The Podocyte Count Detected by an Improved Immunocytochemical Method has Higher Diagnostic Efficiency than Enzyme-Linked Immunosorbent Assay and Serum Cystatin C to Evaluate the Early Stage Damage of Glomerular

改良免疫细胞化学法检测足细胞计数对早期肾小球损害的诊断效能优于酶联免疫吸附试验和血清胱抑素C

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作者:Li Li, Jing Wang, Yi Li, Chao Lu, Yiqing Liu, Zhifen Zhang, Zi-E Wang, Jian Zhang, Zhiming Lu

Background

In renal diseases, earlier injury to glomerular may lead to the abscission of podocyte. The number of podocyte in urine may reflect the severity of glomerular damage. Podocalyxin (PCX) was considered as a podocyte marker. Many

Conclusions

The podocyte count detected by our improved method had higher diagnostic efficiency than ELISA and serum CysC.

Methods

In this study, we counted the numbers of podocyte in urine by our improved method and detected the PCX levels in urine by enzyme-linked immunosorbent assay (ELISA) in glomerulopathy patients and healthy controls. The serum levels of cystatin C (CysC), blood urea nitrogen (BUN), creatinine (CR), uric acid (URIC), and β2-Microglobulin (β2-MG) in all subjects were detected. Correlation analysis and diagnostic efficiencies comparisons among immuocytochemical method, ELISA, and the biochemistry index were also performed.

Results

The podocyte counts in patients were significantly higher than controls. Podocytes counts positively correlated with PCX concentrations and the serum CysC. The podocyte count had higher diagnostic efficiency than PCX concentrations detected by ELISA and serum CysC. Conclusions: The podocyte count detected by our improved method had higher diagnostic efficiency than ELISA and serum CysC.

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