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 2

Comparison of functional and proteinuric parameters at baseline and at the last observation in a subset of 38 IMN patients (high UpH group 11, low UpH group 27) with 5 serial measurements along 56 ± 26 months (range 24–121).

ParameterUpH ≥ 6.5 ( = 11) valueUpH < 6.5 ( = 27) value
Baseline valuesLast valuesBaseline valuesLast values
Mean (±SD)Mean (±SD)Mean (±SD)Mean (±SD)

Follow-up (months)57 ± 3051 ± 250.57
Mean follow-up pH6.32 ± 0.375.66 ± 0.430.0001
sCr (mg/dL)0.89 ± 0.331.23 ± 1.360.461.27 ± 0.542.43 ± 2.130.001
eGFR mL/min/1.73 m294 ± 3291 ± 400.8169 ± 2751 ± 34<0.0001
P/C ratio2867 ± 21172091 ± 31220.374399 ± 31153881 ± 43500.43
FE albumin0.106 ± 0.1440.165 ± 0.3280.650.179 ± 0.1370.315 ± 0.4540.35
FE IgG0.029 ± 0.0640.062 ± 0.1630.970.059 ± 0.0670.150 ± 0.2800.34
FE α1m0.195 ± 0.2120.503 ± 1.1830.970.476 ± 0.4951.663 ± 2.3000.01
NAG/C/eGFR0.157 ± 0.2280.416 ± 0.9360.700.342 ± 0.3280.791 ± 1.0880.23
ACE-inhibitors treatment (%)36%59%0.17
Steroid + cyclophosphamide treatment (%)36%37%n.s.

Note: significant values are in bold.