PMID- 4055989 OWN - NLM STAT- MEDLINE DCOM- 19851219 LR - 20211203 IS - 0271-9142 (Print) IS - 0271-9142 (Linking) VI - 5 IP - 5 DP - 1985 Sep TI - Urinary IgA in IgA nephropathy and Henoch-Schoenlein purpura. PG - 298-306 AB - To determine the concentrations and molecular forms of urinary IgA in IgA nephropathy and Henoch-Schoenlein purpura, we studied 29 patients with these IgA-associated renal diseases (IgAN). Control groups comprised 10 patients with other diverse renal disease and 11 healthy volunteers. Urinary IgA and IgG concentrations were higher in IgAN than in either control group and correlated positively with the serum creatinine concentration as well as the urinary protein excretion (P less than 0.01). However, IgA/IgG ratios did not differ among the three groups. Polymeric IgA (p-IgA) in the urine predominated only in normals; in IgAN and patients with other renal diseases, monomeric IgA (m-IgA) occurred almost exclusively. Serum IgA concentrations were generally normal in IgAN; four patients had concentrations greater than 500 mg/dl. Although the fraction of p-IgA in serum (median, 18%) was increased above normal (5-10%) in 13 of 16 (81%) subjects, neither the concentration of IgA or IgG nor the amount of p-IgA correlated with the serum creatinine concentration. These data suggest that the molecular form and concentration of urinary IgA are not discriminating for IgAN and are independent of these characteristics of serum IgA. FAU - Galla, J H AU - Galla JH FAU - Spotswood, M F AU - Spotswood MF FAU - Harrison, L A AU - Harrison LA FAU - Mestecky, J AU - Mestecky J LA - eng GR - AI 18745/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - Netherlands TA - J Clin Immunol JT - Journal of clinical immunology JID - 8102137 RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Child MH - Child, Preschool MH - Chromatography, Gel MH - Female MH - Glomerulonephritis, IGA/*immunology MH - Humans MH - IgA Vasculitis/*immunology MH - Immunoglobulin A/isolation & purification/*urine MH - Immunoglobulin G/isolation & purification/urine MH - Immunoglobulins/analysis MH - Male MH - Middle Aged MH - Radioimmunoassay MH - Reference Values EDAT- 1985/09/01 00:00 MHDA- 1985/09/01 00:01 CRDT- 1985/09/01 00:00 PHST- 1985/09/01 00:00 [pubmed] PHST- 1985/09/01 00:01 [medline] PHST- 1985/09/01 00:00 [entrez] AID - 10.1007/BF00918248 [doi] PST - ppublish SO - J Clin Immunol. 1985 Sep;5(5):298-306. doi: 10.1007/BF00918248.