Examination of Serum Amyloid A Protein in Kidney Transplant Patients : Comparison of Serum Amyloid A and C-Reactive Protein for Mani to ring the Occurrence of Renal-allograft-related Complications

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タイトル ( eng )
Examination of Serum Amyloid A Protein in Kidney Transplant Patients : Comparison of Serum Amyloid A and C-Reactive Protein for Mani to ring the Occurrence of Renal-allograft-related Complications
作成者
Fukuda Yasuhiko
Kanbe Masayuki
Sumimoto Ryo
Yoneya Taiko
Takeshita Takenori
Hoshino Shuji
Shintaku Sadanori
Dohi Kiyohiko
収録物名
Hiroshima Journal of Medical Sciences
47
2
開始ページ 63
終了ページ 67
収録物識別子
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
抄録
Serum amyloid A (SAA) is an inflammation -reactive protein, like C-reactive protein (CRP). In this study, we examined SAA levels in the sera of kidney transplant patients with acute rejection (N=12), chronic rejection (N=60) and cytomegalovirus (CMV) infection complications and compared them with serum CRP levels in terms of sensitivity and reactivity. The SAA and CRP showed almost similar kinetics in 10 patients within 2 months of kidney transplantation. However, in 2 patients SAA responded more sensitively to CMV infection and acute rejection. SAA increased significantly 10-fold relative to its baseline levels. The SAA levels also increased along with those of serum creatinine levels. Our experiments clearly showed that SAA and CRP responded sensitively to several stimuli with elevated serum levels including surgical trauma, acute allograft rejection and infection. However, the reactivity and sensitivity of SAA was clearly higher than those of CRP in patients with viral infections, on steroid therapy and undergoing chronic allograft rejection, suggesting that monitoring SAA levels provides more useful information than monitoring CRP.
著者キーワード
Serum amyloid A protein
C-reactive protein
Kidney transplantation
NDC分類
医学 [ 490 ]
言語
英語
資源タイプ 紀要論文
出版者
Hiroshima University Medical Press
発行日 1998-06
出版タイプ Version of Record(出版社版。早期公開を含む)
アクセス権 オープンアクセス
収録物識別子
[ISSN] 0018-2052
[NCID] AA00664312