1. Alanine aminopeptidase, γ-glutamyl transferase and β2-microglobulin as diagnostic markers in patients with rheumatoid arthritis
- Author
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Spasovski Dejan, Gruev Todor, Marina Nada, Calovski Jordan, Rajčevska Ljubinka, Perčinkova Snežana, Kafeđiska Irena, Cakalaroski Kočo, and Slaninka-Micevska Maja
- Subjects
alanine aminopeptidase ,γ-glutamyl transferase ,β2-microglobulin ,rheumatoid arthritis ,rheumatoid factor ,Biochemistry ,QD415-436 - Abstract
The purpose of this research is to evaluate the values of alanine aminopeptidase (AAP), γ-glutamyl transferase (γ-GT), and β2-Microglobulin in urine (β2-M), in untreated rheumatoid arthritis (RA) and to define the effect of untreated rheumatoid arthritis on the tubular function and brush border region. We used a kinetic assay for AAP, standard methods by the IFCC for γ-glutamyl transferase and MEIA for the determination of β2-Microglobulin in urine in 70 participants (35 untreated RA patients, 35 healthy individuals). From the total of 35 RA patients, 24 patients had AAP (sensitivity of the test 68.57%), 16 patients had γ-GT enzymuria (sensitivity of the test 45.71%), while the presence of β2-Microglobulin in urine was found in a very low percentage. Out of 18 RF negative patients, 14 patients are AAP positive, 10 patients were γ-GT positive, while the presence of β2-Microglobulin in urine was not detected. Among 17 RF positive RA patients, the presence of AAP was noticed in 10, the presence of γ-GT in 6 patients, while the presence of β2-Microglobulin in urine was not detected. AAP has higher sensitivity than γ-GT and β2-Microglobulin in the detection of asymptomatic renal lesions in untreated RA.
- Published
- 2008