NAG isozyme in urine was fractionated by cellulose acetate membrane electrophoresis to the following 3 fractions in the order from the positive pole: pre A form, A form, and B form. In healthy males, they showed 12.03±5.56%, 73.15±4.77%, and 14.81±2.90%, respectively. In females, they showed 12.87±4.70%, 65.47±4.61%, and 21.70±5.03%, respectively. With respect to percentage of each fractions, pre A form showed 10% or more both in male and female healthy subjects. On the other hand, patients with glomerular diseases such as MCNS, MN, and PGN as well as CRF showed low pre A form level of 5% or less, whereas they were comparable to that of healthy subjects in total NAG activity. The A form fraction showed 72.91±9.46% in MCNS, 64.66±7.97% in MN, and 60.65±16.41%, in PGN, 60.38±5.40% in CRF, 66.58±5.51% in DM, and 68.35±5.95% in healthy subjects. Except for CRF with a significant difference (
p<0.01) from the healthy subjects, patients with other renal diseases showed no differences. The B form fraction showed 22.65±10.30% in MCNS, 31.88±9.17% in MN, 34.80±19.65% in PGN, 36.48±0.95% in CRF, 22.42±5.78% in DM, and 19.11±5.48% in healthy subjects. Any patients with renal diseases showed higher values than healthy subjects. There was no disease-specific pattern among various renal diseases. However, B form in MCNS was significantly lower than those in the other renal diseases. In 58 patients with diabetes, there was a positive relationship between urinary protein concentration and NAG with a coefficient of correlation of 0.570. With respect to each isoenzyme fractions of NAG, the coefficients of correlation were -0.544 for pre A form, 0.153 for A form, and 0.314 for B form. In renal diseases, there was a positive relationship with NAG to urinary protein excretion with a coefficient of correlation of 0.419 but no such relationship with individual isozymes.
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