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Table 2 Summary of the human studies

From: Nephrin – a biomarker of early glomerular injury

Authors

Journal (Year)/PMID

Study sample size

Clinical condition

Method of urine

Results

    

Nephrin assay

 

Patari et al.

Diabetes (2003)/14633858

Control = 29

Diabetic Nephropathy

Electrophoresis (Western blot)

1. Nephrinuria was present in 30% of normoalbuminuric, 17% of microalbuminuric, 28% of macroalbuminuric,

Study = 120

2. None of the control subjects was nephrinuric.

Wang et al.

Nephron Clin Pract. (2007)/17596726

Control = 9

Diabetic nephropathy

mRNA RT-PCR

1. Nephrinuria higher in patients with diabetic nephropathy compared to control.

Study = 21

2. Nephrinuria correlated with proteinuria

Ng et al.

Nephrol. Dial.Transplant (2011)/21196468

Study = 381

Diabetic nephropathy

Electrophoresis (Western blot)

1. Each Nephrin fragment was associated with a decline in eGFR

2. Nephrinuria was strongly associated with the urine albumin/creatinine ratio

3. Nephrinuria was significantly associated with lower eGFR even among normoalbuminuric patients (ACR ≤30 mg/g)

Jim et al.

PLoS ONE (2012)/22615747

Control = 12

Diabetic nephropathy

ELISA (Exocell, Philadelphia, PA)

1. Nephrinuria preceded microalbumniuria

Study = 15

2. Nephrinuria detected in all diabetic patients with micro and macroalbuminuria

3. Nephrinuria also correlated significantly with albuminuria and systolic blood pressure

4. Correlated negatively with serum albumin and eGFR

do Nascimento et al.

BMC Nephrol.(2013)/24103534

Control = 15

Diabetic Nephropathy

mRNA RT-PCR

1. Normoalbuniuric diabetics showed increased urinary nephrin compared to control group

Study = 67

2. Nephrinuria correlated with diabetic nephropathy stages

Petrica et al.

*Nephrology Dialy.Transpl (2014)/NA

Control = 11

Diabetic nephropathy

NA

1. Urine albumin creatinine ratio correlates with nephrinuria

Study = 70

2. Increased levels of urinary nephrin in normoalbuminuric and microalbuniuruc patients

Wang et al.

J Rheumatol (2007)/17985404

Control = 17

Systemic Lupus Errythematosus (SLE)

mRNA RT-PCR

1. Nephrinuria higher in patients SLE nephritis

Study = 32

2. Nephrinuria correlated with proteinuria

3. Nephrinuria level correlated with severity of SLE disease activity

Tchebotareva et al.

*Nephrology Dialy.Transpl (2012)/NA

Study = 74

Glomerulonephritis

ELISA

1. Nephrinuria correlated with proteinuria and severity of GN

2. Immunosuppressive therapy lowers nephrinuria levels

Proletov et al.

*Nephrology Dialy.Transpl (2014)/NA

Study = 71

Glomerulonephritis

ELISA

1. Nephrinuria correlated with daily proteinuria

2. Nephrinuria and proteinuria lowest excretion in patients treated with Cyclosporine.

Mehta et al.

*AJKD (2012)/NA

Control = 14

Preeclampsia

ELISA (Exocell, Philadelphia, PA)

1. Urine nephrin to creatinine ratio (UNCR) are predictive of preeclampsia in second trimester of pregnancy

Study = 67

Wang et al.

Am J Physiol Renal Physiol (2012)/22301621

Control = 8

Preeclampsia

ELISA (Exocell, Philadelphia, PA)

1. Urinary Nephrin and podocalyxin concentrations were significantly increased and highly correlated with each other in preeclampsia

Study = 26

2. Nephrin and podocalyxin were also correlated with urine protein concentrations in preeclampsia

3. Nephrin undetectable in normal pregnancy

Son et al.

Eur J Obstet Gynecol Reprod Biol. (2013)/23116596

Control = 30

Preeclampsia

ELISA (R&D Systems, Minneapolis, MN, USA)

1. Nephrin was significantly higher in women with severe pre-eclampsia

Study = 43

2. Positive correlation between urinary nephrin and urine protein level

3. Urine nephrin concentrations correlated with diastolic blood pressure and serum creatinine levels in the severe pre-eclamptic group

Jim et al.

PLoS ONE (2014)/25010746

Control = 13

Preeclampsia

ELISA (Exocell, Philadelphia, PA)

1. Alb/Cr ratio had a high specificity (96%). All three biomarkers exhibited poor positive predictive values (14–62%) but acceptable negative predictive values (89–91%).

  

Study = 78

   
  1. mRNA RT-PCR: Messenger Ribonucleic acid Real-time Polymerase Chain Reaction; ACR = Albumin creatinine ratio; *- Conference abstract.