Urinary microalbumin and retinol-binding protein assay for verifying children's nephron development and maturation. 1997

M J Hua, and H Y Kun, and C S Jie, and N Z Yun, and W Q De, and Z Yang
Department of Pediatrics, Kunming Medical College, Yunnan, P.R. China.

In order to further understanding of the development and maturation of the renal tubular reabsorption and glomerular permeability functions for the determination of the clinical pathological manifestation and treatment processing of renal diseases, random urine samples were collected from healthy subjects aged from birth to 60 years. All the samples were stored frozen at -70 degrees C for 4 months. The concentrations of the retinol-binding protein (RBP) and microalbumin (MALB) in urine were measured by enzyme-linked immunosorbent assay and at 492 nm with the microplate reader as a valuable marker of renal tubular and glomerular development and maturation The concentrations of RBP and MALB in urine gradually decrease with age. The level of RBP in urine is higher in children before 3 years than after 3 years (P < 0.01). The levels of MALB in urine is higher in children before 1 year of age than after 1 year (P < 0.01). Our results suggest that the development and maturation of the glomerular permeability functions and the renal tubular reabsorption are gradual and continuous processes from birth to adolescence but the key stage of their maturation may be at about 1 year and 3 years respectively: and that the rate of the tubular development may be slower than that of the glomerular development. Our results also extend existing data for normal ranges of RBP and MALB in urine from neonates to adults.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007678 Kidney Glomerulus A cluster of convoluted capillaries beginning at each nephric tubule in the kidney and held together by connective tissue. Glomerulus, Kidney
D007684 Kidney Tubules Long convoluted tubules in the nephrons. They collect filtrate from blood passing through the KIDNEY GLOMERULUS and process this filtrate into URINE. Each renal tubule consists of a BOWMAN CAPSULE; PROXIMAL KIDNEY TUBULE; LOOP OF HENLE; DISTAL KIDNEY TUBULE; and KIDNEY COLLECTING DUCT leading to the central cavity of the kidney (KIDNEY PELVIS) that connects to the URETER. Kidney Tubule,Tubule, Kidney,Tubules, Kidney
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009399 Nephrons The functional units of the kidney, consisting of the glomerulus and the attached tubule. Nephron
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D004797 Enzyme-Linked Immunosorbent Assay An immunoassay utilizing an antibody labeled with an enzyme marker such as horseradish peroxidase. While either the enzyme or the antibody is bound to an immunosorbent substrate, they both retain their biologic activity; the change in enzyme activity as a result of the enzyme-antibody-antigen reaction is proportional to the concentration of the antigen and can be measured spectrophotometrically or with the naked eye. Many variations of the method have been developed. ELISA,Assay, Enzyme-Linked Immunosorbent,Assays, Enzyme-Linked Immunosorbent,Enzyme Linked Immunosorbent Assay,Enzyme-Linked Immunosorbent Assays,Immunosorbent Assay, Enzyme-Linked,Immunosorbent Assays, Enzyme-Linked

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