Etiology of increased enzymuria in different morphological forms of glomerulonephritis.
BACKGROUND
High urinary excretion of lysosomal enzymes is thought to reflect tubulointerstitial damage and is observed both in the acute and chronic phases of various morphological forms of glomerulonephritis (GN). It is related to the degree of proteinuria and secondary interstitial inflammatory process. N-acetyl-beta-D-glucosaminidase (NAG) and beta-glucuronidase (beta-GR) are the most commonly used markers of tubulointerstitial injury. NAG and beta-GR are also contained in azurophilic granulations of polymorphonuclear leukocytes (PMNs) and may be released during the activation of PMNs.


OBJECTIVE
The aim of this study was to elucidate the role of PMN degranulation in causing the increase of urinary excretion of lysosomal enzymes that is observed in glomerulonephritis.


METHODS
We analyzed the urinary excretion of NAG, its B isoenzyme NAG-B, beta-GR and leukocyte elastase (EL), in 91 patients with morphologically different primary and secondary glomerulopathies, and in 12 healthy controls.


RESULTS
Excretion of NAG, NAG-B and beta-GR were statistically significantly higher in all GN patients in comparison to healthy controls. In the whole analyzed GN population significant correlations between amount of proteinuria and excretion of NAG, NAG-B and beta-GR were ascertained. In subgroup analysis NAG excretion was significantly correlated with proteinuria in patients with diffuse proliferative GN (PGN), mesangiocapillary GN (MCGN), and minimal change disease (MCD). There was a significant correlation between NAG-B and proteinuria in MCD and PGN patients. There was a significant relationship of beta-GR and EL with proteinuria and EL with NAG in the PGN group. Significant relationships between serum creatinine and excretion of EL but not NAG, NAG-B, or beta-GR were observed in the whole examined group.


CONCLUSIONS
Increased urinary excretion of elastase, with concomitant high proteinuria and NAG excretion in patients with proliferative GN may indicate that leukocyte degranulation is an additional source of enzymuria in the primary i.e. glomerular inflammatory process. Significant relationship between EL excretion and serum creatinine may indicate that EL released from PMN may also participate in the secondary i.e. interstitial injury that is decisive in the progression of GN.
Kuźniar
Jakub
J
Department of Nephrology and Transplantation Medicine, Wrocław Medical University, Wrocław, Poland. klinef@am.centrum.pl
Marchewka
Zofia
Z
Lembas-Bogaczyk
Jadwiga
J
Kuźniar
Tomasz J
TJ
Klinger
Marian
M
D000118:Acetylglucosaminidase / Q000097:blood; D000293:Adolescent; D000328:Adult; D005260:Female; D005921:Glomerulonephritis / Q000097:blood / Q000150:complications* / Q000473:pathology*; D015432:Glomerulonephritis, Membranoproliferative / Q000097:blood / Q000150:complications / Q000473:pathology; D015433:Glomerulonephritis, Membranous / Q000097:blood / Q000150:complications / Q000473:pathology; D005966:Glucuronidase / Q000097:blood; D006801:Humans; D008181:Lupus Nephritis / Q000097:blood / Q000150:complications / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011507:Proteinuria / Q000209:etiology*
D005966:Glucuronidase; D000118:Acetylglucosaminidase