Artigo Revisado por pares

ELEVATED BLADDER URINE CONCENTRATION OF TRANSFORMING GROWTH FACTOR-beta 1 CORRELATES WITH UPPER URINARY TRACT OBSTRUCTION IN CHILDREN

1999; Lippincott Williams & Wilkins; Volume: 162; Issue: 3 Part 2 Linguagem: Inglês

10.1016/s0022-5347(01)68056-x

ISSN

1527-3792

Autores

PETER D. FURNESS, Max Maizels, Sang Won Han, Richard A. Cohn, Earl Y. Cheng,

Tópico(s)

Kidney Stones and Urolithiasis Treatments

Resumo

No AccessJournal of UrologyPapers Presented at Annual Meeting of the Section on Urology, American Academy of Pediatrics; San Francisco, California; October 17-19, 1998: Ureteropelvic Junction Obstruction1 Sep 1999ELEVATED BLADDER URINE CONCENTRATION OF TRANSFORMING GROWTH FACTOR-beta 1 CORRELATES WITH UPPER URINARY TRACT OBSTRUCTION IN CHILDREN PETER D. FURNESS, MAX MAIZELS, SANG WON HAN, RICHARD A. COHN, and EARL Y. CHENG PETER D. FURNESSPETER D. FURNESS , MAX MAIZELSMAX MAIZELS , SANG WON HANSANG WON HAN , RICHARD A. COHNRICHARD A. COHN , and EARL Y. CHENGEARL Y. CHENG View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)68056-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated urinary transforming growth factor-beta 1 (TGF-beta 1) concentration in children with upper urinary tract obstruction as a potential tool for supporting the diagnosis of clinically significant obstruction. Materials and Methods: Renal pelvic and bladder urine samples were obtained for analysis from 30 patients a median of 5 months old who underwent surgery for obstruction at the ureteropelvic (29) and ureterovesical (1) junctions. Urinary TGF-beta 1 concentration was measured using a quantitative sandwich enzyme-linked immunoassay technique. Bladder urine TGF-beta 1 in patients with obstruction was compared with that in controls. In addition, we compared renal pelvic and bladder urine TGF-beta 1 in patients with obstruction. Results: Mean bladder urine TGF-beta 1 plus or minus standard error of mean was 4-fold higher in patients with upper tract obstruction than in controls (195 +/- 29 versus 47 +/- 7 pg./mg. creatinine, p <0.001). In the obstructed group mean TGF-beta 1 in the renal pelvic urine was 378 +/- 86 pg./mg. creatinine, or twice that of the bladder urine (p = 0.02). Conclusions: Bladder urine TGF-beta 1 in patients with upper urinary tract obstruction is significantly elevated compared with that in controls. To our knowledge our study is the first to identify a bladder urinary marker that correlates with upper urinary tract obstruction with greater than 90% sensitivity. Measuring TGF-beta 1 in a voided bladder urine sample may provide an objective and noninvasive test for assisting in the diagnosis of upper urinary tract obstruction. References 1 : Urinary levels of renal tubular enzyme N-acetyl-beta-D-glucosaminidase in unilateral obstructive uropathy. J. Urol.1994; 151: 442. 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FURNESS More articles by this author MAX MAIZELS More articles by this author SANG WON HAN More articles by this author RICHARD A. COHN More articles by this author EARL Y. CHENG More articles by this author Expand All Advertisement PDF downloadLoading ...

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