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前列腺特异性抗原(PSA)是由位于第19对染色体的KLK-3基因表达,并受雄激素的调节。PSA主要由前列腺细胞合成,为一单链糖蛋白,本质是一种蛋白水解酶。在某些细胞癌变,或在激素刺激下的正常乳腺细胞中也可有PSA基因表达。PSA在血清以游离(F-PSA)和结合(T-PSA)两种形式存在,血清PSA浓度,以及血清F-PSA/T-PSA比值,尿PSA浓度的变化等均有助于前列腺疾病的诊断和鉴别诊断。
Prostate-specific antigen (PSA) is expressed by the KLK-3 gene located on chromosome 19 and is regulated by androgens. PSA is mainly synthesized by prostate cells and is a single-stranded glycoprotein, essentially a proteolytic enzyme. PSA gene expression may also be present in certain cell carcinomas, or in normal breast cells stimulated by hormones. PSA exists in serum as free (F-PSA) and binding (T-PSA), serum PSA concentration, serum F-PSA/T-PSA ratio, urine PSA concentration, etc. contribute to prostate disease Diagnosis and differential diagnosis.