PMID- 16521187 OWN - NLM STAT- MEDLINE DCOM- 20060525 LR - 20190430 IS - 1007-9327 (Print) IS - 2219-2840 (Electronic) IS - 1007-9327 (Linking) VI - 12 IP - 5 DP - 2006 Feb 7 TI - Microproteinuria in patients with inflammatory bowel disease: is it associated with the disease activity or the treatment with 5-aminosalicylic acid? PG - 739-46 AB - AIM: To investigate whether microproteinuria in patients with inflammatory bowel disease (IBD) is associated with the disease activity or the treatment with 5-aminosalicylic acid (5-ASA). METHODS: We prospectively studied microproteinuria in 86 consecutive patients with IBD, 61 with ulcerative colitis (UC) and 25 with Crohn's disease (CD), before as well as 2 and 6 months after their inclusion in the study. Forty-six patients received 5-ASA for a period of 28.8 months (range 1-168 mo). Microalbuminuria (mALB) and urine levels of the renal tubular proteins beta2-microglobulin (beta2mGLB) and beta-N-acetyl-D-glucosamidase (beta-NAG) as well as the creatinine clearance were determined in a 12-h overnight urine collection. Tumor necrosis factor-alpha (TNF-alpha) serum levels were also measured. RESULTS: A total of 277 measurements (194 in UC patients and 83 in CD patients) were performed. The prevalence of abnormal microproteinuria in UC and CD patients was 12.9% and 6.0% for mALB, 22.7% and 27.7% for beta2mGLB, and 11.3% and 8.4% for beta-NAG, respectively. mALB was not associated with IBD activity. Beta2mGLB and beta-NAG urine levels were correlated to UC activity (UCAI: P<0.01; UCEI: P<0.005). mALB in UC patients and beta-NAG urine levels in CD patients were related to TNF-alpha serum levels. An association was noticed between microproteinuria and smoking habit. Treatment with 5-ASA was not correlated to the severity of microproteinuria or to the changes of creatinine clearance. CONCLUSION: Microproteinuria is mainly associated with UC and its activity but not affected by 5-ASA. FAU - Poulou, Androniki C AU - Poulou AC AD - Gastroenterology Department, Red Cross Hospital of Athens, Greece. FAU - Goumas, Konstantinos E AU - Goumas KE FAU - Dandakis, Dimitrios C AU - Dandakis DC FAU - Tyrmpas, Ioannis AU - Tyrmpas I FAU - Panagiotaki, Maria AU - Panagiotaki M FAU - Georgouli, Androniki AU - Georgouli A FAU - Soutos, Dimitrios C AU - Soutos DC FAU - Archimandritis, Athanasios AU - Archimandritis A LA - eng PT - Journal Article PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 4Q81I59GXC (Mesalamine) RN - AYI8EX34EU (Creatinine) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Colitis, Ulcerative/complications/drug therapy/urine MH - Creatinine/blood MH - Crohn Disease/complications/drug therapy/urine MH - Female MH - Humans MH - Inflammatory Bowel Diseases/*complications/*drug therapy/urine MH - Male MH - Mesalamine/*adverse effects MH - Middle Aged MH - Prospective Studies MH - Proteinuria/*etiology PMC - PMC4066124 EDAT- 2006/03/08 09:00 MHDA- 2006/05/26 09:00 PMCR- 2006/02/07 CRDT- 2006/03/08 09:00 PHST- 2006/03/08 09:00 [pubmed] PHST- 2006/05/26 09:00 [medline] PHST- 2006/03/08 09:00 [entrez] PHST- 2006/02/07 00:00 [pmc-release] AID - 10.3748/wjg.v12.i5.739 [doi] PST - ppublish SO - World J Gastroenterol. 2006 Feb 7;12(5):739-46. doi: 10.3748/wjg.v12.i5.739.