Abstract
This study examined the isoenzymatic pattern of LDH in the cerebrospinal fluid (CSF) as well as the ratio between the five fractions of LDH among patients with various brain tumours, carcinomatous meningitis and control groups. LDH 1/LDH 2 less than 1 was found significant for carcinomatous meningitis (p less than 0.001) and brain metastases (p less than 0.001). LDH 1/LDH 2 ratio was found to be significantly lower in carcinomatous meningitis than in brain metastases (p less than 0.05). No LDH 1/LDH 2 ratios smaller than 1 were found in the other groups. The LDH 1/LDH 2 ratio smaller than 1 was found in the early stage of carcinomatous meningitis without other evidences of the involvement of the leptomeninges. Examination of LDH 1/LDH 2 can be found as an adjunctive method to identify brain metastases and carcinomatous meningitis at the initial stage.
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Selected References
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- Beaty H. N., Oppenheimer S. Cerebrospinal-fluid lactic dehydrogenase and its isoenzymes in infections of the central nervous system. N Engl J Med. 1968 Nov 28;279(22):1197–1202. doi: 10.1056/NEJM196811282792204. [DOI] [PubMed] [Google Scholar]
- Buckell M., Barnes G. K. Supernumerary fractions of lactate dehydrogenase in two malignant gliomas. Br J Cancer. 1968 Jun;22(2):237–243. doi: 10.1038/bjc.1968.30. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Egami H., Takeshita I., Fukui M., Kitamura K. Supernumerary lactate dehydrogenase isozymes in human gliomas. J Neurol Sci. 1983 Sep;61(1):1–12. doi: 10.1016/0022-510x(83)90049-7. [DOI] [PubMed] [Google Scholar]
- Fleisher M., Wasserstrom W. R., Schold S. C., Schwartz M. K., Posner J. B. Lactic dehydrogenase isoenzymes in the cerebrospinal fluid of patients with systemic cancer. Cancer. 1981 Jun 1;47(11):2654–2659. doi: 10.1002/1097-0142(19810601)47:11<2654::aid-cncr2820471122>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
- Gerhardt W., Clausen J., Christensen E., Riishede J. Lactate dehydrogenase isoenzymes in the diagnosis of human benign and malignant brain tumors. J Natl Cancer Inst. 1967 Mar;38(3):343–357. [PubMed] [Google Scholar]
- Gobiet W. Der diagnostische Wert der LDH-Bestimmung und ihrer Isoenzyme bei intrakraniellen Prozessen. Z Neurol. 1972;202(3):247–250. [PubMed] [Google Scholar]
- Klee G. G., Tallman R. D., Goellner J. R., Yanagihara T. Elevation of carcinoembryonic antigen in cerebrospinal fluid among patients with meningeal carcinomatosis. Mayo Clin Proc. 1986 Jan;61(1):9–13. doi: 10.1016/s0025-6196(12)61391-3. [DOI] [PubMed] [Google Scholar]
- LOWENTHAL A., VAN SANDE M., KARCHER D. Heterogeneity of lactic and malic dehydrogenase in serum, cerebrospinal fluid, and brain extracts in man and sheep. Ann N Y Acad Sci. 1961 Nov 2;94:988–995. doi: 10.1111/j.1749-6632.1961.tb35590.x. [DOI] [PubMed] [Google Scholar]
- Oldenkott P., Heller W., Blankenhorn H., Elies W. The enzyme-pathobiochemistry of intracranial processes. A contribution. Acta Neurochir (Wien) 1971;25(1):57–68. doi: 10.1007/BF01808862. [DOI] [PubMed] [Google Scholar]
- Rabow L., Kristensson K. Changes in lactate dehydrogenase isoenzyme patterns in patients with tumours of the central nervous system.? Acta Neurochir (Wien) 1977;36(1-2):71–81. doi: 10.1007/BF01405988. [DOI] [PubMed] [Google Scholar]
- Simó-Camps E., Grau A., Bofill D., Zaragoza J., Pascual J., Sirvent J. J. Valor pronóstico de la lactodeshidrogenasa y su isoenzima 5 en el líquido cefalorraquídeo de pacientes afectos de cáncer. Med Clin (Barc) 1983 Jun 25;81(3):99–102. [PubMed] [Google Scholar]
- Timperley W. R. Lactate dehydrogenase isoenzymes in tumours of the nervous system. Acta Neuropathol. 1971;19(1):20–24. doi: 10.1007/BF00690950. [DOI] [PubMed] [Google Scholar]
- Twijnstra A., Nooyen W. J., van Zanten A. P., Hart A. A., Ongerboer de Visser B. W. Cerebrospinal fluid carcinoembryonic antigen in patients with metastatic and nonmetastatic neurological diseases. Arch Neurol. 1986 Mar;43(3):269–272. doi: 10.1001/archneur.1986.00520030059015. [DOI] [PubMed] [Google Scholar]
- Vivekanandan S., Rao A. P., Kumar M. M., Balasubramanian V., Kanaka T. S. LDH isoenzyme studies in brain tumours. Indian J Cancer. 1981 Jun;18(2):99–102. [PubMed] [Google Scholar]
- Wasserstrom W. R., Glass J. P., Posner J. B. Diagnosis and treatment of leptomeningeal metastases from solid tumors: experience with 90 patients. Cancer. 1982 Feb 15;49(4):759–772. doi: 10.1002/1097-0142(19820215)49:4<759::aid-cncr2820490427>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
