The reticuloendothelial system function test using
131I-labeled aggregated human albumin (
131IAA) as test particle is thought to be one of the best methods for the study of RES function of human beings. This method needs a large amount of
131IAA, but
131IAA has been used as a tracer of liver scintiscanning, and we tried to study RES function by using commercially available
131IAA specially made as tracer of liver scintiscanning. Because the amount of
131IAA used in this study was smaller than the critical dosis, our interest was focussed on the catabolic activity of
131IAA phagocytized by Kupffer's cells. The plasma obtained 60 min after
131IAA injection was fractionated into two distinct peaks by gel column chromatography; ionic
131I and protein-bound
131IAA. The ratio between ionic
131I and bound
131IAA (F/B ratio) was studied in various diseases. The F/B ratios of liver cirrhosis and hepatoma were significantly lower than that of the control. The lowered F/B ratio had no correlation with other liver function tests, data of hepatic scintiscanning, or with clinical findings. The F/B ratio was also not correlated with congo red index as RES function test.
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