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Query: UMLS:C0033687 (proteinuria)
 24,015 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Albumin and transferrin are relatively small protein molecules and highly negatively charged. Their levels in urine are a useful indicator of the integrity of membrane barriers of the kidney glomerular capillary wall. The present data shows that the excretion rates of albumin and transferrin and their kinetics of excretions are similar. Thus, their filtration mechanisms at the active site of the kidney membrane pores are similar. Total urinary protein/creatinine or albumin or transferrin/creatinine ratio were found to be linear and highly significant. Their measurement could indicate the degree of impaired glomerular permeability. Also, in the present study, a rapid biochemical method of measurement of the selectivity of proteinuria based on the transferrin/albumin ratios in random samples is reported. This method is particularly useful in the early stages of glomerular basement membrane damage.
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PMID:Transferrin and albumin excretion as a measure of glomerular function. 262 59

Fourteen trained males participated in three sets of progressive 1 min exercise till exhaustion comparing proteinuria after bicycling, treadmill running under barefoot and air-cushion shoe conditions. Venous lactate rose to about 11 moles.l-1 after the three bouts of exercise while total protein and albumin urinary excretion increased 7 (rest micrograms.min-1) and 19 (rest 11 micrograms.min-1) fold respectively. Creatinine clearance declined to 75% (88 ml.min-1) of the resting values for all three exercises. Albumin clearances increased from 0.24 microliter.min-1 at rest to 4.08 microliters.min-1 during the recovery period. None of the above values were statistically different while comparing the three protocols. On the contrary, plasma hemoglobin showed a significant rise with bare-footed-running (rest 10 mg.100 ml-1; exercise 21 mg.100 ml-1). The lack of hemoglobin in urine postulated that the renal threshold for excretion was not attained in the present conditions. The results indicate that haemolysis and repeated shocks on the foot sole do not lead to the urinary excretion of proteins induced by short-term progressive and exhaustive exercise in humans.
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PMID:The influence of air-cushion shoes on post-exercise proteinuria. 263 50

There is evidence to suggest that renal function may alter in the presence of autonomic neuropathy. Albumin excretion rate (AER) and sodium excretion rate (NaER) in timed daytime (erect) and night-time (supine) urine collections were assessed in 20 insulin-treated diabetics with and in 20 without established autonomic neuropathy, matched for age, sex, duration of diabetes, diabetic control, and systolic blood pressure. All patients were free of proteinuria on albustix testing and had normal serum levels of urea and creatinine. AER based on daytime and pooled 24-hour collections was higher, but not significantly so, in the group with autonomic neuropathy. The nocturnal AER on the other hand was significantly elevated in the group with autonomic neuropathy (p less than 0.02) as was the nocturnal urine volume (p less than 0.01) and sodium excretion rate (p less than 0.05). The corrected nocturnal albumin/creatinine ratio was likewise greater in this group (p less than 0.02). These findings suggest that autonomic neuropathy can independently affect renal function and that nocturnal renal haemodynamics and glomerulotubular balance may be deranged in insulin-treated diabetics with autonomic neuropathy.
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PMID:The relationship between autonomic neuropathy and urinary sodium and albumin excretion in insulin-treated diabetics. 295 Nov 95

The protein/creatinine ratio (Up/Uc) measured in 71 early morning urine samples (EMU) correlated closely with timed overnight urine (ONU) protein excretion rates (r = 0.96). The relationship was linear throughout the entire range of normal and abnormal protein excretion, an ONU rate of 1 mg/h/m2 body surface area being proportional to an EMU Up/Uc of 5 mg/mmol. Using the Coomassie Blue dye-binding method the upper limit of Up/Uc in 377 apparently healthy children and adolescents aged 3-19 years was shown to be 20 mg/mmol. Albumin/creatinine ratios (Ua/Uc) were also determined in the 377 healthy subjects, yielding a normal working upper limit of 3 mg/mmol. Although in normal individuals studied longitudinally the day-to-day variation of both Up/Uc and Ua/Uc was appreciable, all measurements remained within the cross-sectional normal range. While the determination of Ua/Uc has a role in the study of "microproteinuria", it is comparatively costly for routine use. The measurement of the EMU Up/Uc avoids errors and difficulties associated with timed urine collection, simplifies sample handling by the laboratory and is inexpensive. In clinical practice this is the method of choice for the quantification of proteinuria in patients with renal disease.
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PMID:Simplified quantification of urinary protein excretion in children. 321 67

Endogenous albumin was revealed with high resolution in the glomerular wall of renal tissue from normoglycaemic and long-term streptozotocin-induced hyperglycaemic rats applying the protein A-gold immunocytochemical approach. In tissues from normal animals, albumin antigenic sites were detected at the level of the endothelial cell basal plasma membrane and in the subendothelial side of the lamina densa of the glomerular basal laminae. The epithelial side of the laminae was weakly labelled, while the urinary space was devoid of labelling. In the podocytes, labelling for albumin was confined to few lysosomal structures. In diabetic animals, concomitant with hyperglycaemy, low insulin levels, significant glycosuria, proteinuria and albuminuria, the glomerular basal laminae displayed the characteristic increase in thickness found in diabetic microangiopathy (404 +/- 45 nm versus 190 +/- 10 nm). Major basal laminae deposits were also found in the mesangial regions. Albumin antigenic sites were detected throughout the entire thickness of the glomerular basal laminae without any preferential accumulation at any particular site. Labelling was also found over flocculent material present in the urinary space. Numerous densely labelled lysosomal structures were present in the podocytes. The basal laminae deposits in the mesangial regions were labelled for albumin. Morphometrical evaluations made on the distribution of the labelling confirmed the qualitative observations. Two sites for albumin retention were revealed in the glomerular wall of the normal animal: the endothelial cell basal membrane (less than 10 nm) and the subendothelial side of the lamina densa (50 nm).(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Distribution of endogenous albumin in the glomerular wall of streptozotocin-induced diabetic rats as revealed by high-resolution immunocytochemistry. 355 13

The Wiskott-Aldrich syndrome is an immune deficiency disorder with an impairment of both humoral and cellular immune responses. Metabolic turnover studies of IgG, IgA, IgM, and albumin were conducted in seven patients with the Wiskott-Aldrich syndrome using purified radioiodinated proteins. The survival of each of the proteins studied was significantly shortened with a half-time of 7.5 days for IgG (normal 22.9 +/-4 SD), 3.0 days for IgA (normal 5.8 +/-1), 5.0 days for IgM (normal 10.1 +/-2.1), and 8.6 days for albumin (normal 17, range 13-20); the fractional catabolic rates were correspondingly elevated and the distribution of protein among the body compartments was normal. For three of the four proteins. IgG, IgA, and albumin, the steady-state synthetic rates were generally elevated leading to normal or even elevated serum proteins levels. Thus, in the case of IgA, the synthetic rate averaged five times normal while the fractional degradative rate was twice normal. The resulting serum concentration was, therefore, significantly elevated, IgM represented an exception to this pattern in that the increased rate of degradation was not counterbalanced by an increased synthetic rate and, therefore, the serum levels were low. Albumin clearance studies using albumin-(51)Cr showed gastrointestinal protein loss in these patients to be slightly greater than normal, but this could account for only a small fraction of the hypercatabolism observed. There was no proteinuria or abnormalities of thyroid, adrenal, renal, or liver function. Thus, none of the previously recognized causes of increased serum protein catabolism were present. Patients with the Wiskott-Aldrich syndrome, therefore, have a unique disorder of serum protein metabolism characterized by endogenous hypercatabolism of at least four major serum proteins. This phenomenon may be related to reticuloendothelial hyperfunction since the Wiskott-Aldrich syndrome is associated with reticuloendothelial hyperplasia and accelerated clearance of colloidal materials from the plasma.
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PMID:Hypercatabolism of IgG, IgA, IgM, and albumin in the Wiskott-Aldrich syndrome. A unique disorder of serum protein metabolism. 509 17

The occurrence of post-exercise proteinuria was investigated in intact and splenectomized dogs after treadmill running and swimming and compared to control experiments. Albumin and lysozyme were measured by radial diffusion. Urinary protein was analyzed by SDS-polyacrylamide gel electrophoresis. Swimming in the splenectomized dogs increased the albumin excretion in the first 30 min after exercise from 0.03 to 0.22 mg X min-1 and the lysozyme excretion in the same period from 0.11 to 0.75 micrograms X min-1. Swimming in intact dogs caused smaller increase in the lysozyme and albumin excretions during the exercise period itself as well as in the albumin excretion in the first 30 min after exercise. Running had no effect on urinary albumin or lysozyme but increased the low molecular weight protein fraction in the splenectomized dogs. Plasma lactate concentrations were higher during swimming in the splenectomized dogs than in the intact dogs. Possible mechanisms of post-exercise proteinuria are discussed.
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PMID:Proteinuria in intact and splenectomized dogs after running and swimming. 651 Nov 48

Mice with normal urine were given daily injections of human serum albumin for 7 days. Blood and urine samples were obtained at regular intervals during the first 24 h and daily throughout the injection period, and for 6 days after the injections had been stopped. Control mice which received saline injections were studied in a similar fashion. Albumin-injected mice developed peak urinary total protein concentrations and peak incidence of high and medium mol. wt proteinuria after the third daily injection. Despite the fact that plasma total protein and plasma albumin concentrations remained elevated, both the total urinary protein and the incidence of large proteins fell after the third day. Saline-injected mice did not show unusual changes in the range of total urinary protein, but over the first 3 days a small percentage developed proteinuria. Explanations for the observed changes were sought on the basis that glomerular basement membranes are thixotropic gels and are therefore pressure-dependent. It was concluded that the changes in urinary proteins could be due to the effects of combinations of the following factors: (a) the existence of an auto-regulatory mechanism which by stimulating afferent arteriolar constriction reduced glomerular pressure; (b) the reduction of the protein content of a proteinaceous filtrate because of protein absorption by glomerular epithelial cells; and (c) as both saline-injected and albumin-injected mice developed proteinuria during the first 3 days, it is speculated that volume expansion also contributed to the proteinuria, through its effects at the level of efferent arterioles.
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PMID:The implications of the changes in the nature of the urinary proteins which occur in albumin overload-induced proteinuria in normal mice. 683 64

Albumin was measured by dipstick tests and immunologically in 24-h and early morning urine (EMU) samples collected from 20 subjects during a high-altitude trek. Each was given acetazolamide (Diamox sustets) or placebo as part of a double-blind trial on the prophylactic use of acetazolamide in acute mountain sickness (AMS). At the highest altitudes, albuminuria was six times greater in those on placebo (p less than 0.001) and was related to the clinical features of AMS (p less than 0.01) and arterial oxygen tension (p less than 0.001). Urine dipsticks tests for proteinuria were also an index of AMS, but were inaccurate. The proteinuria is probably due to renal hypoxia, which causes increased glomerular permeability, reduced tubular readsorption, or both. The reduction in the clinical features of AMS achieved with acetazolamide therapy is also associate with improved renal function.
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PMID:The effect of acetazolamide on the proteinuria of altitude. 703 15

We describe a new application of high-performance aqueous gel permeation chromatography for the analysis of human proteinuria. Separations of urinary proteins from normal subjects and patients with renal impairment were performed with TSK G 3000 SW columns. The effects of pH and ionic strength of the eluent on the separation of urinary proteins were investigated. Albumins were selectively separated from urine by affinity chromatography on Blue Sepharose CL-6B. According to the results of clinical investigations, urinary protein pattern derived from gel permeation chromatography revealed a good prediction of the site of renal involvement. Predominant excretion of proteins with lower molecular weight than albumin correlated with tubular damage. Albumin and higher molecular weight protein patterns wer associated with glomerular disease. Absorbance measurements of the eluent at 280 nm were used for quantitative determination of total urinary protein. Gel permeation chromatography was compared to sodium dodecyl sulfate-polyacrylamide gel electrophoresis and the resulting protein patterns are in good agreement.
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PMID:Urinary protein profiling by high-performance gel permeation chromatography. 710 67


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