Clinical Study

High (≥6.5) Spontaneous and Persistent Urinary pH Is Protective of Renal Function at Baseline and during Disease Course in Idiopathic Membranous Nephropathy

Table 1

Comparison of baseline and follow-up urinary pH and clinical, functional, and proteinuric parameters in 85 IMN patients with pH ≥ 6.5 (N 28) or pH < 6.5 (N 57).

ParameterAll patientsPts. with pH ≥ 6.5 Pts. with pH < 6.5 value
( = 85)( = 28)( = 57)
Mean (±SD)Mean (±SD)Mean (±SD)

Baseline pH5.96 ± 0.796.91 ± 0.365.50 ± 0.47<0.0001
Follow-up pH5.92 ± 0.58 (N 66)6.44 ± 0.47 (N 23)5.65 ± 0.47 (N 43)<0.0001
Serum bicarbonate mEq/L26.8 ± 3.427.7 ± 3.826.4 ± 3.60.13
Age (years)52 ± 1752 ± 2152 ± 150.95
sCr (mg/dL)1.20 ± 0.530.99 ± 0.341.31 ± 0.570.003
eGFR (mL/min/1.73 m2)73 ± 2883 ± 2868 ± 270.03
eGFR < 60 mL/min/1.73 m2 (%)32%25%35%0.35
BP ≥140/90 mmHg (%)53%36%61%0.03
P/C ratio3731 ± 25733649 ± 22883772 ± 27210.99
FE albumin0.180 ± 0.1700.160 ± 0.1500.190 ± 0.1800.50
FE IgG0.05 ± 0.060.04 ± 0.060.05 ± 0.070.27
FE α1m-microglobulin0.420 ± 0.4100.290 ± 0.3400.480 ± 0.4400.02
NAG/C/eGFR0.30 ± 0.300.21 ± 0.230.35 ± 0.320.04

Note: significant values are in bold.