Stress tolerance test and SDS-PAGE for the analysis of urinary proteins in children and youths.
Excretion of urinary proteins (UP) is an important marker for the evaluation of patients with progressive renal disease. In order to analyze quantitative and qualitative variability of UP in relation to physical activity, we used standardized stress tolerance test and SDS-PAGE. Five urine samples were obtained from each patient at rest, during ordinary daily activity and after physical stress. Determination of total proteins was performed using Meulman's classic method with sulfosalicylic acid. UP were separated by ultrathin horizontal gradient SDS-PAGE according to Görg. There were 142 patients; 40 with poststreptococcal glomerulonephritis (PSGN), 11 with diabetes mellitus, 16 with chronic pyelonephritis and 75 who attended for investigation of asymptomatic proteinuria. Functional proteinuria was established in 42 subjects, who displayed maximal UP excretion during stress and the presence of apolipoprotein AI on SDS-PAGE. Children with PSGN showed no significant increase of UP during stress. Some children with diabetes mellitus (27%) and chronic pyelonephritis (47%) displayed microproteinuria or overt proteinuria after stress. Quantitative and qualitative changes in total UP excretion can be detected by stress tolerance test and SDS-PAGE. It remains to be seen whether stress tolerance test can identify children and youths who are at higher risk for disease progression.
Tasic
V
V
University Children's Hospital, Medical School, Skopje, Macedonia. vtasic@freemail.org.mk
Korneti
P
P
Gucev
Z
Z
Korneti
B
B
D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000652:urine; D004591:Electrophoresis, Polyacrylamide Gel; D015444:Exercise / Q000502:physiology; D005260:Female; D005921:Glomerulonephritis / Q000209:etiology / Q000652:urine; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000652:urine; D008297:Male; D011507:Proteinuria / Q000652:urine*; D011704:Pyelonephritis / Q000652:urine; D013290:Streptococcal Infections / Q000150:complications; D013312:Stress, Physiological / Q000652:urine*; D014556:Urine / Q000737:chemistry