Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2010-4-7
pubmed:abstractText
The aim of this study was to evaluate the importance of nonalbumin-predominant proteinuria on kidney function (KF) after islet transplantation (ITx). Twenty-four-hour proteinuria and albuminuria were available in 27 recipients. KF was assessed by serum creatinine and estimated glomerular filtration rate (eGFR) was calculated by Modification of Diet in Renal Disease formula. Correlations between eGFR and albuminuria (r = -0.422, p < 0.001) were higher than with proteinuria (r = -0.223, p < 0.001; p = 0.006 for comparison between correlations). Nineteen (70%) subjects had proteinuria >or= 300 mg/24 h during the follow-up. Subjects were divided into three groups according to urinary protein excretion patterns: no proteinuria (n = 8), nonalbumin-predominant (n = 8), and albumin-predominant (n = 11) proteinuria. Proteinuria >or= 500 mg/24 h was observed only among patients with albumin-predominant proteinuria (64%; p = 0.002) and these patients had the lowest eGFR means post-ITx (no proteinuria: 84.2 +/- 16.4 vs. nonalbumin: 69.1 +/- 13.8 vs. albumin-predominant proteinuria: 65.5 +/- 16.6 ml/min/1.73 m(2), p = 0.044 for first vs. last group). In conclusion, high frequency of proteinuria was observed after ITx. However, it seems to be milder and have less impact on KF when albumin is not the major source of proteinuria. Prospective evaluation of proteinuria, including tubular function markers, should be performed to elucidate the mechanisms of kidney damage in this population.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1555-3892
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
19
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
119-25
pubmed:meshHeading
pubmed-meshheading:19878623-Adult, pubmed-meshheading:19878623-Albumins, pubmed-meshheading:19878623-Causality, pubmed-meshheading:19878623-Cells, Cultured, pubmed-meshheading:19878623-Cohort Studies, pubmed-meshheading:19878623-Creatinine, pubmed-meshheading:19878623-Diabetes Complications, pubmed-meshheading:19878623-Diabetes Mellitus, pubmed-meshheading:19878623-Female, pubmed-meshheading:19878623-Glomerular Filtration Rate, pubmed-meshheading:19878623-Humans, pubmed-meshheading:19878623-Immunosuppressive Agents, pubmed-meshheading:19878623-Islets of Langerhans Transplantation, pubmed-meshheading:19878623-Kidney Diseases, pubmed-meshheading:19878623-Kidney Function Tests, pubmed-meshheading:19878623-Kidney Tubules, pubmed-meshheading:19878623-Male, pubmed-meshheading:19878623-Middle Aged, pubmed-meshheading:19878623-Postoperative Complications, pubmed-meshheading:19878623-Proteinuria, pubmed-meshheading:19878623-Retrospective Studies, pubmed-meshheading:19878623-Risk Factors
pubmed:year
2010
pubmed:articleTitle
Nonalbumin proteinuria in islet transplant recipients.
pubmed:affiliation
Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural