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    ABSTRACT: Glutathione transferase-π released from kidney tubular epithelial cells was analyzed in the urine of recipients of renal allografts. Urinary content of α -class glutathione transferase was also determined for comparison. Control urine from healthy individuals contained detectable levels of the π-isoenzyme (6.6 ± 0.46 ng/ml, mean ± SEM) and this concentration was not increased in the urine of patients demonstrating cyclosporine A-induced nephrotoxicity (6.3 ± 0.29 ng/ml), in contrast to the < -form. Acute rejection increased excretion of the π-isoenzyme (19.0 ± 2.0 ng/ml), but not of the α-glutathione transferase. Thus, while the serum creatinine level increases in connection with both cyclosporine A-induced nephrotoxicity and acute rejection, analyses of urinary glutathione transferases distinguish well between these conditions. Acute tubular necrosis and renal transplant infarction resulted in a rapid elevation in urinary levels of both α – andπ-transferase. The advantages of this approach are that release of the protein into the urine occurs rapidly after tubular damage, the assay is sensitive and specific and can also distinguish between certain pathological conditions. These studies thus indicate that the urinary level of glutathione transferase-α can be used for monitoring certain pathological processes in the kidney. Quantitation of this enzyme complements the information obtained by measurement of glutathione transferase- < .Copyright © 1994 S. Karger AG, Basel
    Nephron 01/1994; 67(3):308-316. DOI:10.1159/000187985 · 13.26 Impact Factor
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    ABSTRACT: The blood serum concentrations of creatinine and the low molecular weight proteins cystatin C, beta 2-microglobulin and retinol-binding protein were measured in 106 patients whose glomerular filtration rates were assessed by Cr-ethylenediaminetetraacetate (EDTA)-clearance determinations. The reciprocals of the serum concentrations of creatinine, cystatin C and beta 2-microglobulin were closely correlated to the Cr-EDTA-clearance (r = 0.73, 0.75 and 0.70, respectively) in contrast to the corresponding values for retinol-binding protein (r = 0.39). The calculated values of the glomerular elimination rate for creatinine and cystatin C were normally distributed in contrast to those for beta 2-microglobulin. The calculated glomerular elimination rate of cystatin C was not correlated to age, sex, type of disorder or disease activity. The results demonstrate that the serum level of cystatin C is a better measure of the glomerular filtration rate than the serum level of beta 2-microglobulin.
    Scandinavian Journal of Clinical and Laboratory Investigation 05/1985; 45(2):97-101. · 1.90 Impact Factor
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    ABSTRACT: We measured the excretion rates of six urinary enzymes that either originate from the proximal renal tubule, like alanine aminopeptidase (EC, alkaline phosphatase (EC, gamma-glutamyltransferase (EC, and N-acetyl-beta-D-glucosaminidase (EC, or that are typical low-molecular-mass proteins, like lysozyme (EC and pancreatic ribonuclease (EC These rates were compared with those of total protein and albumin in urine of 36 insulin-dependent diabetic men and 30 healthy men. Seventeen of the diabetics had "clinical proteinuria," defined as excretion of more than 7.5 g of protein per mole of urinary creatinine (group B). Group A comprised the 19 diabetics without proteinuria. Except for gamma-glutamyltransferase, the excretions of enzymes and proteins were significantly higher in diabetics than in controls and were greater in group B than in group A. N-Acetyl-beta-D-glucosaminidase was the analyte most often increased in group A (89%), followed by albumin and alkaline phosphatase (each 32%). All patients in group B showed increased excretion of N-acetyl-beta-D-glucosaminidase. We conclude from the comparative data that this enzyme may be useful as an early predictor of diabetic nephropathy.
    Clinical Chemistry 04/1988; 34(3):544-7. · 7.91 Impact Factor
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