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Structure-Based Drug Design Targeting the Substrate-Binding Pocket of MexB 靶向MexB底物结合口袋的基于结构的药物设计。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-18 DOI: 10.1007/s10930-026-10321-z
Praveena Nanjan

The multidrug-resistant (MDR) phenotype of Pseudomonas aeruginosa poses a significant clinical challenge and frequently causes severe and potentially lethal infections. The activity of efflux proteins, which are membrane transporters that use the electrochemical gradient across the bacterial membrane to extrude antimicrobials and reduce their intracellular concentrations, is a significant factor in this resistance. One of the most well-known mechanisms of multidrug resistance in Pseudomonas aeruginosa is the Resistance–Nodulation-Division (RND) efflux pump system. MexB, the inner membrane transporter, is essential for substrate recognition and drug binding in the well-characterised MexAB–OprM complex. A variety of antibiotics, such as Macrolides, Fluoroquinolones, Tetracyclines, Sulfonamides, β-Lactams, Trimethoprim, Novobiocin, and Chloramphenicol, are resistant to this pump. The overexpression of this tripartite efflux system, which consists of the outer membrane channel OprM, the membrane fusion protein MexA, and the inner membrane transporter MexB, is regulated by genes including mexR, nalC, and nalD. MexB involvement in drug resistance makes it a prime target for the development of efflux pump inhibitors (EPIs). Antibiotics and EPIs together have the potential to restore antibacterial activity by enhancing intracellular drug retention. However, restricted access to complex structural and computational tools required for logical drug design has hindered the development of EPI. This study examines novel EPIs that target P. aeruginosa RND-type efflux systems and discusses recent structural discoveries regarding the MexB transporter.

铜绿假单胞菌的多重耐药表型构成了重大的临床挑战,并经常引起严重和潜在致命的感染。外排蛋白是一种膜转运蛋白,利用细菌膜上的电化学梯度挤出抗菌剂并降低其细胞内浓度,其活性是这种耐药性的一个重要因素。铜绿假单胞菌多药耐药机制之一是耐药-结核-分裂(RND)外排泵系统。MexB是一种内膜转运蛋白,在表征良好的MexAB-OprM复合物中,对底物识别和药物结合至关重要。各种抗生素,如大环内酯类药物、氟喹诺酮类药物、四环素类药物、磺胺类药物、β-内酰胺类药物、甲氧苄啶、新生物霉素和氯霉素,对这种泵有耐药性。这种由外膜通道OprM、膜融合蛋白MexA和内膜转运蛋白MexB组成的三方外排系统的过表达受mexR、nalC和nalD等基因调控。MexB参与耐药性使其成为开发外排泵抑制剂(EPIs)的主要靶点。抗生素和EPIs一起有可能通过增强细胞内药物潴留来恢复抗菌活性。然而,逻辑药物设计所需的复杂结构和计算工具的限制访问阻碍了EPI的发展。本研究探讨了针对铜绿假单胞菌rnd型外排系统的新型EPIs,并讨论了最近关于MexB转运体的结构发现。
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引用次数: 0
Comment to the Editor: From Pretty Pictures to Decision-Grade Models: A Standards-First Roadmap for cryo-EM × Computation 给编辑的评论:从漂亮的图片到决策级模型:冷冻电镜计算的标准优先路线图。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-28 DOI: 10.1007/s10930-026-10320-0
M. Vijayasimha
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引用次数: 0
In Memoriam: Professor Ruth Ann Austad Altschuld (1940–2025) 纪念:Ruth Ann Austad Altschuld教授(1940-2025)。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-19 DOI: 10.1007/s10930-025-10318-0
Prakash Narayan, Lawrence J. Berliner, Mahesh Narayan
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引用次数: 0
Non-specific Protein and Peptide Antibacterial Factors of Mammals 哺乳动物的非特异性蛋白和肽类抗菌因子。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-19 DOI: 10.1007/s10930-025-10314-4
Pavel Levashov, Ilia Zaitsev, Sergei Zaitsev, Daria Gasanova

The review summarises the basic information on non-specific factors of mammals that potentially have antimicrobial action. A comparison of previously known factors with the latest literature data is carried out. The following peptide and protein factors are considered: lysozymes, transferrins, interferons, interleukin-2, antimicrobial peptides (defensins, cathelicidins, histatins) and protective glycoproteins (mucins, lectins). These major antibacterial factors perform regulatory functions in the immune system, and some are also able to resist viral and fungal infections or oncological pathologies. The study of the internal antibacterial factors of mammals and the mechanisms of their activation is of great importance for the fight against bacterial infections, including antibiotic-resistant ones. This knowledge is necessary for the development of new approaches to the treatment of humans and farm animals.

Graphical Abstract

本文综述了哺乳动物可能具有抗菌作用的非特异性因子的基本信息。将先前已知的因素与最新的文献数据进行比较。考虑以下肽和蛋白因子:溶菌酶、转铁蛋白、干扰素、白介素-2、抗菌肽(防御素、抗菌肽、组他素)和保护性糖蛋白(粘蛋白、凝集素)。这些主要的抗菌因子在免疫系统中发挥调节功能,其中一些还能够抵抗病毒和真菌感染或肿瘤病理。研究哺乳动物体内的抗菌因子及其激活机制,对对抗细菌感染,包括耐药细菌感染具有重要意义。这些知识对于开发治疗人类和农场动物的新方法是必要的。
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引用次数: 0
Structure, Mutation, Functional Domain Roles and Medical Implications of Glycerol Kinase 甘油激酶的结构、突变、功能域作用和医学意义。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-15 DOI: 10.1007/s10930-025-10316-2
Emmanuel Oluwadare Balogun, Israel Ogwuche Ogra, Uche Samuel Ndidi, Daniel Thakuma Tizhe, Okechukwu Kalu Iroha, Godwin Unekwuojo Ebiloma, Ghulam Jeelani, Tomoyoshi Nozaki, Jair Siqueira-Neto, Harry P. De Koning, Tomoo Shiba

Glycerol kinase (GK) is a key part of glycerol metabolism. It connects the metabolic pathways for lipids and carbohydrates by phosphorylating glycerol to glycerol-3-phosphate in an ATP-dependent reaction. This is essential for maintaining carbohydrate homeostasis, plasma glycerol withdrawal, and the utilization of glycerol by different tissues. Together, these processes impact glucose uptake and lipid metabolism. This review discusses the structure of GK, highlights the implications of mutations in the primary sequence, and provides insights on the roles of the various functional domains in the GK-catalyzed reaction. It also discussed the roles of GK in glycerol metabolism, energy production, and its connections with various cellular pathways and disease conditions. The proper regulation of GK activity is crucial, reflecting its critical role in various important cellular processes. Therefore, its regulation has been analyzed from the gene level to posttranslational modification and has implications for GK-linked disease. Separately, the critical role of this enzyme in some disease-causing organisms made it a promising target for inhibitor development. We here explore the current state of GK inhibitor research and discuss strategies for their development. Challenges in GK inhibitor research are identified, and approaches such as high-throughput screening, structure-based drug design, and computational modelling for discovering novel inhibitors are reviewed. Finally, the review highlights critical areas for further research, including the role of GK in synthetic biology and tumour development, among others.

甘油激酶(GK)是甘油代谢的关键部分。它通过atp依赖性反应将甘油磷酸化为甘油-3-磷酸,连接脂质和碳水化合物的代谢途径。这对于维持碳水化合物稳态、血浆甘油戒断和不同组织对甘油的利用至关重要。这些过程共同影响葡萄糖摄取和脂质代谢。这篇综述讨论了GK的结构,强调了初级序列突变的含义,并对GK催化反应中各种功能域的作用提供了见解。它还讨论了GK在甘油代谢、能量产生中的作用,以及它与各种细胞途径和疾病状况的联系。适当调节GK活性是至关重要的,反映了它在各种重要细胞过程中的关键作用。因此,从基因水平到翻译后修饰对其调控进行了分析,并对gk相关疾病有影响。另外,该酶在一些致病生物中的关键作用使其成为抑制剂开发的有希望的靶点。我们在此探讨GK抑制剂的研究现状,并讨论其发展策略。本文指出了GK抑制剂研究面临的挑战,并对高通量筛选、基于结构的药物设计和发现新型抑制剂的计算模型等方法进行了综述。最后,综述强调了进一步研究的关键领域,包括GK在合成生物学和肿瘤发展中的作用等。
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引用次数: 0
Advantages and Limitations of AlphaFold in Structural Biology: Insights from Recent Studies AlphaFold在结构生物学中的优势和局限性:来自最近研究的见解。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-01 DOI: 10.1007/s10930-025-10310-8
Mandarina Qing Cheng Li, Sihan Wang, Shi-Ruei Lin, Li Eric Ngok Ting, Zhi-Hong Wan, Guodong Xie, Jane Zhang

Over the past three years, AlphaFold—a deep learning–based protein structure prediction system—has transformed structural biology by providing near–experimental accuracy models directly from amino acid sequences. This narrative review synthesizes applications reported in the 2022–2025 literature across human, microbial, and viral systems, drawing on peer-reviewed studies as our data source. Representative examples include modeling of SARS-CoV-2 spike and nucleocapsid proteins in virology, assisting cryo-EM interpretation of bacterial ribosomal and membrane-protein complexes in microbiology, and refining conformational hypotheses for human GPCRs in biomedicine. Across these cases, AlphaFold predictions have complemented experimental workflows by accelerating hypothesis generation, improving model fitting within ambiguous density regions (poorly resolved areas of cryo-EM maps), and guiding mutagenesis strategies to probe dynamic conformational states. We also summarize recent method extensions: AlphaFold-Multimer improves multi-chain complex assembly prediction, while molecular dynamics (MD) simulations augment AlphaFold’s static models by sampling conformational flexibility and testing stability. Despite these advances, important limitations remain—particularly for intrinsically disordered regions, protein–ligand and protein–cofactor interactions, and very large or transient assemblies—and current community benchmarks indicate that approximately one-third of residues may lack atomistic precision, underscoring uncertainty in flexible or modified segments. Framed within a clear chronological window and evidence base, our analysis highlights both the practical impact and the remaining challenges of integrating AlphaFold with experiment, outlining priorities where further methodological innovation and orthogonal validation are needed.

在过去的三年里,alphafold——一个基于深度学习的蛋白质结构预测系统——通过直接从氨基酸序列中提供接近实验精度的模型,改变了结构生物学。本叙述性综述综合了2022-2025年文献中关于人类、微生物和病毒系统的应用报告,并以同行评议的研究作为我们的数据来源。代表性的例子包括病毒学中SARS-CoV-2刺突蛋白和核衣壳蛋白的建模,协助微生物学中细菌核糖体和膜-蛋白复合物的低温电镜解释,以及完善生物医学中人类gpcr的构象假设。在这些案例中,AlphaFold预测通过加速假设生成,改进模糊密度区域(低温电镜图分辨率较差的区域)的模型拟合,并指导诱变策略来探测动态构象状态,从而补充了实验工作流程。我们还总结了最近的方法扩展:AlphaFold- multimer改进了多链复合物组装预测,而分子动力学(MD)模拟通过采样构象灵活性和测试稳定性来增强AlphaFold的静态模型。尽管取得了这些进展,但重要的局限性仍然存在,特别是对于内在无序区域,蛋白质-配体和蛋白质-辅因子相互作用,以及非常大或瞬时的组装,目前的社区基准表明,大约三分之一的残基可能缺乏原子精度,强调了柔性或修饰片段的不确定性。在清晰的时间窗口和证据基础框架内,我们的分析强调了将AlphaFold与实验相结合的实际影响和剩余挑战,概述了需要进一步方法创新和正交验证的优先事项。
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引用次数: 0
Peptide and Protein Tags for the Half-Life Extension of Therapeutic Agents: A Review Article 延长治疗药物半衰期的肽和蛋白标签:综述。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-01 DOI: 10.1007/s10930-025-10304-6
Sorour Aboutalebi, Fatemeh Najafi, Negin Yazdizadeh, Fatemeh Shafiee

Although biological drugs have been considered as one of the effective and growing therapeutic approaches in the pharmaceutical industry in recent decades, the largest concern about them is the insufficient stability and rapid degradation in the bloodstream due to their structural nature. One of the effective methods for increasing the circulating half-life of peptide and protein drugs is the addition of half-life-extending tags, which prevent both the degradation of the biological drug and its glomerular filtration by various mechanisms, thereby increasing its half-life. This review focuses on peptide and protein tags used to enhance the pharmacokinetic profiles of biological drugs by increasing their half-life. It discusses various tags, including HSA (Human Serum Albumin), ABD (Albumin Binding Domain), DARPINS (Designed Ankyrin Repeat proteins), XTEN, CTP (Carboxy Terminal Peptide), ELP (Elastin Like Peptide), and others, and highlights both FDA-approved products and candidates currently in different stages of clinical development. In the meantime, special attention has been paid to albumin-binding domains and albumin-binding domain antibody (AlbudAb), which increases the half-life of biological drugs by binding to albumin, as the most abundant and stable protein in the body.

Graphical Abstract

尽管近几十年来,生物药物已被认为是制药行业中有效且不断发展的治疗方法之一,但由于其结构性质,其最大的担忧是稳定性不足和在血液中迅速降解。延长多肽和蛋白类药物循环半衰期的有效方法之一是添加半衰期延长标签,通过各种机制阻止生物药物的降解和肾小球滤过,从而延长其半衰期。本文综述了肽类和蛋白质标签通过延长半衰期来增强生物药物的药代动力学特征。它讨论了各种标签,包括HSA(人血清白蛋白)、ABD(白蛋白结合域)、DARPINS(设计锚蛋白重复蛋白)、XTEN、CTP(羧基末端肽)、ELP(弹性蛋白样肽)等,并重点介绍了fda批准的产品和目前处于不同临床开发阶段的候选产品。与此同时,白蛋白结合结构域和白蛋白结合结构域抗体(AlbudAb)也受到了人们的特别关注,白蛋白结合结构域抗体作为体内最丰富、最稳定的蛋白质,通过与白蛋白结合而延长了生物药物的半衰期。
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引用次数: 0
Evaluating the Structural Stability of Recombinant Rotavirus Capsid Protein VP6 in Altered Physicochemical States Using Fluorescence and CD Spectroscopy 利用荧光和CD光谱评价重组轮状病毒衣壳蛋白VP6在改变物理化学状态下的结构稳定性。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-16 DOI: 10.1007/s10930-025-10307-3
Modibedi Lesego Gladys, Preenan Pillay

Rotaviruses (RV) are a major cause of severe childhood diarrhoea, particularly in developing nations, necessitating stable vaccines. Therefore, the presented preliminary study aimed to assess the impact of altered physicochemical properties on the structural stability of recombinant rotavirus capsid protein VP6 (RV-VP6). The expression system used in this study was designed by genetically engineering the RV-VP6 into E. coli (NiCo21(DE3))-pET28a host-vector system and purified using liquid chromatography. The purified RV-VP6 homology detection and structure prediction were conducted using LC–MS and HHpred computational analysis, which indicated a 100% probability of 1QHD_A Viral Capsid VP6 (1.95 Å), representing the crystal structure of VP6. The secondary and tertiary structural stability of RV-VP6 was evaluated in altered pH and Ca2+ concentrations using far UV-CD and intrinsic tryptophan fluorescence spectroscopy, respectively. The computational analysis of the far-UV CD spectra revealed a significant increase in the composition of α-helices and β-sheets in altered pH and Ca2+ environments compared to the denatured protein (p < 0.0001). Intrinsic fluorescence analysis of RV-VP6 at pH 7 yielded an emission λmax of 339 nm, which shifted to 342 nm at pH 5. In 1 mM Ca2+, a λmax of 340 nm was observed, with an increase in intensity in 10 mM Ca2+, accompanied by a slight blue shift to 338 nm. Investigation of RV-VP6 under thermal stress yielded unfolding concomitant with aggregation, rendering the process irreversible and nullifying analysis using equilibrium thermodynamics. These findings form the preliminary basis for our future evaluation of manufacturing stable and enhanced RV-VP6 vaccines through the downstream process control of (1) pH, which alters the charge distribution on the surface of the protein, leading to conformational changes, and (2) Ca2+ ions, which interact with specific amino acid residues in the protein, thereby affecting its structure and function.

轮状病毒(RV)是严重儿童腹泻的主要原因,特别是在发展中国家,因此需要稳定的疫苗。因此,本初步研究旨在评估物理化学性质的改变对重组轮状病毒衣壳蛋白VP6 (RV-VP6)结构稳定性的影响。利用基因工程技术将RV-VP6导入大肠杆菌(NiCo21(DE3))-pET28a宿主-载体系统,设计表达体系,并进行液相色谱纯化。纯化后的RV-VP6通过LC-MS和HHpred计算分析进行同源性检测和结构预测,结果表明1QHD_A病毒衣壳VP6的概率为100% (1.95 Å),代表VP6的晶体结构。利用远紫外- cd和固有色氨酸荧光光谱分别评价了RV-VP6在改变pH和Ca2+浓度下的二级和三级结构稳定性。远紫外CD光谱的计算分析表明,与变性蛋白相比,在改变pH和Ca2+环境下α-螺旋和β-片的组成显著增加(p 2+), λmax为340 nm,在10 mM Ca2+环境下强度增加,并伴有轻微的蓝移至338 nm。对RV-VP6在热应力下的研究发现,展开过程伴随着聚集,使得该过程不可逆,并且用平衡热力学进行了无效分析。这些发现为我们未来评估通过下游过程控制(1)pH改变蛋白质表面电荷分布,导致构象变化,以及(2)Ca2+离子与蛋白质中特定氨基酸残基相互作用,从而影响其结构和功能来制造稳定和增强的RV-VP6疫苗奠定了初步基础。
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引用次数: 0
Non-ionic Detergent-Assisted Refolding of Protein from Protein-SDS Complex 非离子洗涤剂辅助蛋白质- sds复合物中蛋白质的再折叠。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-12 DOI: 10.1007/s10930-025-10305-5
Teruo Akuta, Tomoto Ura, Takeshi Oikawa, Takashi Shibata, Kentaro Shiraki, Tsutomu Arakawa

Refolding of protein from denatured structure caused by sodium dodecyl sulfate (SDS) was examined using agarose native gel electrophoresis and circular dichroism (CD). Refolding of protein from SDS complex was induced with the addition of non-ionic and zwitterionic detergents followed by agarose native gel electrophoresis. The native gel electrophoresis was done without both SDS and non-ionic detergents in the agarose gel and running buffer. The electrophoretic mobility of bovine serum albumin (BSA) drastically increased with the addition of 1% SDS to the samples indicative of SDS-BSA complex formation. The SDS-denatured BSA returned to the native mobility by the addition of non-ionic Tween 20 and Triton X-100 and zwitterionic CHAPS as a function of detergent concentration. Refolding, at least partially, was confirmed by CD, which was done in the presence of both SDS and non-ionic detergents, a condition different from the native gel electrophoresis done in their absence. When BSA was denatured by both 1% SDS and a disulfide-reducing dithiothreitol, even 10% Tween 20 was insufficient to restore the native BSA mobility on agarose native gel electrophoresis. When BSA was denatured by 1% Sarkosyl and sodium lauroyl-glutamate, Tween 20 restored the native structure at Tween 20 concentration lower than the Tween 20 concentration used for SDS denaturation. A similar refolding by non-ionic detergents was also observed for a rabbit monoclonal IgG, but not for lysozyme. The results with lysozyme suggest strong SDS binding and difficulty in dissociating the bound SDS by non-ionic detergents due to high isoelectric point of the protein and thereby more SDS binding.

采用琼脂糖天然凝胶电泳和圆二色性(CD)研究了十二烷基硫酸钠(SDS)对变性蛋白的再折叠作用。加入非离子和两性离子洗涤剂,然后琼脂糖天然凝胶电泳,诱导SDS复合物中蛋白质的再折叠。琼脂糖凝胶和流动缓冲液中不使用SDS和非离子型洗涤剂进行天然凝胶电泳。在样品中加入1% SDS后,牛血清白蛋白(BSA)的电泳迁移率急剧增加,表明SDS-BSA复合物形成。通过添加非离子Tween 20和Triton X-100以及两性离子CHAPS, sds变性的牛血清白蛋白恢复到天然迁移率,并随洗涤剂浓度的变化而变化。在SDS和非离子洗涤剂存在的情况下,CD至少部分地证实了再折叠,这与在没有它们的情况下进行的天然凝胶电泳的情况不同。当用1%的SDS和二硫还原二硫代苏糖醇变性牛血清白蛋白时,即使10%的Tween 20也不足以恢复琼脂糖天然凝胶电泳上牛血清白蛋白的迁移率。用1%的萨科齐和月桂酰谷氨酸钠对牛血清白蛋白进行变性处理时,t20浓度低于SDS变性时的t20浓度,恢复了牛血清白蛋白的原结构。非离子洗涤剂对兔单克隆IgG也有类似的重折叠现象,但对溶菌酶没有。结果表明,溶菌酶与SDS结合较强,非离子型洗涤剂难以将结合的SDS解离,这是由于溶菌酶的等电点较高,因此更易与SDS结合。
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引用次数: 0
Challenges in Serum Albumin Measurements: A Comparative Study of the Bromocresol Green and the Capillary Zone Electrophoretic Method 血清白蛋白测定的挑战:溴甲酚绿法和毛细管区带电泳法的比较研究。
IF 1.4 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-12 DOI: 10.1007/s10930-025-10303-7
Mariem Othmani, Yessine Amri, Siwar Chelbi, Sondes Hadj Fredj, Taieb Messaoud, Rym Dabboubi

Serum albumin (SA) is a key biomarker routinely used in clinical practice. Multiple analytical methods exist for its measurement, including bromocresol green (BCG) colorimetry and capillary zone electrophoresis (CZE). However, discrepancies between methods raise concerns regarding result consistency and clinical interpretation. This study aimed to compare the analytical concordance between BCG and CZE methods for SA measurement, and to assess their clinical interchangeability. A cross-sectional study conducted on 109 serum samples collected from patients undergoing serum protein electrophoresis at Bechir Hamza Children’s Hospital. SA was measured using BCG and CZE. Descriptive statistics were calculated for each method. Paired t-test and Wilcoxon signed-rank test were used to assess differences in means. Method agreement was evaluated using Passing-Bablok regression, Intraclass Correlation Coefficient (ICC), Bland–Altman plot, and a confusion matrix. BCG significantly overestimated SA compared to CZE (41.49 ± 7.30 g/L vs. 37.48 ± 6.85 g/L; p < 0.001). Passing-Bablok regression revealed a regression line of y = 1.02x + 3.21, indicating a consistent positive bias. The R2 value was 0.891, suggesting strong correlation. The ICC was 0.81 (95% CI 0.081–0.932), reflecting good agreement. The Bland–Altman analysis confirmed a mean difference of 4.01 g/L. Confusion matrix analysis showed perfect concordance in low albumin values but significant misclassification at higher levels, with BCG shifting many values into higher categories. While BCG and CZE methods show strong correlation, BCG consistently overestimates albumin concentrations. These findings underscore the need for method standardization and careful interpretation of results in clinical settings.

血清白蛋白(SA)是临床常规使用的关键生物标志物。目前已有多种测定方法,包括溴甲酚绿比色法和毛细管区带电泳法。然而,方法之间的差异引起了对结果一致性和临床解释的关注。本研究旨在比较BCG和CZE两种SA测量方法的分析一致性,并评估其临床互换性。对在Bechir Hamza儿童医院接受血清蛋白电泳的患者收集的109份血清样本进行了横断面研究。用BCG和CZE测定SA。对每种方法进行描述性统计。采用配对t检验和Wilcoxon符号秩检验来评估均值差异。采用pasing - bablok回归、类内相关系数(ICC)、Bland-Altman图和混淆矩阵评估方法一致性。与CZE相比,BCG明显高估SA(41.49±7.30 g/L vs. 37.48±6.85 g/L), p 2值为0.891,相关性强。ICC为0.81 (95% CI 0.081 ~ 0.932),一致性较好。Bland-Altman分析证实平均差异为4.01 g/L。混淆矩阵分析显示,低白蛋白值完全一致,但在较高水平上存在明显的错误分类,BCG将许多值转移到更高的类别。虽然卡介苗和CZE方法显示出很强的相关性,但卡介苗始终高估白蛋白浓度。这些发现强调了在临床环境中对方法标准化和仔细解释结果的必要性。
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引用次数: 0
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