Urinary N-Acetyl-β-D-Glucosaminidase and β2-microglobulin excretion in primary nephrotic children?


Caliskan S., Hacibekiroglu M., Sever L. , Ozbay G., Arisoy N.

Nephron, cilt.74, sa.2, ss.401-404, 1996 (SCI Expanded İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 74 Konu: 2
  • Basım Tarihi: 1996
  • Doi Numarası: 10.1159/000189442
  • Dergi Adı: Nephron
  • Sayfa Sayıları: ss.401-404

Özet

Enzymuria and low molecular weight proteinuria reflect tubular damage and dysfunction, respectively. We examined urinary N-acetyl-β-.D-glucosamini-dase (U-NAG) and β2-microglobulin (U-β2M) excretion in 17 steroid-resistant and 39 steroid-sensitive children with nephrotic syndrome whose glomerular filtration rates were within the normal range. Fourteen healthy children were taken as controls. U-NAG and U-β2M levels did not show a difference between the steroid-resistant and steroid-sensitive groups but were significantly higher in the nephrotic groups compared to the controls (p >0.0001 and p < 0.01, respectively). In the steroid-sensitive group, U-NAG levels were significantly higher in patients in the relapse phase than in those in remission (p < 0.0001). This finding was also valid for U-β2M excretion, but reached significance only for patients in remission who did not receive steroids (p < 0.01). There was a positive correlation between proteinuria and U-NAG and Uβ2M excretion in all patients (rs = 0.69, p < 0.001 and rs = 0.39, p < 0.001, respectively). In conclusion, massive glomerular proteinuria may cause a marked U-NAG excretion and a moderate urinary U-β2M elevation independent of primary renal disease. © 1996 S. Karger AG, Basel.