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Recombinant versus natural human 111In-beta2-microglobulin for scintigraphic detection of Abeta2m amyloid in dialysis patients.

Identifieur interne : 003928 ( Main/Exploration ); précédent : 003927; suivant : 003929

Recombinant versus natural human 111In-beta2-microglobulin for scintigraphic detection of Abeta2m amyloid in dialysis patients.

Auteurs : RBID : pubmed:10916113

English descriptors

Abstract

We previously introduced scintigraphy with 131I-labeled beta2-microglobulin (beta2m), purified from uremic hemofiltrate, that is, "natural" beta2m, to specifically detect beta2m-associated amyloidosis (Abeta2m) in hemodialysis (HD) patients.

DOI: 10.1046/j.1523-1755.2000.00237.x
PubMed: 10916113

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Le document en format XML

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<title xml:lang="en">Recombinant versus natural human 111In-beta2-microglobulin for scintigraphic detection of Abeta2m amyloid in dialysis patients.</title>
<author>
<name sortKey="Sch Ffer, J" uniqKey="Sch Ffer J">J Schäffer</name>
<affiliation wicri:level="3">
<nlm:affiliation>Divisions of Nephrology and Nuclear Medicine, Medical School, Hannover, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Divisions of Nephrology and Nuclear Medicine, Medical School, Hannover</wicri:regionArea>
<placeName>
<region type="land" nuts="2">Basse-Saxe</region>
<settlement type="city">Hanovre</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Burchert, W" uniqKey="Burchert W">W Burchert</name>
</author>
<author>
<name sortKey="Floege, J" uniqKey="Floege J">J Floege</name>
</author>
<author>
<name sortKey="Gielow, P" uniqKey="Gielow P">P Gielow</name>
</author>
<author>
<name sortKey="Kionka, C" uniqKey="Kionka C">C Kionka</name>
</author>
<author>
<name sortKey="Linke, R P" uniqKey="Linke R">R P Linke</name>
</author>
<author>
<name sortKey="Weiss, E H" uniqKey="Weiss E">E H Weiss</name>
</author>
<author>
<name sortKey="Shaldon, S" uniqKey="Shaldon S">S Shaldon</name>
</author>
<author>
<name sortKey="Koch, K M" uniqKey="Koch K">K M Koch</name>
</author>
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<publicationStmt>
<date when="2000">2000</date>
<idno type="RBID">pubmed:10916113</idno>
<idno type="pmid">10916113</idno>
<idno type="doi">10.1046/j.1523-1755.2000.00237.x</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Amyloidosis (radionuclide imaging)</term>
<term>Female</term>
<term>Humans</term>
<term>Indium Radioisotopes (diagnostic use)</term>
<term>Kidney Failure, Chronic (radionuclide imaging)</term>
<term>Kidney Failure, Chronic (therapy)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiation Dosage</term>
<term>Radionuclide Imaging (methods)</term>
<term>Recombinant Proteins (diagnostic use)</term>
<term>Renal Dialysis</term>
<term>Sensitivity and Specificity</term>
<term>Uremia (radionuclide imaging)</term>
<term>Uremia (therapy)</term>
<term>beta 2-Microglobulin (diagnostic use)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="diagnostic use" xml:lang="en">
<term>Indium Radioisotopes</term>
<term>Recombinant Proteins</term>
<term>beta 2-Microglobulin</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Radionuclide Imaging</term>
</keywords>
<keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en">
<term>Amyloidosis</term>
<term>Kidney Failure, Chronic</term>
<term>Uremia</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Kidney Failure, Chronic</term>
<term>Uremia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiation Dosage</term>
<term>Renal Dialysis</term>
<term>Sensitivity and Specificity</term>
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<front>
<div type="abstract" xml:lang="en">We previously introduced scintigraphy with 131I-labeled beta2-microglobulin (beta2m), purified from uremic hemofiltrate, that is, "natural" beta2m, to specifically detect beta2m-associated amyloidosis (Abeta2m) in hemodialysis (HD) patients.</div>
</front>
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<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
<PMID Version="1">10916113</PMID>
<DateCreated>
<Year>2000</Year>
<Month>09</Month>
<Day>07</Day>
</DateCreated>
<DateCompleted>
<Year>2000</Year>
<Month>09</Month>
<Day>07</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0085-2538</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>58</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2000</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Kidney international</Title>
<ISOAbbreviation>Kidney Int.</ISOAbbreviation>
</Journal>
<ArticleTitle>Recombinant versus natural human 111In-beta2-microglobulin for scintigraphic detection of Abeta2m amyloid in dialysis patients.</ArticleTitle>
<Pagination>
<MedlinePgn>873-80</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We previously introduced scintigraphy with 131I-labeled beta2-microglobulin (beta2m), purified from uremic hemofiltrate, that is, "natural" beta2m, to specifically detect beta2m-associated amyloidosis (Abeta2m) in hemodialysis (HD) patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">To improve the safety and resolution of the scan, we covalently bound the chelator diethylenetriaminepentaacetic acid to natural beta2m to allow radiolabeling with 111In. In a second step, we generated and evaluated the usage of recombinant human beta2m (rhbeta2m) for scintigraphy.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Using natural 111In-labeled beta2m, eight patients on HD for 0 to 17 years, without evidence of Abeta2m, were scanned. Whole-body scintigraphy at 48 to 72 hours postinjection revealed no significant tracer accumulation over joint regions. In contrast, nine patients on HD for 10 to 21 years with clinical, radiological, or histologic (N = 4) evidence of Abeta2m showed selective tracer uptake over various joint regions. Tracer accumulation in visceral organs, which could not be related to tracer elimination or metabolism, was not detected. Compared with the previous 131I beta2m scan, scintigraphy with 111In-labeled beta2m offered highly improved image contrast, increased sensitivity, and a 50 to 70% reduction of the radiation exposure. Scanning with 111In-labeled recombinant human beta2m was performed in six patients: No significant tracer accumulation was observed over joint regions in two patients on short-term HD without evidence of Abeta2m; in contrast, local tracer accumulations similar to those observed with natural beta2m could be demonstrated in four long-term (10 to 27 years) HD patients with clinical, radiological, and histologic (N = 1) evidence of Abeta2m.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Scintigraphy for Abeta2m with 111In-labeled rhbeta2m provides a homogenous and safe recombinant protein source and leads to enhanced sensitivity and lower radiation exposure.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Schäffer</LastName>
<ForeName>J</ForeName>
<Initials>J</Initials>
<Affiliation>Divisions of Nephrology and Nuclear Medicine, Medical School, Hannover, Germany.</Affiliation>
</Author>
<Author ValidYN="Y">
<LastName>Burchert</LastName>
<ForeName>W</ForeName>
<Initials>W</Initials>
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<LastName>Floege</LastName>
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<LastName>Gielow</LastName>
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<Language>eng</Language>
<PublicationTypeList>
<PublicationType>Clinical Trial</PublicationType>
<PublicationType>Comparative Study</PublicationType>
<PublicationType>Journal Article</PublicationType>
<PublicationType>Research Support, Non-U.S. Gov't</PublicationType>
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</Article>
<MedlineJournalInfo>
<Country>UNITED STATES</Country>
<MedlineTA>Kidney Int</MedlineTA>
<NlmUniqueID>0323470</NlmUniqueID>
<ISSNLinking>0085-2538</ISSNLinking>
</MedlineJournalInfo>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance>Indium Radioisotopes</NameOfSubstance>
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<NameOfSubstance>beta 2-Microglobulin</NameOfSubstance>
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<DescriptorName MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Amyloidosis</DescriptorName>
<QualifierName MajorTopicYN="Y">radionuclide imaging</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Indium Radioisotopes</DescriptorName>
<QualifierName MajorTopicYN="N">diagnostic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Kidney Failure, Chronic</DescriptorName>
<QualifierName MajorTopicYN="Y">radionuclide imaging</QualifierName>
<QualifierName MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Radiation Dosage</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Radionuclide Imaging</DescriptorName>
<QualifierName MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Recombinant Proteins</DescriptorName>
<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="Y">Renal Dialysis</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Sensitivity and Specificity</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">Uremia</DescriptorName>
<QualifierName MajorTopicYN="N">radionuclide imaging</QualifierName>
<QualifierName MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName MajorTopicYN="N">beta 2-Microglobulin</DescriptorName>
<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
</MeshHeading>
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</MedlineCitation>
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