4.2 Article

Effect of Lubiprostone on Urinary Protein Excretion: A Report of Two IgA Nephropathy Patients with Chronic Constipation

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INTERNAL MEDICINE
卷 58, 期 22, 页码 3255-3259

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JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.3158-19

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constipation; lubiprostone; chronic kidney disease; urinary protein excretion; gut microbiota

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Disturbance of the normal gut microbiota has been implicated in the pathogenesis of various diseases, including chronic kidney disease (CKD). A common CKD symptom is chronic constipation. Lubiprostone is a safe and efficacious drug for treating chronic constipation. We herein report 2 patients with IgA nephropathy treated with lubiprostone (24 mu g 1x/day). The lubiprostone treatment ameliorated their chronic constipation and, unexpectedly, reduced the urinary protein excretion, urinary liver-type fatty acid binding protein and urine occult blood. These results may indicate that lubiprostone is a useful therapeutic intervention against the progression of IgA nephropathy with chronic constipation.

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