清样本577份,用时间分辨荧光免疫分析法检测血清ADAM12-S浓度。用SPSS 15.0软件构建ADAM12-S与孕龄间的回归关系,选最优模型计算中位浓度,得到ADAM12-S 中位数倍数(multiple of the median,MoM)值。探讨MoM值与体重的关系,选取最优模型求出经体重调整后的MoM值。将ADAM12-S初始浓度与消除孕周和体重影响校正后的最终MoM值进行曲线拟合,选取最优模型最终得到ADAM12-S初始浓度与校正后MoM值的关系方程。 结果 ADAM12-S中位数(Y)与孕周(t)呈正相关,经s曲线模型拟合后的中位数方程为:Y=e8.412-24.534/t;ADAM12-S MoM值中位数(Y)与体重中位数(z)存在负相关,经指数模型拟合后的方程为:Y=1.603*e-0.009*z;ADAM12-S初始浓度(X)与孕周和体重校正后的最终MoM值(Y)的关系方程为Y=0.036*X0.552。 结论 ADAM12-S初始浓度与最终MoM值的关系方程的建立,对临床开展ADAM12-S筛查DS妊娠的研究有重要意义。

    Abstract:

    Objective To establish the adjusted value for multiple of the median (MOM) of a disintegrin and metalloprotease 12-secreting-type (ADAM12-S) in prenatal serum screening for Down′s syndrome. Methods The parturients, who were voluntary participants of prenatal screening program for Down′s syndrome during 2008 and were confirmed to labor healthy newborn by followup visit, were randomly enrolled in this study. Totally 577 serum samples of the first trimester (from 8 to 13 weeks) were collected and the concentration of ADAM12-S was determined by timeresolved fluorimmunoassay (TRFIA). The regressive relationship between concentration of ADAM12-S and gestational age was analyzed with SPSS 15.0 software and then the optimal model was selected for the calculation of MOM value of ADAM12-S. The MOM value was adjusted on the basis of the body weight of parturients. The curve fitting of ADAM12-S concentration and the adjusted MOM value were conducted and the model was optimized for the equation by eliminating the influence of gestational age and body weight. Results A positive correlation between the MOM value of ADAM12-S (Y) and gestational age (t) was shown, and the equation was Y=e8.412-24.534/t, while a negative correlation between MOM value of ADAM12-S (Y) and body weight of parturients (z) was found, and the equation was Y=1.603*e-0.009*z. The equation of concentration of ADAM12-S (Y) and the adjusted MOM value (X) was Y=0.036*X0.552. Conclusions The equation between the initial concentration of ADAM12-S and the adjusted MOM value was established. It should be considerably important for the screening program of Down′s syndrome in primary clinical hospital for newborn.

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蒋涛,吕伶,张晓娟,孙云,徐倩君,许争峰.孕早期产前筛查孕妇血清ADAM12-S中位数倍数校正方法的建立[J].临床检验杂志,2011,29(1):50-52

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  • 收稿日期:2010-06-18
  • 最后修改日期:2010-10-18
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