尿調理素
尿調理素(),又稱Tamm–Horsfall蛋白(Tamm–Horsfall glycoprotein,THP),為一種醣蛋白。該蛋白由 UMOD 基因轉譯而成[6][7]。尿調理素為人類正常尿液中最主要的蛋白質[8]。
蛋白質
尿調理素屬於多醣磷脂肌醇錨定物醣蛋白,在哺乳動物中主要由腎臟的亨耳氏套粗上升支產生。尿調理素的單體約為85 kDa,在尿液中則常聚合成數百萬 Da 的大分子[8]。該蛋白在低pH值時會形成膠狀型態,為正常人類尿液中最主要的蛋白質[9]。尿調理素為尿液管型的主要成分。
功能
尿調理素被轉譯完成後,會藉由外結構域中的醣磷脂肌醇鍵與膜相接,剩下的部分會暴露於亨耳氏套的管腔中。當醣磷脂肌醇鍵被打斷後,尿調理素便會進入尿液中。尿調理素可能可以抑制尿鈣造成結石,或是防止細菌造成的泌尿道感染[7]。
目前有關尿調理素的功能尚不清楚。有研究發現,尿調理素可能扮演運輸的角色[10]。另外一份研究則顯示該蛋白可能具有抗菌的功能:大腸桿菌的MS 性菌毛或菌毛對於甘露糖相當敏感,而尿調理素側鏈中的甘露糖結構則可以抓住大腸桿菌的菌毛[8]。該蛋白也可能在急性腎損傷時具有抑制發炎的功能[11]。
臨床意義
尿調理素、尿橋蛋白,以及腎鈣蛋白為目前已知三種可能影響腎鈣結石的醣蛋白。尿調理素雖然為腎結石的成分之一,但其對於腎結石的角色目前仍未有定論。但目前已知尿調理素過低是預測腎結石的良好指標[8]。
歷史
參考文獻
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外部連結
- GeneReviews/NCBI/NIH/UW entry on UMOD-Related Kidney Disease Includes: Familial Juvenile Hyperuricemic Nephropathy, Medullary Cystic Kidney Disease 2 (页面存档备份,存于)
- OMIM entries on UMOD-Related Kidney Disease Includes: Familial Juvenile Hyperuricemic Nephropathy, Medullary Cystic Kidney Disease 2
- Tamm–Horsfall protein deposition Archive.is的存檔,存档日期2007-06-24
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