Review Article

Significance of Urinary Proteome Pattern in Renal Allograft Recipients

Table 1

Classification of urinary proteomes based on their molecular weight characteristics.

Urinary proteomeMolecular weight (Da)SourcesExamplesGraft abnormalities

1Smaller molecular weight1000 to 20,000Inflammatory and interstitial cell product.Interleukins, granzyme, perforin, and so forth. AR, ATN, UTI, CNI toxicity, CAAR, and IFTA.

2Low molecular weight10,000 to 33,000Tubular overflow. Alpha-1 μ-globulin, Beta-2 μ-globulin, RBP, and so forth.Physiological, UTI, and ATN.

3Middle and high molecular weight60,000 to 150,000Glomerular leak. Albumin, transferrin, and immuno-globulins.GN, TG, and mTOR induced.

Da: Dalton, AR: acute rejection, ATN: acute tubular necrosis, UTI: urinary tract infection, CNI: calcineurin inhibitor, CAAR: chronic-antibody-associated-rejection with C4d deposits, IFTA: interstitial-nephritis-tubular-atrophy, RBP: retinol binding protein, GN: glomerulonephritis, TG: transplant glomerulopathy, and mTOR: mammalian target of rapamycin.