[Estimation of podocyte dysfunction by nephrinuria severity in proteinuric forms of chronic glomerulonephritis].

Abstract:

AIM:To evaluate severity of nephrinuria (NU) as a marker of podocyte dysfunction (PD) in patients with proteinuric forms of chronic glomerulonephritis (CGN) and to specify efficacy of this test for assessment of activity and prognosis of CGN. MATERIAL AND METHODS:We examined 74 CGN patients: 18 with inactive nephritis (group 1), 18--with subnephrotic proteinuria (group 2), 38--with nephrotic syndrome--NS (group 3). The control group consisted of 10 healthy subjects. Urinary excretion of nephrin was studied with indirect enzyme immunoassay. A response to immunosuppressive treatment (IST) was studied in 23 NS patients depending on a baseline NU level. RESULTS:An NU level was higher in patients with proteinuric forms of CGN (groups 2 and 3) than in inactive disease and in healthy subjects, in NS patients significantly higher than in less severe proteinuria. NU was significantly higher in arterial hypertension, in persistent NS. Remission of NS was achieved within 6 months of treatment in 9 of 11 (82%) patients with a baseline NU level < 17 ng/ml. Eight from 12 (67%) patients with high NU did not respond to IST conducted for 9 months to 2 years. ROC-curve construction showed that NU assessment in NS patients has high informative value in assessment of prognosis and efficacy of treatment in 6 months to come. CONCLUSION:The NU test in CGN patients is an informative diagnostic test allowing prognosis of a response to IST and assessment of PD severity.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Chebotareva NV,Bobkova IN,Kozlovskaia LV,Tsopanova ZG

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

18-23

issue

6

eissn

0040-3660

issn

2309-5342

journal_volume

83

pub_type

杂志文章
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  • [Dynamics of the basal gastrin concentration of duodenal ulcer patients during the development of remission of the disease].

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  • [Hyperhomocysteinemia and acute phase proteins in various forms of ischemic heart disease].

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  • [A clinical course of coronary heart disease after pacemaker implantation and optimization of the pacing regime].

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  • [Impact of cardiac resynchronization therapy on survival in patients with ischemic and nonischemic cardiomyopathy in clinical practice].

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  • [Endothelial vasomotor dysfunction in some forms of systemic vasculitis].

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  • [Humoral regulators of erythropoiesis during the body's adaptation to chronic respiratory insufficiency].

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    更新日期:1986-01-01 00:00:00

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  • [The survival and sequestration of transfused donor platelets in cytostatic cytopenias].

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  • [The characteristics of the prevention of HB viral infection in hemodialysis units].

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