## Abstract Increased activity of urinary N‐acetyl‐β‐D‐glucosaminidase (NAG) can be used as an early indicator of damage to the tubular epithelium. Systemic lupus erythematosus (SLE) is a multisystem autoimmune rheumatic disease. Nephritis is known as the most serious complication of SLE and the st
Urinary N-acetyl-β-D-glucosaminidase activity in lead-exposed workers
✍ Scribed by Ginji Endo; Shun'Ichi Horiguchi; Ikuko Kiyota
- Publisher
- John Wiley and Sons
- Year
- 1990
- Tongue
- English
- Weight
- 349 KB
- Volume
- 10
- Category
- Article
- ISSN
- 0260-437X
No coin nor oath required. For personal study only.
✦ Synopsis
The adverse effects of long-term exposure to lead dust on renal tubular functions were studied in 39 male and 7 female workers in a secondary lead refinery. Laboratory examinations showed low or moderate lead absorption levels. The Kacetyl-P-D-glucosaminidase (NAG) activity in urine showed significant correlation with each of the lead exposure indices. NAG activity increased remarkably in lead workers with blood lead (PbB) above 80 p.g 1OOgg'.
Blood urea nitrogen (BUN) showed significant correlation with PbB and logarithmic urine 6-amino-levulinic acid (log(ALAU)), but not with urine lead (PbU) and logarithmic urine coproporphyrin (log(CPU)).
All the other indices of renal function were almost within the normal range and showed no correlation with lead indices.
This study suggests that moderate lead absorption may cause renal tubular impairment, and NAG can be one of the most sensitive indices for estimating renal dysfunction due to lead poisoning.
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