Review Article

Significance of Urinary Proteome Pattern in Renal Allograft Recipients

Table 2

Patterns of urinary proteome in different renal allograft dysfunctions.

Graft dysfunctionNature of proteomesSources Urinary proteome patterns
(molecular weight (Da))

1Normal native kidneySpill over proteomes.Renal cells.Peak at 9754.
Increased frequency at 1668, 1817, 1687, 1782, 1882, and 2154.

2Normal renal allograftBeta-2 μ-globulin, human defensin, and so forth.Passenger cells and spill over proteomes.Enhancement at 3370, 3441, 3385, 4303, 4309, 4449, 5090, 4139, 5627, 5563, 5459, 10350, and 11732 (beta-2 μ-globulin).

3Acute graft rejectionAdhesion molecules, cytokines, perforin, granzyme, and activation of complement cascade and coagulation cascade peptides and their degradation products.APC, B and T-lymphocytes, NK cells, macrophages, and so forth.Enhancement at 2003, 2807, 4756, 5872, 6990, and 19018, 25665.

4Acute tubular necrosisNGAL, KIM-1, and NaHE-3.Tubular epithelial cells.Enhancement at 5500–7500 range and at 6400, 28500, 33000, 4300, and 66000.

5UTI2327, 5065, 3485, 16356, 4825, and 6647.

6CNI toxicity Downregulation of extracellular matrix/cell adhesion components and the
upregulation of secreted cyclophilin A and cyclophilin B, macrophage inhibition
factor and phosphatidyl-ethanolamine-binding protein-1, and so forth.

7CAARClusters in MS regions, which are not seen in healthy urine protein profile.EMT cells and Lymphocytes.2628 to 2922, 4307 to 4799, and 8303 to 8850.

8IFTAEMT cells and Fibroblasts.Significant underexpressed features in the range of 2850 to 3050 from that of CAAR.

Da: Dalton, CNI: calcineurin inhibitor, CAAR: chronic antibody associated rejection with C4d deposits, IFTA: interstitial nephritis tubular atrophy NGAL: neutrophil-gelatinase-associated-ligand, KIM-1: kidney-injury-molecule-1, NaHE-3: sodium-transporter-at-apical-membrane, APC: antigen-presenting cell, MS: mass spectrometry, and EMT: epithelial-to-mesenchymal transformation.