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Research Article| Volume 78, ISSUE 2, P203-215, August 1971

Proteinuria and renal protein clearances in patients with renal tubular disorders

  • Martin G. Dillard
    Footnotes
    Affiliations
    From the Renal Division, Department of Medicine, Michael Reese Hospital and Medical Center, and the Department of Medicine, University of Chicago Chicago, Ill., USA

    Pritzker School of Medicine, Chicago, Ill., USA
    Search for articles by this author
  • Amadeo J. Pesce
    Footnotes
    Affiliations
    From the Renal Division, Department of Medicine, Michael Reese Hospital and Medical Center, and the Department of Medicine, University of Chicago Chicago, Ill., USA

    Pritzker School of Medicine, Chicago, Ill., USA
    Search for articles by this author
  • Victor E. Pollak
    Correspondence
    Reprint requests: Dr. Victor E. Pollak, Dept. of Medicine, Renal Division, Michael Reese Hospital, 29th and Ellis Ave., Chicago, Ill. 60616.
    Affiliations
    From the Renal Division, Department of Medicine, Michael Reese Hospital and Medical Center, and the Department of Medicine, University of Chicago Chicago, Ill., USA

    Pritzker School of Medicine, Chicago, Ill., USA
    Search for articles by this author
  • Irena Boreisha
    Affiliations
    From the Renal Division, Department of Medicine, Michael Reese Hospital and Medical Center, and the Department of Medicine, University of Chicago Chicago, Ill., USA

    Pritzker School of Medicine, Chicago, Ill., USA
    Search for articles by this author
  • Author Footnotes
    ∗ Work done during the tenure of a United States Public Health Service Special Fellowship. Present Address: Howard University, Department of Medicine, Washington, D. C.
    ∗∗ Established Investigator, American Heart Association.
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      Abstract

      The concentrations and renal clearances of 13 plasma proteins were measured in 5 patients with diseases which affect the renal tubules. Two patients with Fanconi syndrome were each studied once. Two patients with tubular necrosis and one with both tubular necrosis and intravascular coagulation were investigated, both in the early diuretic phase, and after the return of renal function to normal. There was a lack of any consistent relationship between the molecular weight of an individual protein and its relative clearance, and individual proteins of similar molecular weight appeared to be handled differently by the kidney. The urines were also analyzed by Sephadex G-75 gel filtration. Five elution peaks were obtained; the most prominent peaks were the albumin and 50,000 molecular weight peaks which contained approximately equal amounts of protein. With the exception of one urine, there was little evidence that the 50,000 molecular weight peak contained fragments of larger molecules. The character of the proteinuria in these patients differs from that described in health, after exercise, and in patients with diseases affecting the glomeruli.
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