51. Quantitative and qualitative evaluation of plasma and urine alpha1-microglobulin in healthy donors and patients with different haemolytic disorders and haemochromatosis.
- Author
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Nordberg J, Allhorn M, Winqvist I, Akerström B, and Olsson ML
- Subjects
- Alpha-Globulins analysis, Biomarkers blood, Biomarkers urine, Blotting, Western, Case-Control Studies, Creatinine blood, Creatinine urine, Electrophoresis, Polyacrylamide Gel, Female, Humans, Kidney Glomerulus pathology, Male, Radioimmunoassay, beta 2-Microglobulin blood, beta 2-Microglobulin urine, Alpha-Globulins urine, Hematologic Diseases diagnosis, Hemochromatosis diagnosis
- Abstract
Background: The haem-binding protein alpha(1)-microglobulin (alpha(1)m) is involved in protection against oxidative damage induced by extracellular haem/haemoglobin. A carboxy-terminally truncated form of alpha(1)m (t-alpha(1)m), formed by reactions with haemoglobin, degrades haem into a yellow-brown chromophore linked to the protein. The aim of this work was to investigate if t-alpha(1)m is present in urine from a large cohort and if urinary and plasma alpha(1)m/t-alpha(1)m concentrations are changed in patients with haemolytic disorders and haemochromatosis., Methods: Urine and blood from patients (n=20) and a control group (n=22) were investigated for alpha(1)m and t-alpha(1)m by gel electrophoresis, Western blotting and radioimmunoassay. Data were compared to clinical chemistry data and medical records., Results: Two thirds of all studied subjects displayed t-alpha(1)m in urine but the t-alpha(1)m/alpha(1)m ratio was not increased in patients. Instead, significantly elevated ratios were found in females compared to males. Patients with intravascular or extravascular haemolysis showed higher alpha(1)m, albumin and beta(2)-microglobulin/creatinine ratios in urine indicating glomerulo-tubular dysfunction., Conclusions: The demonstration of t-alpha(1)m in urine of this cohort may be of importance in quantitative clinical chemistry. Whilst impaired kidney function due to intravascular haemolysis is well-known to occur, it is an unexpected finding in a group of patients with extravascular haemolysis.
- Published
- 2007
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