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吸烟肺癌患者尿中烟草特有亚硝胺4-(甲基亚硝胺)-1-(3-吡啶)一1-丁酮代谢产物的测定
by
张同梅 赖百塘 段连山 王小珏
in
代谢产物
/ 烟草特有亚硝胺
/ 肺肿瘤
2006
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吸烟肺癌患者尿中烟草特有亚硝胺4-(甲基亚硝胺)-1-(3-吡啶)一1-丁酮代谢产物的测定
by
张同梅 赖百塘 段连山 王小珏
in
代谢产物
/ 烟草特有亚硝胺
/ 肺肿瘤
2006
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Journal Article
吸烟肺癌患者尿中烟草特有亚硝胺4-(甲基亚硝胺)-1-(3-吡啶)一1-丁酮代谢产物的测定
2006
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背景与目的国外研究表明不论以何种方式用烟草特有亚硝胺4-(甲基亚硝胺)-1-(3-吡啶)-1-丁酮[4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone,NNK]处理小鼠均能特异地诱发小鼠肺癌,且多为肺腺癌,NNK是公认的吸烟者患肺癌的一个病因。本研究的目的是通过测定吸烟者尿中NNK的代谢产物4-(甲基亚硝胺)-1-(3-吡啶)-1-丁醇[4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol,NNAL]及其解毒产物4-(甲基亚硝胺)-1-(3-吡啶-N-氧化物)-1-丁醇E4-(methylnitrosamino)-1-(3-pyridyl—N—oxide)一1一butanol,NNAL-Gluc]的含量及NNAL,Gluc/NNAL比值来了解NNK特异的致肺癌性。方法 用高压液相色谱仪(HPLC)和气相色谱-双极质谱联用仪(GC—Ms/MS)对10例吸烟肺癌患者、8例健康吸烟者和4例健康不吸烟者的24h尿样进行分析。结果 不吸烟者的尿中未测到NNAL和NNAL-Gluc,健康吸烟者尿中平均NNAL-Gluc/NNAL比值为4.95,吸烟肺癌患者为0.5。结论 建立了在吸烟者尿中测定NNK代谢产物NNAL及NNAL-Gluc的方法。初步研究显示健康吸烟者对NNK的解毒能力明显大于吸烟肺癌患者,为在吸烟人群中筛选肺癌高危人群提供了检测手段。
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