Urinalysis · Pathology

Which protein is the primary constituent of the matrix of all urinary casts?

  1. Serum albumin
  2. Tamm-Horsfall protein
  3. Bence-Jones myeloma protein
  4. Beta-2 microglobulin
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Correct answer: Tamm-Horsfall protein

Tamm-Horsfall protein is a glycoprotein secreted by the thick ascending limb of the loop of Henle. It gels under conditions of high acidity or high solute concentration, forming the basic matrix of urinary casts.

Difficulty: Medium Question 10 of 20

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