However, the limitations of ERT in improving kidney function have not been established. This study evaluates the safety and therapeutic effect of agalsidase alfa replacement in terms of kidney function and reduction in 24-hour proteinuria. Methods. During the period between January 1, 2002, and August 1, 2005, nine Fabry patients (7 male, 2 female) were treated according to protocol, receiving 0.2 mg/kg agalsidase alfa IV every two weeks. Kidney function was evaluated by measuring
the glomerular filtration rate (GFR) using chromium ethylene diamine tetra-acetate clearance ((51)Cr-EDTA mL/min/1.73 m(2)) at baseline, 12, 24, and 36 months. 24-hour proteinuria was measured at baseline, 3, 6, 12, 18, 24, and 36 months of ERT. Kidney disease was classified according to
National Kidney Foundation Disease Outcome Quality Initiative (NKF/DOQI) Advisory Board GSK2879552 purchase criteria, which define stage I chronic kidney disease (CKD) as GFR >= 90mL/min/1.73 m(2), stage II as 60-89 mL/min/1.73m(2), stage III as 30-59 mL/min/1.73 m(2), stage IV as 15-29 mL/min/1.73m(2), and stage V as < 15 mL/min/1.73m(2). Results. Six patients completed 36 months of therapy, 2 patients completed 18 months, and 1 patient completed 12 months. Mean patient age at baseline was 34.6 +/- 11.3 years. During the study period, kidney function remained stable in patients with stages I, II, or III CKD. One patient, who entered the study with stage IV CKD, progressed to end-stage chronic kidney disease, beginning hemodialysis after 7 months and receiving a kidney transplant after Nepicastat cell line 12 months of ERT. Proteinuria also remained stable in the group of patients with pathologic proteinuria. The use of agalsidase alfa was well tolerated in 99.5% of the infusions administered. Conclusion. Over the course of 36 months of ERT, there was no change in kidney function and 24-hour proteinuria.
This suggests thatagalsidase alfa may slow or halt the progression of kidney disease when used before extensive kidney damage occurs. No significant side effects were observed with ERT during the course of the study.”
“The graft density and surface topography of ultra-flat polydimethylsiloxan films grafted with poly(acrylic acid) brushes by UV irradiation are investigated. The graft density keeps increase with Selleckchem Small molecule library the irradiation time and with the monomer concentration to a maximum, after which it remains unchanged in the former case or drops in the latter. Atomic force microscopy results show that a longer irradiation time, a higher monomer concentration and the addition of ethanol in the grafting solution are favorable to obtain the grafted polydimethylsiloxan films with flat surface. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 123: 2266-2271, 2012″
“The aging of the population worldwide will result in increasing numbers of elderly patients, among whom heart disease is the leading cause of death.