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Banibrata Mukhopadhyay Shashikant Chinchole Valentine Lobo Sishir Gang Mohan Rajapurkar 《Indian journal of clinical biochemistry : IJCB》2004,19(2):14-19
Serum creatinine does not distinguish between various causes of graft dysfunction. Serial assay of proximal tubular enzymes
N-Acetyl-D-glucosaminidase (NAG), Alanine aminopeptidase (AAP) and Gamma glutamyl transferase (GGT) in urine was done to assess
their usefulness in distinguishing various causes of graft dysfunction. Daily serum creatinine and enzymuria were measured
in 32 consecutive renal allograft recipients for first 15 postoperative days. Graft dysfunction was defined as >20% increase
in serum creatinine and >100% increase in enzymuria over the baseline. The diagnosis of graft dysfunction was based upon clinical
criteria, ultrasonography, cyclosporin trough level, allograft biopsy, response to anti-rejection therapy and alteration of
cyclosporin dosage. Fifteen episodes of graft dysfunction were identified in 15 patients. The sensitivity and specificity
of the enzymes (NAG, AAP and GGT) for predicting graft dysfunction were 87.5%, 86.9%, 88.5% and 98.2%, 98.2%, 97.9% respectively.
There was a significant increase in enzymuria during acute tubular necrosis (ATN) and acute rejection episode compared to
cyclosporin nephrotoxicity (p<0.01). Enzymuria assay provides a simple, reliable and noninvasive method to distinguish cyclosporin
nephrotoxicity from acute tubular necrosis and acute rejection in renal allograft recipients. 相似文献
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Vijay Navghare Shashikant Dhawale 《Indian journal of clinical biochemistry : IJCB》2016,31(4):380-389
Musa cavendish, peels has local and traditional use to promote wound healing, hyperglycemia, ulceration etc. The present work investigated the lipid lowering; nephroprotective and glucose lowering properties of ethanolic extract of peels of Musa cavendish (EMC) in alloxan-induced diabetic rats. The EMC 250, 500 and 1000 mg/kg/day and the vehicle were administered orally to alloxan-induced diabetic rats (n = 6) for 3 weeks. Changes in plasma glucose, lipid profile along with kidney function before and after treatment with EMC were recorded. The ethanolic extract of peels of Musa cavendish reduced blood glucose, serum triglyceride, cholesterol, LDL cholesterol and creatinine levels and improvement in body weight, liver glycogen, serum HDL cholesterol, serum albumin and total protein level when compared with untreated rats. Musa cavendish has lipid lowering, nephroprotective and antidiabetic property by regulating glucose uptake in the liver and muscles by restoring the intracellular energy balance. 相似文献
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Anand K. Pyati Basavaraj B. Devaranavadagi Sanjeev L. Sajjannar Shashikant V. Nikam Mohd. Shannawaz Satish Patil 《Indian journal of clinical biochemistry : IJCB》2016,31(4):439-445
The study aimed to investigate whether heart-type fatty acid binding protein (H-FABP) measurement provides additional diagnostic value to that of conventional cardiac markers in acute myocardial infarction (AMI) within first 6 h after the onset of symptoms. The study included 120 subjects: 60 AMI cases and 60 age and sex matched controls. The cases and controls were further divided into 2 subgroups depending on the time since onset of chest pain as (1) subjects within 3 h and (2) between 3 and 6 h of onset of chest pain. In all the cases and controls, serum H-FABP concentration was measured by Immunoturbidimetric method, serum Troponin I and myoglobin concentrations by Chemiluminescence immunoassay and serum CK-MB concentration by Immuno-inhibition method. The sensitivity, specificity, positive and negative predictive values of H-FABP were significantly greater than CK-MB and myoglobin but were lesser than Troponin I in patients with suspected AMI in both within 3 h and 3–6 h groups. Receiver operating characteristic curves demonstrated greatest diagnostic ability for Troponin I (AUC = 0.99, p < 0.001) followed by H-FABP (AUC = 0.906, p < 0.001) within 3 h and 3–6 h after the onset of chest pain. In conclusion, the diagnostic value of H-FABP is greater than CK-MB and myoglobin but slightly lesser than troponin I for the early diagnosis of AMI within first 6 h of chest pain. H-FABP can be used as an additional diagnostic tool for the early diagnosis of AMI along with troponin I. 相似文献
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Oxidative stress in Parkinson’s disease 总被引：1，自引：0，他引：1
Shashikant Nikam Padmaja Nikam S. K. Ahaley Ajit V. Sontakke 《Indian journal of clinical biochemistry : IJCB》2009,24(1):98-101
Oxidative stress contributes to the cascade, leading to dopamine cell degeneration in Parkinson’s disease. However, oxidative
stress is intimately linked to other components of the degenerative process, such as mitochondrial dysfunction, excitotoxicity,
nitric oxide toxicity and inflammation. It is therefore difficult to determine whether oxidative stress leads to or is a consequence
of, these events. Oxidative stress was assessed by estimating lipid peroxidation product in the form of thiobarbituric acid
reactive substances, nitric oxide in the form of nitrite & nitrate. Enzymatic antioxidants in the form of superoxide dismutase,
glutathione peroxidase, catalase, ceruloplasmin and non enzymatic antioxidant vitamins e.g. vitamin E and C in either serum
or plasma or erythrocyte in 40 patients of Parkinson’s disease in the age group 40–80 years. Trace elements e.g. copper, zinc
and selenium were also estimated. Plasma thiobarbituric acid reactive substances and nitric oxide levels were Significantly
high but superoxide dismutase, glutathione peroxidase, catalase, ceruloplasmin, vitamin-E, vitamin-C, copper, zinc and selenium
levels were significantly low in Parkinson’s disease when compared with control subjects. Present study showed that elevated
oxidative stress may be playing a role in dopaminergic neuronal loss in substentia nigra pars compacta and involved in pathogenesis
of the Parkinson’s disease. 相似文献
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