Abstract
UrinaryΒ 2-microglobulin (MG) was determined in 99 elderly people above 50 years of age from an area with no known cadmium pollution. With advancing age, the urinary MG increased as well as the urinary protein, urinary retinol-binding protein (RBP), and plasma urea nitrogen. Nevertheless, age effects were not observed in renal functions such as creatinine clearance or tubular reabsorption of phosphorus. Analysis of the relationship between urinary MG and parameters of the renal functions suggested 2-step increases in urinary MG: a slight increase between 160 and 1600Μg/L and a remarkable increase above 1600Μg/L. The latter strong increase in urinary MG was closely related with depressed tubular reabsorption of MG, but was independent of tubular reabsorption of phosphorus. The screening level of urinary MG for renal tubular dysfunction is suggested at 1600Μg/L.
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Bernard, A. M., and R. R. Lauwerys: Retinol binding protein in urine: A more practical index than urinaryΒ 2-microglobulin for the routine screening of renal tubular function. Clin. Chem.27, 1781 (1981).
Bonsnes, R. W., and H. H. Taussky: On the colorimetric determination of creatinine by the Jaffe reaction. J. Biol. Chem.158, 581 (1945).
Crocker, C. L.: Rapid determination of urea nitrogen in serum or plasma without deproteinization. Am. J. Med. Technol.33, 361 (1967).
Fiske, C. H., and Y. Subbarow: The colorimetric determination of phosphorus. J. Biol. Chem.66, 376 (1925).
Kjellström, T., K. Shiroishi, and P.-E. Evrin: UrinaryΒ 2-microglobulin excretion among people exposed to cadmium in the general environment. An epidemiological study in cooperation between Japan and Sweden. Environ. Res.13, 318 (1977).
Koizumi, N., T. Tsukamoto, and K. Sumino: Influence of ageing on excretion ofΒ 2-microglobulin in urine from inhabitants in cadmium-contaminated area. Jap. J. Publ. Health26, 37 (1979).
Nomiyama, K.: Early detection of chronic cadmium poisoning. Jap. Med. J.2587, 132 (1973).
Nomiyama, K., H. Nomiyama, M. Yotoriyama, and K. Matsui: Sodium dodecyl sulfate acrylamide gel electrophoretic studies on low-molecular-weight proteinuria, an early sign of cadmium health effects, in rabbits. Ind. Health20, 11 (1982).
Nomiyama, K., M. Yotoriyama, and H. Nomiyama: Dose-effect relationship between cadmium andΒ 2-microglobulin in urine of inhabitants in cadmium-polluted areas (Japan). Arch. Environ. Contam. Toxicol.12, 147 (1983).
Piscator, M.: Proteinuria in chronic cadmium poisoning. 2. The applicability of quantitative and qualitative methods of protein determination of cadmium proteinuria. Arch. Environ. Health5, 325 (1962).
Takeuchi, J.: Cadmium-induced health effects survey in Akita, Gunma, Ishikawa, Hyogo and Nagasaki prefectures. Kankyo Hoken Report44, 81 (1978).
Tsuchiya, K. (ed.): Cadmium studies in Japan, a review. Tokyo-Amsterdam: Kodansha-Elsevier (1978).
Tsuchiya, K., S. Iwao, M. Sugita, and H. Sakurai: Increased urinaryΒ 2-microglobulin in cadmium exposure: Dose-effect relationship and biological significance ofΒ 2-microglobulin. Environ. Health Perspect.28, 147 (1979).
Wibell L., P.-E. Evrin, and I. Berggård: SerumΒ 2-microglobulin in renal disease. Nephron10, 320 (1973).
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Nomiyama, K., Yotoriyama, M. & Nomiyama, H. Urinaryβ 2-microglobulin and renal functions in elderly people in an area with no known cadmium pollution (Japan). Arch. Environ. Contam. Toxicol. 12, 143–146 (1983). https://doi.org/10.1007/BF01059572
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DOI: https://doi.org/10.1007/BF01059572