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Elevation of urinary alpha-1-antitrypsin and transferrin excretion in children of patients with nephrolithiasis Cover

Elevation of urinary alpha-1-antitrypsin and transferrin excretion in children of patients with nephrolithiasis

Open Access
|Oct 2025

Figures & Tables

Figure 1.

Comparing the urine proteomic profile between children of NL patients and children of volunteers demonstrated an elevation of 26 urinary proteins and the decrease of 2 urinary proteins. NL, nephrolithiasis.
Comparing the urine proteomic profile between children of NL patients and children of volunteers demonstrated an elevation of 26 urinary proteins and the decrease of 2 urinary proteins. NL, nephrolithiasis.

Figure 2.

Comparison between the Tiselius urinary supersaturation index (×10-5) and the urinary excretion rate of (A) AMBP, (B) alpha-1-antitrypsin, (C) transferrin, and (D) fetuin-A, *P < 0.05. AMBP, alpha-1-microglobulin/bikunin precursor.
Comparison between the Tiselius urinary supersaturation index (×10-5) and the urinary excretion rate of (A) AMBP, (B) alpha-1-antitrypsin, (C) transferrin, and (D) fetuin-A, *P < 0.05. AMBP, alpha-1-microglobulin/bikunin precursor.

Figure 3.

Hypothesis of the elevation of urinary AAT and transferrin protein in children of patients with NL (Created by BioRender.com). AAT, alpha-1 Antitrypsin; NL, nephrolithiasis.
Hypothesis of the elevation of urinary AAT and transferrin protein in children of patients with NL (Created by BioRender.com). AAT, alpha-1 Antitrypsin; NL, nephrolithiasis.

Baseline characteristics of the participants

Parental groupsChildren groups
VNPVCNCP
Gender (% male)38.1%71.4%0.05351.9%42.9%0.504
Age (years-old)46.8 ± 9.644.0 ± 5.30.32517.5 ± 4.715.6 ± 5.20.773
Plasma creatinine (mg/dl)0.6 ± 0.20.7 ± 0.20.2900.4 ± 0.20.4 ± 0.10.650
Urine volume (L/day)1.5 ± 0.41.6 ± 0.80.5311.1 ± 0.50.8 ± 0.40.060
Urine creatinine excretion (g/day)1.2 ± 0.21.3 ± 0.40.1900.8 ± 0.30.9 ± 0.40.422
Urinary protein excretion (mg/day)68.7 ± 50.0467.2 ± 371.10.003*57.7 ± 48.9103.7 ± 46.60.001#

List of proteins with an abnormal urinary excretion rate in children of patients with NL compared to children of volunteers

Accession no.List of proteinsFold change#P
Proteins with an increased urinary excretion rate
4757760adiponectin1.60 ± 0.120.001
4505529alpha-1-acid glycoprotein 22.28 ± 0.210.003
50659080alpha-1-antichymotrypsin1.42 ± 0.120.002
189163532alpha-1-antitrypsin2.32 ± 0.400.029
156523970alpha-2-HS-glycoprotein2.63 ± 0.430.024
530362391alpha-amylase 1 isoform X12.95 ± 0.10<0.0001
153266841beta-2-glycoprotein 11.78 ± 0.250.014
67782358complement factor B1.77 ± 0.160.005
4503113cystatin-M1.58 ± 0.120.002
4758092di-N-acetylchitobiase1.04 ± 0.200.039
148225659endonuclease domain-containing 1 protein1.55 ± 0.160.005
62122917filaggrin-21.45 ± 0.270.035
39995109ganglioside GM2 activator isoform 11.12 ± 0.160.014
530395269hemopexin isoform X11.88 ± 0.270.017
295986608immunoglobulin lambda-like polypeptide 5 isoform 11.42 ± 0.290.048
40549451lymphatic vessel endothelial hyaluronic acid receptor 11.71 ± 0.150.003
578814724maltase-glucoamylase, intestinal isoform X10.73 ± 0.140.035
4502085pancreatic alpha-amylase1.59 ± 0.280.031
289547757prostate stem cell antigen2.69 ± 0.310.008
4502067protein AMBP1.25 ± 0.220.029
578839125putative V-set and immunoglobulin domain-containing protein IGHV4OR15-8-like1.33 ± 0.250.038
4557871serotransferrin1.31 ± 0.230.029
4502027serum albumin1.58 ± 0.100.001
4885629trefoil factor 21.04 ± 0.210.049
88853069vitronectin1.63 ± 0.250.019
4502337zinc-alpha-2-glycoprotein1.33 ± 0.220.023
Proteins with decreased urinary excretion rate
5031839keratinocyte proline-rich protein1.36 ± 0.200.002
68563515keratin, type II cytoskeletal 6A0.85 ± 0.070.017

Urinary excretion rate of candidate proteins in all groups

Parental groupsChildren groups
VNPVCNCP
AMBP (μg/day)10.3 ± 20.1128.3 ± 41.20.048*10.15 ± 10.5625.21 +27.770.011#
AAT (μg/day)452.6 ± 431.71705.2 ± 1393.9<0.001*203.7 +206.6784.7 +450.80.025#
Transferrin (μg/day)9.4 ± 7.536.5 ± 29.9<0.001*4.8 +3.416.6 +9.80.043#
Fetuin-A (μg/day)2.92 ± 2.587.94 ± 13.570.1932.83 +3.274.98 +3.520.022#
Adiponectin (μg/day)19.9 ± 18.887.2 ± 64.70.13129.0 +13.458.8 +43.80.998
DOI: https://doi.org/10.2478/abm-2025-0032 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 303 - 313
Published on: Oct 31, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2025 Supawadee Mingmongkol, Nuttiya Kalpongnukul, Poorichaya Somparn, Trairak Pisitkun, Wattanachai Ungjaroenwathana, Piyaratana Tosukhowong, Thasinas Dissayabutra, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution 4.0 License.