The level of α1-M in the sera and urines were determined by RIA in 42 patients with various renal diseases and compared with those of β2-microglobulin (β2-M), 24 hours creatinine clearance (CCr) and creatinine (Cr) to evaluate its clinical significance. There was a significant positive correlation between sera α1-M, β2-M, and Cr level (P<0.01). Sera α1-M, β2-M and Cr inversely correlated to CCr (P<0.01). α1-M level started to increase over normal range when CCr>70ml/min, while β2 -M and Cr remained within normal range. These data suggested that measurement of α1-M in the sera and urines seemed to be useful to estimate GFR and as an sensitive index of the dysfunction of renal tubules.