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The book provides a comprehensive uptodate review of the present
state of knowledge of urinary enzymes. Since it deals with all the
essential questions currently being discussed in connection with
urinary enzymes, it will be of interest to biochemists, clinical
chemists, renal physiologists, nephrologists and clinicians working
on renal problems.The chapters are grouped into 5 parts, the first
offeringan update of the biochemical and morphological fundamentals
of the excretionof urinary enzymes, including a description of the
distribution of diagnostically relevant enzymes along the nephron,
the mechanisms of enzyme release, and the physiological factors
influencing the excretion rate. The chapters in the second part
deal with the methodological fundamentals ofthe activity
determination of urinary enzymes (preanalytical treatment, quality
assurance, methodical details for the most important enzymes,
reviewon reference intervals). The four chapters in the third part
review aspects of urinary enzyme excretion in clinical medicine
(renal, renal associated, and urological disorders, kidney
transplantation, nephrotoxicity, extrarenal diseases) and includes
a special chapter on the general background for interpreting data
on urinary enzyme excretion. The fourth part, consisting of 3
chapters, covers urinary enzymes in animal experiments (animal
models, influence of different substances on urinary enzyme
excretion, reference values in various animals). The book concludes
with a review of the posibilities for using renal enzymes as the
basis for alternative methods of screening toxic substances.
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