Summary 1. Electrophoretic analyses have been made of plasma samples from eleven children with lipoid nephrosis. Distribution of the plasma protein fractions was determined in various stages of the disease and after intravenous administration of concentrated human serum albumin for periods of one to sixty days. 2. In general, the following changes from the normal percentage distribution of plasma proteins were noted in nephrosis: (a) a decrease in albumin, varying with the severity and duration of the disease; (b) an increase in α 2 - and β -globulins and fibrinogen; (c) often an increase in α 1 -globulin; (d) a decrease in γ -globulin. 3. Administration of concentrated serum albumin daily for long periods resulted in some cases in an increase in albumin, and usually a decrease in β -, α 2 - and sometimes α 1 -globulin concentrations. However, the changes were not maintained after albumin therapy was discontinued. 4. In nephrosis the urine may contain all of the protein fractions present in plasma except fibrinogen. Administration of concentrated human serum albumin intravenously results in an increase primarily in albumin excretion, although minor changes in the excretion of the globulin fractions may occur. Ascitic and pleural fluids from children with nephrosis have a slightly differentdistribution of protein fractions than plasma samples from the same children.
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