ITO, S., USAMI, A., YAMAZAKI, M, and SHIBATA, A.
A Radioimmunometric Assay for Urinary α2-Macroglobulin. Tohoku J. Exp. Med., 1995,
176 (3), 137-147-To measure urinary α
2-macroglobulin levels, a sensitive radioimmunometric assay was established. The least detectable level of this assay was 225pg/ml. A linear correlation between α
2-macroglobulin levels and serial dilution of urine samples was found. Western blot analysis and study on column chromatography revealed that the molecular weight of α
2-macroglobulin in urine was identical to that of serum α
2-macroglobulin. The findings suggested that urinary substance detected by the present assay was truly α
2-macroglobulin. Timed overnight urine samples from 49 diabetic patients with retinopathy and 20 healthy controls were measured by the present assay. Patients were classified as Albustix-negative and Albustix-positive patients. The highest urinary α
2-macroglobulin excretion rates (α
2-MER) was found in Albustix-positive patients followed by Albustix-negative patients and the healthy controls. In view of the fact that the stroke radius of α
2-macroglobulin (88Å) is larger than that of the restrictive pore (56Å), the present finding suggests that leakage of α
2-macroglobulin in urine may be induced by defect of non-discriminatory pores in the glomerular basement membrane proposed by Deen and colleagues.
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