Relationship between renal function and blood level of chromogranin A

Autor: C. Annichiarico, M. Norpoth, Marco Ferdeghini, Claudio Bianchi, Romano Bianchi, Carlo Donadio, Gianfranco Tramonti
Rok vydání: 2001
Předmět:
Zdroj: Renal failure. 23(3-4)
ISSN: 0886-022X
Popis: Chromogranin A (CGA) is a low MW (49,000) acidic hydrophilic protein. It is synthesized in the chromaffm granules of the neuroendocrine cells, and has been found circulating in the blood of healthy subjects. The aim of this study was to assess the relationship between serum levels of CGA and renal function. One hundred two renal patients (45 M and 57 F; age 14-76 years, mean 52) participated in the study. Glomerular filtration rate (GFR) was measured by the bladder cumulative method, using 99mTc-DTPA as a tracer. Blood CGA was determined by RIA. Plasma creatinine, beta2microglobulin (beta2m) and tumor associated trypsin inhibitor (TATI) were also determined. The reduction in renal function was associated with an increase in all of the above studied parameters. In patients with advanced renal failure (GFR20 mL/min) CGA levels increased by 22-fold as compared to the patients with normal renal function (GFR100 mL/min). The other studied parameters were also increased but to a lesser degree, e.g., TATI 14-, beta2m 8- and creatinine 5-fold. The results of this study demonstrate that renal handling of the CGA is similar to other low MW proteins, and it accumulates in the blood in renal failure.
Databáze: OpenAIRE