Urine Specific Proteins and Alpha-1 Antitrypsin Concentrations to Assess the Severity of Lupus Nephritis

Background. Current biomarkers for evaluating disease activity or severity in lupus nephritis (LN) are considered to be unsatisfactory. Pathological changes in glomerular basement membrane and selectivity of electrical discharge are causing specific patterns of urine proteins excretion. Together wit...

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Main Authors: Hani Susianti, Wisnu Barlianto, Dian Sukma Hanggara, Kusworini Handono, Purwanto Adipireno, Lisyani Suromo
Format: Article
Language:English
Published: University of Brawijaya 2017-07-01
Series:Research Journal of Life Science
Subjects:
Online Access:http://rjls.ub.ac.id/index.php/rjls/article/view/145
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author Hani Susianti
Wisnu Barlianto
Dian Sukma Hanggara
Kusworini Handono
Purwanto Adipireno
Lisyani Suromo
author_facet Hani Susianti
Wisnu Barlianto
Dian Sukma Hanggara
Kusworini Handono
Purwanto Adipireno
Lisyani Suromo
author_sort Hani Susianti
collection DOAJ
description Background. Current biomarkers for evaluating disease activity or severity in lupus nephritis (LN) are considered to be unsatisfactory. Pathological changes in glomerular basement membrane and selectivity of electrical discharge are causing specific patterns of urine proteins excretion. Together with alpha-1 antitrypsin (AAT), they are expected to become new biomarkers to assess LN activity. Method. Seventy-one urine samples were collected from healthy controls and LN patients. Patterns of urine specific proteins were determined using column chromatography and SDS-PAGE tests, LN activity was calculated using SLEDAI-renal domain score, and AAT concentrations was measured by ELISA. Result. The majority of proteins in the control group have molecular weights of >66 kDa (88%) and 21- to 25-kDa proteins were observed only in the case group. The p values for differences in urine AAT concentration between active LN and healthy controls, inactive LN and healthy controls, and active LN and inactive LN were 0.004, 0.046, and 0.054, respectively, whereas those for urine AAT/creatinine ratio were 0.489, 0.019, and 0.915, respectively. Conclusion: There were differences in the patterns of the molecular weight of proteins and urine AAT concentrations between case group and control group. However, no such differences were identified between active and inactive LN.
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spelling doaj.art-fb41402617554cabac3e570f5118ae5c2022-12-21T18:57:50ZengUniversity of BrawijayaResearch Journal of Life Science2355-99262017-07-0141414910.21776/ub.rjls.2017.004.01.677Urine Specific Proteins and Alpha-1 Antitrypsin Concentrations to Assess the Severity of Lupus NephritisHani Susianti0Wisnu Barlianto1Dian Sukma Hanggara2Kusworini Handono3Purwanto Adipireno4Lisyani SuromoDepartment of Clinical Pathology, Faculty of Medicine Brawijaya University/Dr. Saiful Anwar General Hospital, Malang, East Java, IndonesiaDepartment of Pediatrics, Faculty of Medicine Brawijaya University/Dr. Saiful Anwar General Hospital MalangDepartment of Clinical Pathology, Faculty of Medicine Brawijaya University/Dr. Saiful Anwar General Hospital, Malang, East Java, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine Brawijaya University/Dr. Saiful Anwar General Hospital, Malang, East Java, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine Diponegoro University/Dr. Kariadi General Hospital SemarangBackground. Current biomarkers for evaluating disease activity or severity in lupus nephritis (LN) are considered to be unsatisfactory. Pathological changes in glomerular basement membrane and selectivity of electrical discharge are causing specific patterns of urine proteins excretion. Together with alpha-1 antitrypsin (AAT), they are expected to become new biomarkers to assess LN activity. Method. Seventy-one urine samples were collected from healthy controls and LN patients. Patterns of urine specific proteins were determined using column chromatography and SDS-PAGE tests, LN activity was calculated using SLEDAI-renal domain score, and AAT concentrations was measured by ELISA. Result. The majority of proteins in the control group have molecular weights of >66 kDa (88%) and 21- to 25-kDa proteins were observed only in the case group. The p values for differences in urine AAT concentration between active LN and healthy controls, inactive LN and healthy controls, and active LN and inactive LN were 0.004, 0.046, and 0.054, respectively, whereas those for urine AAT/creatinine ratio were 0.489, 0.019, and 0.915, respectively. Conclusion: There were differences in the patterns of the molecular weight of proteins and urine AAT concentrations between case group and control group. However, no such differences were identified between active and inactive LN.http://rjls.ub.ac.id/index.php/rjls/article/view/145Lupus nephritis activityPatterns of urine specific proteinsUrine alpha-1 antitrypsin
spellingShingle Hani Susianti
Wisnu Barlianto
Dian Sukma Hanggara
Kusworini Handono
Purwanto Adipireno
Lisyani Suromo
Urine Specific Proteins and Alpha-1 Antitrypsin Concentrations to Assess the Severity of Lupus Nephritis
Research Journal of Life Science
Lupus nephritis activity
Patterns of urine specific proteins
Urine alpha-1 antitrypsin
title Urine Specific Proteins and Alpha-1 Antitrypsin Concentrations to Assess the Severity of Lupus Nephritis
title_full Urine Specific Proteins and Alpha-1 Antitrypsin Concentrations to Assess the Severity of Lupus Nephritis
title_fullStr Urine Specific Proteins and Alpha-1 Antitrypsin Concentrations to Assess the Severity of Lupus Nephritis
title_full_unstemmed Urine Specific Proteins and Alpha-1 Antitrypsin Concentrations to Assess the Severity of Lupus Nephritis
title_short Urine Specific Proteins and Alpha-1 Antitrypsin Concentrations to Assess the Severity of Lupus Nephritis
title_sort urine specific proteins and alpha 1 antitrypsin concentrations to assess the severity of lupus nephritis
topic Lupus nephritis activity
Patterns of urine specific proteins
Urine alpha-1 antitrypsin
url http://rjls.ub.ac.id/index.php/rjls/article/view/145
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