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The insulin receptor. 胰岛素受体。
Pub Date : 1989-01-01 DOI: 10.3998/panc.2012.10
C. de Vries, T. V. van Haeften, T. Wieringa, E. van der Veen
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引用次数: 1
Low molecular weight proteinuria in insulin-dependent diabetes. 胰岛素依赖型糖尿病的低分子量蛋白尿。
Pub Date : 1986-05-01 DOI: 10.1042/CS068013P
J. Fletcher, R. A. Crockson, C. Mijovic, E. Cooper, A. Bradwell, A. Barnett
Although the protein leak of early diabetic nephropathy is said to be purely a glomerular lesion, there is still controversy as to the existence of a tubular component. We have, therefore, assessed the urine of insulin-dependent diabetics for tubular proteinuria as a feature of early diabetic nephropathy. The urine of 25 patients with increased albumin excretion rate was analyzed by sodium dodecyl polyacrylamide gel electrophoresis. One patient showed high molecular weight proteinuria, 2 showed low molecular weight proteinuria and 2 patients showed both low and high molecular weight proteinuria. The urine was also analyzed for 3 tubular proteins by single radial immunodiffusion. No patient showed elevated beta-2-microglobulin, but alpha-1-microglobulin (A1M) (corrected for creatinine excretion) was elevated in 3 out of 25 patients including 2 of the 4 patients with a low molecular weight pattern. One of the patients with raised A1M also had raised retinol-binding protein concentration. We conclude that, in early diabetic nephropathy, proteinuria can have a proximal tubular, as well as a glomerular, component.
虽然早期糖尿病肾病的蛋白质渗漏被认为是纯粹的肾小球病变,但对于是否存在管状成分仍存在争议。因此,我们评估了胰岛素依赖性糖尿病患者尿中的小管性蛋白尿作为早期糖尿病肾病的一个特征。对25例白蛋白排泄率增高患者的尿液进行了十二烷基聚丙烯酰胺钠凝胶电泳分析。1例表现为高分子量蛋白尿,2例表现为低分子量蛋白尿,2例表现为低、高分子量蛋白尿。采用单径向免疫扩散法检测尿中3种小管蛋白。没有患者表现出β -2微球蛋白升高,但25例患者中有3例出现α -1微球蛋白(A1M)(校正肌酐排泄)升高,包括4例低分子量模式患者中的2例。其中一名A1M升高的患者视黄醇结合蛋白浓度也升高。我们的结论是,在早期糖尿病肾病中,蛋白尿可能有近端肾小管和肾小球组成部分。
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引用次数: 11
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Diabetes research
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