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Fig. 3 | Renal Replacement Therapy

Fig. 3

From: Poor glycemic control attributable to insulin antibody in a fulminant type 1 diabetes patient under hemodialysis: successful treatment with double filtration plasmapheresis and prednisolone

Fig. 3

Scatchard plots of insulin antibody in this patient. Before treatment of double filtration plasmapheresis and prednisolone (circle, k1 = 0.0032 × 108 M−1, R1 = 112 × 108 M) and after treatment (triangle, k1 = 0.0400 × 108 M−1, R1 = 9.1 × 108 M). Bound/free insulin at low concentration of bound insulin is thought to reflect the degree of affinity of the antibody. To assess the quantity of high-affinity antibody in relation to the level of affinity, the authors calculated the value of X intercept (R1) multiplied by the Y intercept (k1R1) of the Scatchard line for high-affinity binding sites, where k1 and R1 were affinity constant and binding capacity in high-affinity binding sites, respectively. These plots of after treatment indicate the degree of affinity of the antibody increased, whereas the degree of binding capacity dramatically decreased compared with before treatment

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