The effect of intradetrusor botulinum neurotoxin type A on urinary NGF, TGF BETA‐1, TIMP‐2 levels in children with neurogenic detrusor overactivity due to myelodysplasia

Aims The aim of this study was to determine the value of urine nerve growth factor (NGF), transforming growth factor beta 1 (TGF‐Beta‐1), tissue inhibitor of matrix metalloproteinase 2 (TIMP‐2) levels to predict the urodynamic profile before and after botulinum neurotoxin type A (BoNT‐A) treatment i...

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Veröffentlicht in:Neurourology and urodynamics 2017-09, Vol.36 (7), p.1896-1902
Hauptverfasser: Top, Tuncay, Sekerci, Cagri Akin, Isbilen‐Basok, Banu, Tanidir, Yiloren, Tinay, Ilker, Isman, Ferruh Kemal, Akbal, Cem, Simsek, Ferruh, Tarcan, Tufan
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container_issue 7
container_start_page 1896
container_title Neurourology and urodynamics
container_volume 36
creator Top, Tuncay
Sekerci, Cagri Akin
Isbilen‐Basok, Banu
Tanidir, Yiloren
Tinay, Ilker
Isman, Ferruh Kemal
Akbal, Cem
Simsek, Ferruh
Tarcan, Tufan
description Aims The aim of this study was to determine the value of urine nerve growth factor (NGF), transforming growth factor beta 1 (TGF‐Beta‐1), tissue inhibitor of matrix metalloproteinase 2 (TIMP‐2) levels to predict the urodynamic profile before and after botulinum neurotoxin type A (BoNT‐A) treatment in children with myelodysplasia. Methods This prospective study included 15 children with myelodysplasia who underwent intradetrusor BoNT‐A injections due to neurogenic detrusor overactivity (NDOA). Urine samples of each child were collected before and after BoNT‐A injections, specifically at the first and third postoperative months. Urine samples were analyzed with ELISA method and NGF, TGF‐Beta‐1, and TIMP‐2 levels were measured. Urine marker levels and clinical findings were assessed for statistical significance with Wilcoxon Signed Ranks Test and Friedman Test. Results A total of 15 children (5 boys and 10 girls) were assigned as the study group. Mean age of the patients was 7.1 ± 2.5 years (range 2.5‐11). A statistically significantly decline was observed in urinary TGF‐Beta‐1 and NGF levels following BoNT‐A injections, compared to the preoperative levels (P 
doi_str_mv 10.1002/nau.23207
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Methods This prospective study included 15 children with myelodysplasia who underwent intradetrusor BoNT‐A injections due to neurogenic detrusor overactivity (NDOA). Urine samples of each child were collected before and after BoNT‐A injections, specifically at the first and third postoperative months. Urine samples were analyzed with ELISA method and NGF, TGF‐Beta‐1, and TIMP‐2 levels were measured. Urine marker levels and clinical findings were assessed for statistical significance with Wilcoxon Signed Ranks Test and Friedman Test. Results A total of 15 children (5 boys and 10 girls) were assigned as the study group. Mean age of the patients was 7.1 ± 2.5 years (range 2.5‐11). A statistically significantly decline was observed in urinary TGF‐Beta‐1 and NGF levels following BoNT‐A injections, compared to the preoperative levels (P &lt; 0.05). TIMP‐2 levels also tend to decrease following BoNT‐A injections but this was not statistically significant compared to the preoperative levels. Conclusion This preliminary study, suggests urinary TGF‐Beta‐1 and NGF as a potent marker in children with NDOA, as they decline following BoNT‐A injection. Further studies are needed in identifying their special role in assessing treatment success after invasive interventions.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.23207</identifier><identifier>PMID: 28090659</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Acetylcholine Release Inhibitors - therapeutic use ; Biomarkers ; botulinum neurotoxin type A ; Botulinum toxin ; Botulinum toxin type A ; Botulinum Toxins, Type A - therapeutic use ; Child ; Child, Preschool ; Children ; Enzyme-linked immunosorbent assay ; Female ; Growth factors ; Humans ; Injections, Intramuscular ; Male ; Matrix metalloproteinase ; Metalloproteinase ; myelodysplasia ; Myelodysplastic syndrome ; Myelodysplastic syndromes ; Nerve growth factor ; Nerve Growth Factor - urine ; Neural Tube Defects - complications ; Prospective Studies ; Statistical analysis ; tissue inhibitor of matrix metalloproteinase 2 ; Tissue inhibitor of metalloproteinase 2 ; Tissue Inhibitor of Metalloproteinase-2 - urine ; transforming growth factor beta 1 ; Transforming Growth Factor beta1 - urine ; Transforming growth factor-b1 ; Treatment Outcome ; Urinary Bladder, Neurogenic - drug therapy ; Urinary Bladder, Neurogenic - etiology ; Urinary Bladder, Neurogenic - urine ; Urinary Bladder, Overactive - drug therapy ; Urinary Bladder, Overactive - etiology ; Urinary Bladder, Overactive - urine ; Urine ; Urodynamics</subject><ispartof>Neurourology and urodynamics, 2017-09, Vol.36 (7), p.1896-1902</ispartof><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3207-a146c06c82bca97979b4bf5257ded4645148de7a9d3419041914641fcd0161d23</citedby><cites>FETCH-LOGICAL-c3207-a146c06c82bca97979b4bf5257ded4645148de7a9d3419041914641fcd0161d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.23207$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.23207$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28090659$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Top, Tuncay</creatorcontrib><creatorcontrib>Sekerci, Cagri Akin</creatorcontrib><creatorcontrib>Isbilen‐Basok, Banu</creatorcontrib><creatorcontrib>Tanidir, Yiloren</creatorcontrib><creatorcontrib>Tinay, Ilker</creatorcontrib><creatorcontrib>Isman, Ferruh Kemal</creatorcontrib><creatorcontrib>Akbal, Cem</creatorcontrib><creatorcontrib>Simsek, Ferruh</creatorcontrib><creatorcontrib>Tarcan, Tufan</creatorcontrib><title>The effect of intradetrusor botulinum neurotoxin type A on urinary NGF, TGF BETA‐1, TIMP‐2 levels in children with neurogenic detrusor overactivity due to myelodysplasia</title><title>Neurourology and urodynamics</title><addtitle>Neurourol Urodyn</addtitle><description>Aims The aim of this study was to determine the value of urine nerve growth factor (NGF), transforming growth factor beta 1 (TGF‐Beta‐1), tissue inhibitor of matrix metalloproteinase 2 (TIMP‐2) levels to predict the urodynamic profile before and after botulinum neurotoxin type A (BoNT‐A) treatment in children with myelodysplasia. Methods This prospective study included 15 children with myelodysplasia who underwent intradetrusor BoNT‐A injections due to neurogenic detrusor overactivity (NDOA). Urine samples of each child were collected before and after BoNT‐A injections, specifically at the first and third postoperative months. Urine samples were analyzed with ELISA method and NGF, TGF‐Beta‐1, and TIMP‐2 levels were measured. Urine marker levels and clinical findings were assessed for statistical significance with Wilcoxon Signed Ranks Test and Friedman Test. Results A total of 15 children (5 boys and 10 girls) were assigned as the study group. Mean age of the patients was 7.1 ± 2.5 years (range 2.5‐11). A statistically significantly decline was observed in urinary TGF‐Beta‐1 and NGF levels following BoNT‐A injections, compared to the preoperative levels (P &lt; 0.05). TIMP‐2 levels also tend to decrease following BoNT‐A injections but this was not statistically significant compared to the preoperative levels. Conclusion This preliminary study, suggests urinary TGF‐Beta‐1 and NGF as a potent marker in children with NDOA, as they decline following BoNT‐A injection. Further studies are needed in identifying their special role in assessing treatment success after invasive interventions.</description><subject>Acetylcholine Release Inhibitors - therapeutic use</subject><subject>Biomarkers</subject><subject>botulinum neurotoxin type A</subject><subject>Botulinum toxin</subject><subject>Botulinum toxin type A</subject><subject>Botulinum Toxins, Type A - therapeutic use</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Enzyme-linked immunosorbent assay</subject><subject>Female</subject><subject>Growth factors</subject><subject>Humans</subject><subject>Injections, Intramuscular</subject><subject>Male</subject><subject>Matrix metalloproteinase</subject><subject>Metalloproteinase</subject><subject>myelodysplasia</subject><subject>Myelodysplastic syndrome</subject><subject>Myelodysplastic syndromes</subject><subject>Nerve growth factor</subject><subject>Nerve Growth Factor - urine</subject><subject>Neural Tube Defects - complications</subject><subject>Prospective Studies</subject><subject>Statistical analysis</subject><subject>tissue inhibitor of matrix metalloproteinase 2</subject><subject>Tissue inhibitor of metalloproteinase 2</subject><subject>Tissue Inhibitor of Metalloproteinase-2 - urine</subject><subject>transforming growth factor beta 1</subject><subject>Transforming Growth Factor beta1 - urine</subject><subject>Transforming growth factor-b1</subject><subject>Treatment Outcome</subject><subject>Urinary Bladder, Neurogenic - drug therapy</subject><subject>Urinary Bladder, Neurogenic - etiology</subject><subject>Urinary Bladder, Neurogenic - urine</subject><subject>Urinary Bladder, Overactive - drug therapy</subject><subject>Urinary Bladder, Overactive - etiology</subject><subject>Urinary Bladder, Overactive - urine</subject><subject>Urine</subject><subject>Urodynamics</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9u1DAQhy0EokvhwAsgS5yQSGs7Tpwcl6q7VCqFw_YcOfaEdZW1F__ZkhuPwIvwUjwJXlJ6Q5blGenzN9L8EHpNyRklhJ1bmc5YyYh4gha0YqSohRBP0YKIsiwYr8UJehHCHSGkKXn7HJ2whrSkrtoF-rXZAoZhABWxG7Cx0UsN0afgPO5dTKOxaYctJO-i-24sjtMe8BI7i5M3VvoJ36xX7_FmvcIfLjfL3z9-0txdffqSK4ZHOMAYsherrRm1B4vvTdzOwq9gjcKP49wBvFTRHEycsE6Ao8O7CUanp7AfZTDyJXo2yDHAq4f3FN2uLjcXH4vrz-uri-V1oY5bKCTltSK1alivZCvy6Xk_VKwSGjSveUV5o0HIVpectiTf_IHTQWlCa6pZeYrezt69d98ShNjdueRtHtnRtqSsaUVzpN7NlPIuBA9Dt_dmlzfSUdIdg-lyMN3fYDL75sGY-h3oR_JfEhk4n4F7M8L0f1N3s7ydlX8ARKeagg</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Top, Tuncay</creator><creator>Sekerci, Cagri Akin</creator><creator>Isbilen‐Basok, Banu</creator><creator>Tanidir, Yiloren</creator><creator>Tinay, Ilker</creator><creator>Isman, Ferruh Kemal</creator><creator>Akbal, Cem</creator><creator>Simsek, Ferruh</creator><creator>Tarcan, Tufan</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>201709</creationdate><title>The effect of intradetrusor botulinum neurotoxin type A on urinary NGF, TGF BETA‐1, TIMP‐2 levels in children with neurogenic detrusor overactivity due to myelodysplasia</title><author>Top, Tuncay ; Sekerci, Cagri Akin ; Isbilen‐Basok, Banu ; Tanidir, Yiloren ; Tinay, Ilker ; Isman, Ferruh Kemal ; Akbal, Cem ; Simsek, Ferruh ; Tarcan, Tufan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3207-a146c06c82bca97979b4bf5257ded4645148de7a9d3419041914641fcd0161d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acetylcholine Release Inhibitors - therapeutic use</topic><topic>Biomarkers</topic><topic>botulinum neurotoxin type A</topic><topic>Botulinum toxin</topic><topic>Botulinum toxin type A</topic><topic>Botulinum Toxins, Type A - therapeutic use</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Enzyme-linked immunosorbent assay</topic><topic>Female</topic><topic>Growth factors</topic><topic>Humans</topic><topic>Injections, Intramuscular</topic><topic>Male</topic><topic>Matrix metalloproteinase</topic><topic>Metalloproteinase</topic><topic>myelodysplasia</topic><topic>Myelodysplastic syndrome</topic><topic>Myelodysplastic syndromes</topic><topic>Nerve growth factor</topic><topic>Nerve Growth Factor - urine</topic><topic>Neural Tube Defects - complications</topic><topic>Prospective Studies</topic><topic>Statistical analysis</topic><topic>tissue inhibitor of matrix metalloproteinase 2</topic><topic>Tissue inhibitor of metalloproteinase 2</topic><topic>Tissue Inhibitor of Metalloproteinase-2 - urine</topic><topic>transforming growth factor beta 1</topic><topic>Transforming Growth Factor beta1 - urine</topic><topic>Transforming growth factor-b1</topic><topic>Treatment Outcome</topic><topic>Urinary Bladder, Neurogenic - drug therapy</topic><topic>Urinary Bladder, Neurogenic - etiology</topic><topic>Urinary Bladder, Neurogenic - urine</topic><topic>Urinary Bladder, Overactive - drug therapy</topic><topic>Urinary Bladder, Overactive - etiology</topic><topic>Urinary Bladder, Overactive - urine</topic><topic>Urine</topic><topic>Urodynamics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Top, Tuncay</creatorcontrib><creatorcontrib>Sekerci, Cagri Akin</creatorcontrib><creatorcontrib>Isbilen‐Basok, Banu</creatorcontrib><creatorcontrib>Tanidir, Yiloren</creatorcontrib><creatorcontrib>Tinay, Ilker</creatorcontrib><creatorcontrib>Isman, Ferruh Kemal</creatorcontrib><creatorcontrib>Akbal, Cem</creatorcontrib><creatorcontrib>Simsek, Ferruh</creatorcontrib><creatorcontrib>Tarcan, Tufan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Top, Tuncay</au><au>Sekerci, Cagri Akin</au><au>Isbilen‐Basok, Banu</au><au>Tanidir, Yiloren</au><au>Tinay, Ilker</au><au>Isman, Ferruh Kemal</au><au>Akbal, Cem</au><au>Simsek, Ferruh</au><au>Tarcan, Tufan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of intradetrusor botulinum neurotoxin type A on urinary NGF, TGF BETA‐1, TIMP‐2 levels in children with neurogenic detrusor overactivity due to myelodysplasia</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol Urodyn</addtitle><date>2017-09</date><risdate>2017</risdate><volume>36</volume><issue>7</issue><spage>1896</spage><epage>1902</epage><pages>1896-1902</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><abstract>Aims The aim of this study was to determine the value of urine nerve growth factor (NGF), transforming growth factor beta 1 (TGF‐Beta‐1), tissue inhibitor of matrix metalloproteinase 2 (TIMP‐2) levels to predict the urodynamic profile before and after botulinum neurotoxin type A (BoNT‐A) treatment in children with myelodysplasia. Methods This prospective study included 15 children with myelodysplasia who underwent intradetrusor BoNT‐A injections due to neurogenic detrusor overactivity (NDOA). Urine samples of each child were collected before and after BoNT‐A injections, specifically at the first and third postoperative months. Urine samples were analyzed with ELISA method and NGF, TGF‐Beta‐1, and TIMP‐2 levels were measured. Urine marker levels and clinical findings were assessed for statistical significance with Wilcoxon Signed Ranks Test and Friedman Test. Results A total of 15 children (5 boys and 10 girls) were assigned as the study group. Mean age of the patients was 7.1 ± 2.5 years (range 2.5‐11). A statistically significantly decline was observed in urinary TGF‐Beta‐1 and NGF levels following BoNT‐A injections, compared to the preoperative levels (P &lt; 0.05). TIMP‐2 levels also tend to decrease following BoNT‐A injections but this was not statistically significant compared to the preoperative levels. Conclusion This preliminary study, suggests urinary TGF‐Beta‐1 and NGF as a potent marker in children with NDOA, as they decline following BoNT‐A injection. Further studies are needed in identifying their special role in assessing treatment success after invasive interventions.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28090659</pmid><doi>10.1002/nau.23207</doi><tpages>7</tpages></addata></record>
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subjects Acetylcholine Release Inhibitors - therapeutic use
Biomarkers
botulinum neurotoxin type A
Botulinum toxin
Botulinum toxin type A
Botulinum Toxins, Type A - therapeutic use
Child
Child, Preschool
Children
Enzyme-linked immunosorbent assay
Female
Growth factors
Humans
Injections, Intramuscular
Male
Matrix metalloproteinase
Metalloproteinase
myelodysplasia
Myelodysplastic syndrome
Myelodysplastic syndromes
Nerve growth factor
Nerve Growth Factor - urine
Neural Tube Defects - complications
Prospective Studies
Statistical analysis
tissue inhibitor of matrix metalloproteinase 2
Tissue inhibitor of metalloproteinase 2
Tissue Inhibitor of Metalloproteinase-2 - urine
transforming growth factor beta 1
Transforming Growth Factor beta1 - urine
Transforming growth factor-b1
Treatment Outcome
Urinary Bladder, Neurogenic - drug therapy
Urinary Bladder, Neurogenic - etiology
Urinary Bladder, Neurogenic - urine
Urinary Bladder, Overactive - drug therapy
Urinary Bladder, Overactive - etiology
Urinary Bladder, Overactive - urine
Urine
Urodynamics
title The effect of intradetrusor botulinum neurotoxin type A on urinary NGF, TGF BETA‐1, TIMP‐2 levels in children with neurogenic detrusor overactivity due to myelodysplasia
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