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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1994-8-1
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pubmed:abstractText |
Urinary enzymes N-acetyl-beta-D-glucosaminidase (NAG) and gamma-glutamyl transpeptidase (gamma-GT) are sensitive markers of specific renal cell damage. Excessive urinary amino acid excretion may also be an indicator of renal tubular damage. We have evaluated urinary excretion of NAG, gamma-GT and 37 amino acids, phospholipids and dipeptides in 30 children (aged 2.3-18.1 years) with nephrotic syndrome (NS), 23 with minimal change nephrotic syndrome (MCNS), 7 with focal segmental glomerulosclerosis (FSGS) and 16 healthy age-matched controls. Nine MCNS patients were in relapse and 14 in remission. Enzyme activity is expressed as micromoles per milligram urinary creatinine. In FSGS, NAG excretion correlated with the following: blood urea nitrogen (BUN) (r = 0.8), serum protein (r = 0.57), serum cholesterol (r = 0.85), serum albumin (r = -0.68) and proteinuria (r = 0.56). In FSGS the gamma-GT excretion was not significantly different from MCNS in remission or in relapse. In FSGS, gamma-GT excretion correlated with the following: BUN (r = 0.48), serum creatinine (r = -0.66), serum protein (r = -0.54), serum albumin (r = -0.68) and serum cholesterol (r = 0.87). Compared with controls, the urinary excretion of 5 amino acids was increased in FSGS patients as a possible indicator of tubular damage. The value for 7 amino acids was reduced in MCNS patients. Urinary amino acid excretion was not different from controls for the other amino acids in either FSGS or MCNS.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0931-041X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
142-7
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:7912541-Acetylglucosaminidase,
pubmed-meshheading:7912541-Adolescent,
pubmed-meshheading:7912541-Amino Acids,
pubmed-meshheading:7912541-Child,
pubmed-meshheading:7912541-Child, Preschool,
pubmed-meshheading:7912541-Chromatography, High Pressure Liquid,
pubmed-meshheading:7912541-Clinical Enzyme Tests,
pubmed-meshheading:7912541-Creatinine,
pubmed-meshheading:7912541-Diagnosis, Differential,
pubmed-meshheading:7912541-Female,
pubmed-meshheading:7912541-Glomerulosclerosis, Focal Segmental,
pubmed-meshheading:7912541-Humans,
pubmed-meshheading:7912541-Male,
pubmed-meshheading:7912541-Nephrotic Syndrome,
pubmed-meshheading:7912541-gamma-Glutamyltransferase
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pubmed:year |
1994
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pubmed:articleTitle |
The differential diagnostic value of urinary enzyme and amino acid excretion in children with nephrotic syndrome.
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pubmed:affiliation |
USSR Research Institute of Pediatrics, Moscow, Russia.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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