Lack of the glomerular expression of CD2AP in animals produces heavy proteinuria. This is the first study of CD2AP gene in
SRNS patients from Indonesia. Objectives: To identify and analyse mutations on CD2AP gene in steroid resistant MAPK inhibitor Nephrotic Syndrome patients from Indonesia. Methods: DNA was extracted from peripheral blood leukocyte, using a salting-out method, primer delineated, amplification of the CD2AP exons was performed by PCR (in 18 exons), electrophoresis of PCR product were using Gel Agarose 1%, then followed with DNA sequencing and interpretation of DNA sequencing. Results: This study involved 18 subject, male 11 (61.1%), female 7 (38,9%) with age range 4–23 years. A renal biopsy was performed in 8 patients and showed focal segmental glomerulosclerosis (FSGS) in 5 patients, minimal changes nephrotic syndrome (MNCS) in 3 patients. Mutations and polymorphisms analysis of CD2AP by direct exon sequencing was performed in all 18 patients. We found 4 SNPs (single nucleotide polymorphisms) from 18 exons of CD2AP. The SNPs were in exon 4 (c.320-113 C > T), exon 11 (c. 1108 + 82 T > C), exon 16 (c.1814 + 24 G > A), exon 18 (c.1879-66 T > C). There were no mutations of CD2AP from our patients. Conclusion: From this study only found SNPs
and did not found any mutations. Further studies needed in different genes. KURIBAYASHI-OKUMA EMIKO1, HISAKI HARUMI2, OKAZAKI TOMOKI2, UCHIDA SHUNYA1 1Department of Internal Medicine, Teikyo University School of Medicine; 2Department of Biochemistry, Teikyo University School of Medicine Introduction: Steroid-resistant find more nephrotic syndrome is intractable kidney disorder often associated with the progression to end stage renal disease. To treat steroid-resitant nephrotic syndrome, LDL-apheresis (LDL-A) has been instituted and its efficacy is reported to be about
50%. In the present study Cell press the mechanism whereby LDL-A does or does not induce the remission of steroid-resitant nephrotic syndrome was investigated using the proteomic analysis of the plasma proteins adsorbed from the patients. Methods: The effect of LDL-A was assessed by the clinical indicators such as proteinuria and serum albumin. The patients were grouped as responder (n = 4) and non-responder (n = 4). The adsorbed plasma proteins were obtained at the first and the last sessions of the apheresis. Following the removal of albumin and gamma-globulin, the samples were separated by two-dimensional differential in-gel electrophoretic analysis (2-D DIGE). All spots were picked and subjected for in-gel digestion with trypsin followed by peptide analysis by MALDI-TOF/MS. Results: Since 2D patterns of the adsorbed proteins in non-responder group were almost identical between the first and the last sessions of the apheresis, we focused on the difference of 2D patterns in the first and the last sessions in responder group.