The presence of pyrraline, a non-oxidative glucose-derived Maillard re
action product in plasma proteins has been established previously. In
this study we have investigated the presence of pyrraline in human uri
ne to determine whether pyrraline-containing proteins are metabolized
or selectively retained. Pyrraline was detected by means of HPLC, and
its presence was confirmed by UV and electrospray-mass spectrometry. T
he quantification of pyrraline in urine from healthy individuals showe
d 1.21+/-0.4 mu g/mg creatinine. In urine from diabetic patients, pyrr
aline levels varied considerably, although the mean level was higher t
han in healthy subjects (1.37+/-0.6 mu g/mg creatinine). These data fu
rther support the presence of a catabolic pathway for advanced non-oxi
dative Maillard reaction products in vivo and suggest their role in th
e pathogenesis of diabetes.