We measured the activity of urinary
lipase by high sensitive photometric method using 1,2-dirinoleoilglycerol as a substrate. Also, we investigated the clinical significance of the activity of urinary
lipase in patients with chronic
glomerulonephritis (GN) with special reference to the relation between the levels of the
enzyme and histopathological changes of the kidney. Urinary activity of
N-acetyl-beta-D-glucosaminidase (NAG) and urinary
beta 2-microglobulin (BMG) were also measured to compare the difference of renal handling of these 3 substances. We could obtain the following results; 1) Good coefficient of correlation was observed between the activity of urinary
lipase and the excretion of urinary BMG. 2) No correlation was observed between the activity of urinary
lipase and the amount of urinary NAG in patients with chronic GN. 3) In some of the cases with secondary tubulointerstitial
edema and inflammatory infiltration, the values of the activity of urinary
lipase were markedly elevated. These results suggested that
lipase was removed from the serum mainly by glomerular filtration and reabsorbed almost completely by tubular epithelial cells like the renal handling of BMG. In contrast, NAG secreted through the different renal metabolism in proximal tubule. The activity of urinary
lipase might be a diagnostic marker for the secondary acute tubulointerstitial lesions in patients with chronic GN.