“…These authors (23) conclude that proteins are excreted by the normal kidney according to the physical size of their molecules, but that hemoglobin has a peculiar place in this scheme. In our study small amounts of hemoglobin appeared in the urine at very low plasma hemoglobin levels after hemoglobin injections in the patients with preexistent glomerular inj.ury and albuminuria (Figure 2 (24,25); it is presumed, however, that no dissociation occurs in the plasma, since studies in dogs have shown that below a certain plasma concentration hemoglobin does not filter through the glomeruli (20). 8 Although the nature of this protein was not identified, the significance of its presence in the urine in relation to glomerular filtration would seem to be the same, whether the protein is albumin or a plasma protein derived from hemoglobin, since it did not appear in the urine in the absence of hemoglobinuria.…”