TY - JOUR
T1 - Establishment of a normal reference value for serum β2 microglobulin in Japanese children
T2 - Reevaluation of its clinical usefulness
AU - Ikezumi, Yohei
AU - Honda, Masataka
AU - Matsuyama, Takeshi
AU - Ishikura, Kenji
AU - Hataya, Hiroshi
AU - Yata, Nahoko
AU - Nagai, Takuhito
AU - Fujita, Naoya
AU - Ito, Shuichi
AU - Iijima, Kazumoto
AU - Kaneko, Tetsuji
AU - Uemura, Osamu
N1 - Funding Information:
This study was financially supported by the Kidney Foundation, Japan. We thank Midori Awazu, MD, Takashi Sekine, MD, Mayumi Sako, MD, Takuji Yamada, MD, Yuko Akioka, MD, and Hirotsugu Kitayama, MD, of the Committee of Measures for Pediatric CKD for their contributions.
PY - 2013/2
Y1 - 2013/2
N2 - Objective: Serum β2 microglobulin (β2MG) is considered to be a marker of renal function, which is independently associated with age. However, only a few studies have reported the reference values for β2MG in children thus far, particularly in young children. In this study, we evaluated the distribution of serum β2MG values in healthy Japanese children and assessed its clinical usefulness. Method: The normal reference value of serum β2MG was assessed in serum samples from 1131 normal Japanese children (504 boys and 627 girls; age 0-17 years). To test the validity of the reference value, serum samples from children with various kidney diseases were also examined retrospectively. Results: The mean values for β2MG were significantly negatively correlated with age (r = -0.47, P < 0.001). No significant difference was observed between the values of boys and girls in any age group. The established β2MG reference range covered 99.7 % of patients with decreased kidney function below 75 % based on their serum creatinine (Cr) value and body length. Conclusion: The newly established β2MG reference value in children can be used to detect kidney impairment in children. Serum β2MG in combination with serum Cr used as markers for predicting glomerular function can provide an accurate detection of kidney dysfunction in children.
AB - Objective: Serum β2 microglobulin (β2MG) is considered to be a marker of renal function, which is independently associated with age. However, only a few studies have reported the reference values for β2MG in children thus far, particularly in young children. In this study, we evaluated the distribution of serum β2MG values in healthy Japanese children and assessed its clinical usefulness. Method: The normal reference value of serum β2MG was assessed in serum samples from 1131 normal Japanese children (504 boys and 627 girls; age 0-17 years). To test the validity of the reference value, serum samples from children with various kidney diseases were also examined retrospectively. Results: The mean values for β2MG were significantly negatively correlated with age (r = -0.47, P < 0.001). No significant difference was observed between the values of boys and girls in any age group. The established β2MG reference range covered 99.7 % of patients with decreased kidney function below 75 % based on their serum creatinine (Cr) value and body length. Conclusion: The newly established β2MG reference value in children can be used to detect kidney impairment in children. Serum β2MG in combination with serum Cr used as markers for predicting glomerular function can provide an accurate detection of kidney dysfunction in children.
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U2 - 10.1007/s10157-012-0658-7
DO - 10.1007/s10157-012-0658-7
M3 - Article
C2 - 22797889
AN - SCOPUS:84874106514
SN - 1342-1751
VL - 17
SP - 99
EP - 105
JO - Clinical and Experimental Nephrology
JF - Clinical and Experimental Nephrology
IS - 1
ER -