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SULFU<br />

81815<br />

9851<br />

FSULF<br />

90072<br />

1983;15:107-113 4. Goodman, Gilman's: The Pharmacological Basis of Therapeutics. 11th edition.<br />

McGraw-Hill Publishing, 2006, p 1112<br />

Sulfate, Urine<br />

Clinical Information: Urinary sulfate is a reflection of dietary protein intake, particularly meat, fish,<br />

and poultry, which are rich in sulfur-containing amino acids methionine and cysteine. Urinary sulfate can<br />

be used to assess dietary protein intake for nutritional purposes. A protein-rich diet has been associated<br />

with an increased risk for stone formation, possibly due, in part, to an increase in urinary calcium<br />

excretion caused by acid production from metabolism of sulfur-containing amino acids.(2,3) Indeed,<br />

urinary sulfate excretion is higher in patients who have kidney stones than in individuals who do not form<br />

stones. Thus, urinary sulfate excretion may provide an index for protein-induced calciuria.(2) Sulfate is a<br />

major anion in the urine that has significant affinity for cations and modulates the availability of cations<br />

for reacting with other anions in the urine. It thus is an important factor of urinary supersaturation(4) for<br />

various crystals or stones such as calcium oxalate, hydroxyapatite, and brushite. For example, a high<br />

sulfate concentration may modulate the availability of calcium for reacting with oxalate and thus affect<br />

the propensity for calcium oxalate stone or crystal formation. Urinary sulfate also has a major impact on<br />

buffering or providing hydrogen ions and as such modulates the supersaturation of uric acid.<br />

Useful For: Urinary sulfate can be used to assess the nutrition intake of animal protein. It also can be a<br />

reflection of protein intake and can be assessed in patients with stone disease as related to stone<br />

supersaturation and prevention of stone disease.<br />

Interpretation: Urinary sulfate is a reflection of dietary protein intake, particularly of meat, and thus<br />

can be used as an index of nutritional protein intake. It also is used in the calculation of urinary<br />

supersaturation of various crystals or stones.<br />

Reference Values:<br />

7-47 mmol/specimen<br />

Clinical References: 1. Houterman S, van Faassen A, Ocke MC, et al: Is urinary sulfate a biomarker<br />

for the intake of animal protein and meat? Cancer Lett 1997;114:295-296 2. Tschope W, Ritz E:<br />

Sulfur-containing amino acids are a major determinant of urinary calcium. Miner Electrolyte Metab<br />

1985;11:137-139 3. Puche RC, Vacarro D, Sanchez A, et al: Increased fractional excretion of sulphate in<br />

stone formers. Br J Urol 1993;71:523-526 4. Parks JH, Coward M, Coe FL: Correspondence between<br />

stone composition and urine supersaturation in nephrolithiasis. Kidney Int 1997;51:894-900<br />

Sulfated Alcian Blue (SAB) Stain<br />

Useful For: Histologic staining method for amyloid, collagen, mast cells, and mucopolysaccharides.<br />

Reference Values:<br />

The laboratory will provide a pathology consultation and stained slide.<br />

Sulfatide Autoantibody <strong>Test</strong><br />

Reference Values:<br />

Interpretive Criteria<br />

Interpretation and Comments provided on each report.<br />

Interpretation and Comments vary. They are dependent upon<br />

results.<br />

Reference Range:<br />

Immunoglobin Mild/Moderate<br />

Isotype Normal Elevated Highly Elevated<br />

IgM < 1500 > or = 1500 Not applicable<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 1649

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