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AB-Amyloidosis and Monokines
http://hdl.handle.net/10191/33462
http://hdl.handle.net/10191/33462e9bdef6a-da84-4bdf-801c-8faeb5e9b0a9
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2015-09-28 | |||||
タイトル | ||||||
タイトル | AB-Amyloidosis and Monokines | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | AB-Amyloidosis and Monokines | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
著者 |
Floege, J.
× Floege, J.× Koch, K. M.× Shaldon, S. |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | AB-amyloidosis, characterized by the presence of β_2-microglobulin in the amyloid fibrils, has become a major complication of long-term therapy in chronic hemodialysis or peritoneal dialysis patients. The pathogenesis of AB-amyloidosis is incompletely understood, but most likely is based on the uremic retention of β_2-microglobulin. In addition, posttranslational modification of the molecule also seems to be an important step in the amyloidogenesis, since in addition to intact β_2-microglobulin, fragmented β_2-microglobulin or β_2-microglobulin with altered isoelectric properties can be detected in the AB-amyloid fibrils. The occurence of these β_2-microglobulin species could be linked to a chronic intermittent stimulation of monokine release or other subclinical inflammatory processes during renal replacement therapy. Thus, it is possible that, as a consequence of repeated cellular activation, subsequent protease release and/or intracellular processing of β_2-microglobulin occurs. Renal transplantation, though effective in preventing dialysis associated amyloidosis or arresting its progress, does not help to dsistinguish between the relative importance of retention of β_2-microglobulin or inflammatory events. Retrospective studies on AB-amyloid related symptomatology in patients on chronic hemodialysis with synthetic highflux membranes have suggested a lesser prevalence in these patients as compared to patients chronically treated with standard cellulosic membranes. However, a possible benefical effect of chronic treatment with synthetic membranes also might be of multifactorial orgin. To further evaluate this issue and to test whether non-transplant therapies indeed may play a role in the prevention of AB-amyloidosis, prospective studies will be needed. Recently introduced non-invasive scanning methods, employing radiolabelled β_2-microglobulin or amyloid P component, may provide an objective, sensitive and specific basis for such studies. | |||||
書誌情報 |
Acta medica et biologica en : Acta medica et biologica 巻 39(Supplement), p. 67-73, 発行日 1991-03 |
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出版者 | ||||||
出版者 | Niigata University School of Medicine | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 05677734 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508361 | |||||
著者版フラグ | ||||||
値 | publisher |