恶性胶质瘤患者血清铜/锌比值的临床意义

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检测了34例临床诊断颅内胶质瘤患者的血清铜及锌含量,分析了手术后经病理确诊为恶性胶质瘤的31名患者血清中铜、锌含量,发现铜、锌均比正常对照为高(前者P>0.05,后者P<0.01)但铜/锌比值较正常对照组为低,提示该肿瘤病人锌元素增加明显,该比值可能对恶性胶质瘤有术前辅助诊断意义存在于全部脏器内,形成锌依赖性金属酶系,参与蛋白质的合成与分解,是蛋白质代谢中不可缺少的元素之一。锌与肿瘤的发病关系已日益引起重视,但其增高或降低各不一致。我们检测的结果铜锌均升高,其中锌升高较为明显,导致其比值降低,与某些作者[2]报道相佐。不管其增高还是降低,两者比值的改变似乎是其关键所在。肿瘤组织特别是恶性组织代谢活跃,蛋白质合成迅速,需要大量的金属酶参与,反之,金属酶的增加促进了肿瘤组织过活跃地增长,血清中铜锌的增加在一定程度上促进了这一过程。同时,锌的增加,还可刺激T淋巴细胞的功能,同时使吞噬细胞功能失常[3],引起肿瘤病人免疫机能紊乱,这可能是恶性肿瘤常存在全身症状的原因之一。胶质瘤患者血清中铜锌比值失常,特别是锌含量呈有意义增加,分析其在一定程度上促进了肿瘤组织的生长,增加了其恶性程度。因此观察病人的铜/锌比值,对脑瘤? Detection of 34 cases of clinical diagnosis of intracranial gliomas in patients with serum copper and zinc content analysis of the pathological diagnosis of malignant glioma in the serum of patients with copper and zinc, copper and zinc were found than the normal control (P <0.05 for the former and P <0.01 for the latter), but the ratio of Cu / Zn was lower than that of the normal control group, which suggested that the zinc content of the tumor patients increased significantly. This ratio may be beneficial to the patients with malignant gliomas Diagnostic significance of the existence of all organs, the formation of zinc-dependent metal enzyme system, involved in the synthesis and decomposition of protein, protein metabolism is an indispensable element. The relationship between zinc and tumor has attracted more and more attention, but its increase or decrease is inconsistent. Our test results of copper and zinc were elevated, including zinc increased more obvious, resulting in a lower ratio, and some authors [2] reported adjuvant. Regardless of its increase or decrease, the change in the ratio seems to be the key. Tumor tissue especially malignant tissue metabolism, rapid protein synthesis, requires a large number of metalloenzyme involved, on the contrary, the increase of metallogenetic contribute to the tumor tissue actively increased, the increase of serum copper and zinc to some extent, contributed to this process . In the meantime, the increase of zinc can also stimulate the function of T lymphocytes, at the same time make the phagocyte dysfunction [3], causing immune dysfunction in cancer patients, which may be one of the reasons that the malignant tumors often have systemic symptoms. Serum copper and zinc ratio abnormalities in patients with glioma, especially zinc content was significantly increased, analysis of its extent to promote the growth of tumor tissue and increase its degree of malignancy. Therefore observe the patient’s copper / zinc ratio, brain tumor?
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