Urinary IP-10, MCP-1, NGAL, Cystatin-C, and KIM-1 Levels in Prenatally Diagnosed Unilateral Hydronephrosis: The Search for an Ideal Biomarker

Objective To investigate the urinary interferon gamma-induced protein 10 (IP-10), monocyte chemotactic protein 1 (MCP-1), neutrophil gelatinase-associated lipocalin (NGAL), cystatin-C, and kidney injury molecule-1 (KIM-1) levels in the management of children with prenatally diagnosed unilateral hydr...

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Veröffentlicht in:Urology (Ridgewood, N.J.) N.J.), 2016-01, Vol.87, p.185-192
Hauptverfasser: Karakus, Serkan, Oktar, Tayfun, Kucukgergin, Canan, Kalelioglu, Ibrahim, Seckin, Sule, Atar, Arda, Ander, Haluk, Ziylan, Orhan
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container_start_page 185
container_title Urology (Ridgewood, N.J.)
container_volume 87
creator Karakus, Serkan
Oktar, Tayfun
Kucukgergin, Canan
Kalelioglu, Ibrahim
Seckin, Sule
Atar, Arda
Ander, Haluk
Ziylan, Orhan
description Objective To investigate the urinary interferon gamma-induced protein 10 (IP-10), monocyte chemotactic protein 1 (MCP-1), neutrophil gelatinase-associated lipocalin (NGAL), cystatin-C, and kidney injury molecule-1 (KIM-1) levels in the management of children with prenatally diagnosed unilateral hydronephrosis. Materials and Methods Twenty-seven children with antenatally diagnosed hydronephrosis were enrolled into the study. The controls consisted of 9 healthy children (6 boys, 3 girls; mean age: 41.77 ± 5.30 months). Thirteen children (9 boys, 4 girls; mean age: 48.46 ± 21.11 months) underwent pyeloplasty on follow-up; the remaining 14 (13 boys, 1 girl; mean age: 36.57 ± 14.02 months) were followed up after being diagnosed as having nonobstructive dilatation (NOD). The urinary marker levels were measured in the pyeloplasty, the NOD, and the control groups. Results The preoperative concentrations of IP-10, MCP-1, NGAL, and KIM-1 were significantly higher in the pyeloplasty group than in the control group ( P  = .024, P  = .002, P  = .032, P  = .001, respectively). The urinary IP-10 and MCP-1 levels were also significantly higher in the pyeloplasty group than in the NOD group ( P  = .038, P  = .037, respectively). There was no significant difference between the pyeloplasty group and the NOD group regarding urinary NGAL and KIM-1. In the pyeloplasty group, urinary marker levels except cystatin-C were significantly decreased in the postoperative period. Conclusion A decrease in levels of IP-10, MCP-1, NGAL, and KIM-1 after pyeloplasty may be used as a predictor of surgical outcome. Additionally, IP-10 and MCP-1 were superior to NGAL and KIM-1 in predicting who required surgery.
doi_str_mv 10.1016/j.urology.2015.09.007
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Materials and Methods Twenty-seven children with antenatally diagnosed hydronephrosis were enrolled into the study. The controls consisted of 9 healthy children (6 boys, 3 girls; mean age: 41.77 ± 5.30 months). Thirteen children (9 boys, 4 girls; mean age: 48.46 ± 21.11 months) underwent pyeloplasty on follow-up; the remaining 14 (13 boys, 1 girl; mean age: 36.57 ± 14.02 months) were followed up after being diagnosed as having nonobstructive dilatation (NOD). The urinary marker levels were measured in the pyeloplasty, the NOD, and the control groups. Results The preoperative concentrations of IP-10, MCP-1, NGAL, and KIM-1 were significantly higher in the pyeloplasty group than in the control group ( P  = .024, P  = .002, P  = .032, P  = .001, respectively). The urinary IP-10 and MCP-1 levels were also significantly higher in the pyeloplasty group than in the NOD group ( P  = .038, P  = .037, respectively). There was no significant difference between the pyeloplasty group and the NOD group regarding urinary NGAL and KIM-1. In the pyeloplasty group, urinary marker levels except cystatin-C were significantly decreased in the postoperative period. Conclusion A decrease in levels of IP-10, MCP-1, NGAL, and KIM-1 after pyeloplasty may be used as a predictor of surgical outcome. Additionally, IP-10 and MCP-1 were superior to NGAL and KIM-1 in predicting who required surgery.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2015.09.007</identifier><identifier>PMID: 26505835</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute-Phase Proteins - urine ; Biomarkers - urine ; Chemokine CCL2 - urine ; Chemokine CXCL10 - urine ; Child, Preschool ; Cystatin C - urine ; Enzyme-Linked Immunosorbent Assay ; Female ; Follow-Up Studies ; Hepatitis A Virus Cellular Receptor 1 ; Humans ; Hydronephrosis - diagnosis ; Hydronephrosis - surgery ; Hydronephrosis - urine ; Infant ; Lipocalin-2 ; Lipocalins - urine ; Male ; Membrane Glycoproteins - urine ; Prenatal Diagnosis - methods ; Preoperative Period ; Prospective Studies ; Proto-Oncogene Proteins - urine ; Receptors, Virus ; Reconstructive Surgical Procedures ; Urinalysis ; Urologic Surgical Procedures - methods ; Urology</subject><ispartof>Urology (Ridgewood, N.J.), 2016-01, Vol.87, p.185-192</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-9a166081355d806f85cad4fff31974adb73614bbbf18badfe88c13a658529feb3</citedby><cites>FETCH-LOGICAL-c486t-9a166081355d806f85cad4fff31974adb73614bbbf18badfe88c13a658529feb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.urology.2015.09.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26505835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karakus, Serkan</creatorcontrib><creatorcontrib>Oktar, Tayfun</creatorcontrib><creatorcontrib>Kucukgergin, Canan</creatorcontrib><creatorcontrib>Kalelioglu, Ibrahim</creatorcontrib><creatorcontrib>Seckin, Sule</creatorcontrib><creatorcontrib>Atar, Arda</creatorcontrib><creatorcontrib>Ander, Haluk</creatorcontrib><creatorcontrib>Ziylan, Orhan</creatorcontrib><title>Urinary IP-10, MCP-1, NGAL, Cystatin-C, and KIM-1 Levels in Prenatally Diagnosed Unilateral Hydronephrosis: The Search for an Ideal Biomarker</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objective To investigate the urinary interferon gamma-induced protein 10 (IP-10), monocyte chemotactic protein 1 (MCP-1), neutrophil gelatinase-associated lipocalin (NGAL), cystatin-C, and kidney injury molecule-1 (KIM-1) levels in the management of children with prenatally diagnosed unilateral hydronephrosis. Materials and Methods Twenty-seven children with antenatally diagnosed hydronephrosis were enrolled into the study. The controls consisted of 9 healthy children (6 boys, 3 girls; mean age: 41.77 ± 5.30 months). Thirteen children (9 boys, 4 girls; mean age: 48.46 ± 21.11 months) underwent pyeloplasty on follow-up; the remaining 14 (13 boys, 1 girl; mean age: 36.57 ± 14.02 months) were followed up after being diagnosed as having nonobstructive dilatation (NOD). The urinary marker levels were measured in the pyeloplasty, the NOD, and the control groups. Results The preoperative concentrations of IP-10, MCP-1, NGAL, and KIM-1 were significantly higher in the pyeloplasty group than in the control group ( P  = .024, P  = .002, P  = .032, P  = .001, respectively). The urinary IP-10 and MCP-1 levels were also significantly higher in the pyeloplasty group than in the NOD group ( P  = .038, P  = .037, respectively). There was no significant difference between the pyeloplasty group and the NOD group regarding urinary NGAL and KIM-1. In the pyeloplasty group, urinary marker levels except cystatin-C were significantly decreased in the postoperative period. Conclusion A decrease in levels of IP-10, MCP-1, NGAL, and KIM-1 after pyeloplasty may be used as a predictor of surgical outcome. Additionally, IP-10 and MCP-1 were superior to NGAL and KIM-1 in predicting who required surgery.</description><subject>Acute-Phase Proteins - urine</subject><subject>Biomarkers - urine</subject><subject>Chemokine CCL2 - urine</subject><subject>Chemokine CXCL10 - urine</subject><subject>Child, Preschool</subject><subject>Cystatin C - urine</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hepatitis A Virus Cellular Receptor 1</subject><subject>Humans</subject><subject>Hydronephrosis - diagnosis</subject><subject>Hydronephrosis - surgery</subject><subject>Hydronephrosis - urine</subject><subject>Infant</subject><subject>Lipocalin-2</subject><subject>Lipocalins - urine</subject><subject>Male</subject><subject>Membrane Glycoproteins - urine</subject><subject>Prenatal Diagnosis - methods</subject><subject>Preoperative Period</subject><subject>Prospective Studies</subject><subject>Proto-Oncogene Proteins - urine</subject><subject>Receptors, Virus</subject><subject>Reconstructive Surgical Procedures</subject><subject>Urinalysis</subject><subject>Urologic Surgical Procedures - methods</subject><subject>Urology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksFuEzEQhlcIRNPCI4B85JAN9u7a6-VAVVJoI1Ko1EbiZnnt2capYwd7t9I-BO-MowQOXDjN5Zt_Zv5_suwNwTOCCXu_mQ3BW_8wzgpM6Aw3M4zrZ9mE0KLOm6ahz7MJxg3Oq6KhJ9lpjBuMMWOsfpmdFIxiyks6yX6tgnEyjGhxmxM8RTfzVKfo29XFcormY-xlb1w-nyLpNPq6uMkJWsIT2IiMQ7cBnOyltSO6NPLB-QgarZyxsocgLboedfAOduvgo4kf0P0a0B3IoNao8yFJooWGxH0yfivDI4RX2YtO2givj_UsW335fD-_zpffrxbzi2WuKs76vJGEMcxJSanmmHWcKqmrrutK0tSV1G1dMlK1bdsR3krdAeeKlJJRToumg7Y8y94ddHfB_xwg9mJrogJrpQM_REFqVpQVp7RMKD2gKh0RA3RiF0zadhQEi30SYiOOSYh9EgI3IiWR-t4eRwztFvTfrj_WJ-D8ACQz4clAEFEZcAq0CaB6ob3574iP_ygoa5xR0j7CCHHjh-CSi4KIWAgs7vbvsP8GQjHmNf9R_gZIcbBN</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Karakus, Serkan</creator><creator>Oktar, Tayfun</creator><creator>Kucukgergin, Canan</creator><creator>Kalelioglu, Ibrahim</creator><creator>Seckin, Sule</creator><creator>Atar, Arda</creator><creator>Ander, Haluk</creator><creator>Ziylan, Orhan</creator><general>Elsevier 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>7X8</scope></search><sort><creationdate>20160101</creationdate><title>Urinary IP-10, MCP-1, NGAL, Cystatin-C, and KIM-1 Levels in Prenatally Diagnosed Unilateral Hydronephrosis: The Search for an Ideal Biomarker</title><author>Karakus, Serkan ; 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Materials and Methods Twenty-seven children with antenatally diagnosed hydronephrosis were enrolled into the study. The controls consisted of 9 healthy children (6 boys, 3 girls; mean age: 41.77 ± 5.30 months). Thirteen children (9 boys, 4 girls; mean age: 48.46 ± 21.11 months) underwent pyeloplasty on follow-up; the remaining 14 (13 boys, 1 girl; mean age: 36.57 ± 14.02 months) were followed up after being diagnosed as having nonobstructive dilatation (NOD). The urinary marker levels were measured in the pyeloplasty, the NOD, and the control groups. Results The preoperative concentrations of IP-10, MCP-1, NGAL, and KIM-1 were significantly higher in the pyeloplasty group than in the control group ( P  = .024, P  = .002, P  = .032, P  = .001, respectively). The urinary IP-10 and MCP-1 levels were also significantly higher in the pyeloplasty group than in the NOD group ( P  = .038, P  = .037, respectively). There was no significant difference between the pyeloplasty group and the NOD group regarding urinary NGAL and KIM-1. In the pyeloplasty group, urinary marker levels except cystatin-C were significantly decreased in the postoperative period. Conclusion A decrease in levels of IP-10, MCP-1, NGAL, and KIM-1 after pyeloplasty may be used as a predictor of surgical outcome. Additionally, IP-10 and MCP-1 were superior to NGAL and KIM-1 in predicting who required surgery.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26505835</pmid><doi>10.1016/j.urology.2015.09.007</doi><tpages>8</tpages></addata></record>
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subjects Acute-Phase Proteins - urine
Biomarkers - urine
Chemokine CCL2 - urine
Chemokine CXCL10 - urine
Child, Preschool
Cystatin C - urine
Enzyme-Linked Immunosorbent Assay
Female
Follow-Up Studies
Hepatitis A Virus Cellular Receptor 1
Humans
Hydronephrosis - diagnosis
Hydronephrosis - surgery
Hydronephrosis - urine
Infant
Lipocalin-2
Lipocalins - urine
Male
Membrane Glycoproteins - urine
Prenatal Diagnosis - methods
Preoperative Period
Prospective Studies
Proto-Oncogene Proteins - urine
Receptors, Virus
Reconstructive Surgical Procedures
Urinalysis
Urologic Surgical Procedures - methods
Urology
title Urinary IP-10, MCP-1, NGAL, Cystatin-C, and KIM-1 Levels in Prenatally Diagnosed Unilateral Hydronephrosis: The Search for an Ideal Biomarker
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