Abstract
A novel immunoassays for Uristatin (Uri) was used for testing in patients glomerular nephritis (GN) by using of an extensive clinical data and urine sample bank from previous studies (nā=ā6292 patients). Proteinuira or hematuria was found in 1407 of 6292 patients and used an indicator for potential cases needing glomerular nephritis follow up. Of these, 351 patients had asymptomatic GN without infection or Uri. The remaining 1194 patients had potential infections based on symptoms of urinary tract infection, systemic infections, and/or a positive Uri value >12 mg/L. Urine culture and CBC were used to characterize 419 patients as actually having infections. Those remaining were sorted according to Uri value as 198 cases of symptomatic GN with anti-inflammatory stress (Uri >12 mg/L) and 533 cases without this stress (Uri <12 mg/L). The Uri method allowed sorting atypical anti-inflammatory stress patient in glomerular nephritis.
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References
Barnett BJ, Stephens DS (1997) Urinary tract Infection: an overview. Am J Med Sci 314:245ā249
Bonventre JV, Weinberg JM (2003) Recent advances in the pathophysiology of ischemic acute renal failure. J Am Soc Nephrol 14(8):2199ā2210
Cameron JS (2003) Focal segmental glomerulosclerosis in adults. Nephrol Dial Transplant 18(Suppl 6):45ā51
Cochrane CG, Unanue ER, Dixon FJ (1965) A role of polymorphonuclear leukocyte and complement in nephrotoxic nephritis. J Exp Med 122:99ā116
Coelho AM, Ossovskaya V, Bunnett NW (2003) Proteinase-activated receptor-2: physiological and pathophysiological roles. Curr Med Chem Cardiovasc Hematol Agents 1:61ā72
Couser WG (1998) Pathogenesis of glomerular damage in glomerulonephritis. Nephrol Dial Transplant 13(Suppl 1):10ā15
Donath MY et al (2013) Inflammation in obesity and diabetes: islet dysfunction and therapeutic opportunity. Cell Metab 17(6):860ā872
Eguchi Y (2003) DIC-induced organ failure. Igaku Ayumi 206:19ā22
Freeman JA, Beeler MF (1983) Laboratory medicine/urinalysis medical microscopy, 2nd edn. Lea & Febiger, Philadelphia, pp 553ā555, 81ā110
Hatano M (1984) Clinical studies on primary glomerular disease. Jpn J Med 23(3):264ā267
Hooton TN, Stamm WE (1997) Diagnosis and treatment of uncomplicated urinary tract infection. Urinary Tract Infect 1:551ā581
Jortani SA et al (2004) A sensitive non-invasive marker for diagnosis of infection and inflammation. J Clin Lab Anal 18:289ā295
Kobayashi H et al (2000) Identity of urinary trypsin inhibitor-binding protein to link protein. J Biol Chem 275:21185ā21191
Koizumi R, Kanai H, Maezawa A, Kanda T, Nojima Y, Naruse T (2000) Therapeutic effects of ulinastatin on experimental crescentic glomerulonephritis in rats. Nephron 84:347ā353
Kuwajima S et al (1989) Urinary trypsin inhibitor and its clinical usefulness for diagnosis of acute phase reactant and renal disease. Ensho 9:175ā182
Kuwajima S et al (1992) Automated measurement of urinary trypsin inhibitor, an acute phase reactant in urine. International Congress Series. Prog Clin Biochem 991:317ā320
Larkin JG, Frier BM, Ireland JT (1985) Diabetes mellitus and infection. Postgrad Med J 61(713):233ā237
McCluskey RT (1970) Evidence for immunologic mechanisms in several forms of human glomerular diseases. Bull N Y Acad Med 46(10):769ā788
Mizon C et al (2002) Urinary bikunin determination provides insight into proteinase/proteinase inhibitor imbalance in patients with inflammatory diseases. Clin Chem Lab Med 40:579ā586
Murakami M (1988) Effect of protease inhibitors on endotoxin-induced disseminated intravascular coagulation in rats. Kyoto Ika Daigaku Zasshi 97:1155ā1165
Nakakuki M, Yamasaki F, Shinkawa T et al (1996) Protective effect of human ulinastatin against gentamicin-induced acute renal failure in rats. Can J Physiol Pharmacol 74:104ā111
Nakatani K, Takeshita S, Tsujimoto H, Kawamura Y, Sekine I (2001) Inhibitory effect of serine protease inhibitors on neutrophil-mediated endothelial cell injury. J Leukoc Biol 69:241ā247
Onbe T, Makino H, Haramoto T et al (1991) Effect of protease inhibitor on primary glomerulonephritis and the mechanism of the effect. Nihon Jinzo Gakkai Shi 33:753ā759
Park CW (2004) Diabetic kidney disease: from epidemiology to clinical perspectives. Diabetes Metab J 38(4):252ā260
Pickering MC et al (2013) C3 glomerulopathy: consensus report. Kidney Int 84(6):1079ā1089
Pugia MJ, Lott JA (2005) Pathophysiology and diagnostic value of urinary trypsin inhibitors (review article). Clin Chem Lab Med 43:1ā16
Pugia MJ et al (1999) Screening school children for albuminuria, proteinuria and occult blood with dipsticks. Clin Chem Lab Med 37:49ā57
Pugia MJ et al (2000) Screening for kidney disorders in school aged children with urine reagent strips. Clin Chem Lab Med 38:975ā982
Pugia MJ et al (2002) Clinical utility of a rapid test for uristatin. Clin Biochem 35:105ā110
Pugia MJ et al (2004) The uristatin dipstick is useful in distinguishing upper respiratory from urinary tract infections. Clin Chim Acta 341:73ā81
Pugia MJ et al (2007a) Immunological evaluation of urinary trypsin inhibitors in blood and urine: Role of N- & O-linked glycoproteins. Glycoconjugate J 24(1):5ā15
Pugia MJ, Valdes R, Jortani SA (2007b) Chapter on urinary trypsin inhibitors: structure, biological relevance and measurement. In: G Makowski (ed) Advances in clinical chemistry, vol 44. Elsevier, Morristown, NJ, USA, ISBN-10: 0-12-373704-4
Saint S, Scholes D, Fihn SD, Farrell RG, Stamm WE (1991) The effectiveness of a clinical practice guideline for the management of presumed uncomplicated urinary tract infection in women. Am J Med 106:635ā641
Schumann GB (1996) Comparing slide systems for microscopic analysis. Lab Med 27:1ā5
Takahashi M, Sawaguchi T, Sawaguchi A, Suzuki T (2001) The cytoprotective effect of protease inhibitor on programmed cell death of endothelial cell. Tokyo Joshi Ika Daigaku Zasshi 71:669ā678
Takemura T et al (1994) A clinical study of urinary trypsin inhibitor, an acute phase reactant in urine, in acute pediatric infectious diseases. J Inflamm 14:53ā57
Trefz G et al (1991) Establishment of an enzyme-linked immunosorbent assay for urinary trypsin inhibitor by using a monoclonal antibody. J Immunoassay 12:347ā369
Tull SP et al (2012) PR3 and elastase alter PAR1 signaling and trigger vWF release via a calcium-independent mechanism from glomerular endothelial cells. PLoS One 7(8):e43916
Vesey DA et al (2013) PAR2-induced inflammatory responses in human kidney tubular epithelial cells. Am J Physiol Renal Physiol 304(6):F737āF750
Yamaguchi Y, Ohshiro H, Nagao Y, Odawara K, Okabe K, Hidaka H et al (2000) Urinary trypsin inhibitor reduces C-X-C chemokine production in rat liver ischemia/reperfusion. J Surg Res 94:107ā115
Yoshida M, Honma S (2014) Regeneration of injured renal tubules. J Pharmacol Sci 124(2):117ā122
Acknowledgements
We would like to thank Ronald Sommer, Dr Hai-Hang Kuo, and Dr. Manju Basu for their many hours of effort in performing uristatin ELISA testing. We would also like to thank, Dr. Roland Valdes, Mr. Glen Renfrew, Dr. Darryl L. Gopual, Dr. John Lott and Dr. Chris Price for their helpful guidance to build this patient sample bank, with helpful advice over many years and the various studies.
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Jortani, S.A., Pugia, M. (2015). Uristatin Immunoassay Usage in Glomerular Nephritis Assessment. In: Pugia, M. (eds) Inflammatory Pathways in Diabetes. Progress in Inflammation Research. Springer, Cham. https://doi.org/10.1007/978-3-319-21927-1_7
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DOI: https://doi.org/10.1007/978-3-319-21927-1_7
Publisher Name: Springer, Cham
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