Urinary stone risk factors in the descendants of patients with kidney stone disease

Background Evidence has indicated that immediate family members of nephrolithiasis patients had high opportunity to develop stones. However, they are usually not regarded to be at risk, since it is unclear if there are any lithogenic abnormalities found in non-stone-forming nephrolithiasis relatives...

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Veröffentlicht in:Pediatric nephrology (Berlin, West) West), 2018-07, Vol.33 (7), p.1173-1181
Hauptverfasser: Dissayabutra, Thasinas, Kalpongkul, Nuttiya, Rattanaphan, Jakkhaphan, Boonla, Chanchai, Srisa-art, Monpicha, Ungjaroenwathana, Wattanachai, Tosukhowong, Piyaratana
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container_issue 7
container_start_page 1173
container_title Pediatric nephrology (Berlin, West)
container_volume 33
creator Dissayabutra, Thasinas
Kalpongkul, Nuttiya
Rattanaphan, Jakkhaphan
Boonla, Chanchai
Srisa-art, Monpicha
Ungjaroenwathana, Wattanachai
Tosukhowong, Piyaratana
description Background Evidence has indicated that immediate family members of nephrolithiasis patients had high opportunity to develop stones. However, they are usually not regarded to be at risk, since it is unclear if there are any lithogenic abnormalities found in non-stone-forming nephrolithiasis relatives. Our aim was to investigate urinary metabolic abnormalities in the children of nephrolithiasis patients, compared with the general population. Methods The 24-h urinary metabolic profile was studied for 28 calcium oxalate nephrolithiasis patients (NL) and 46 of their descendants (ND), as well as 40 non-stone-forming volunteers (V) and 34 of their descendants (VD). Results There was no difference between age, gender, and serum creatinine between NL vs. V (parental groups) and ND vs. VD (descendant groups). High urinary oxalate in nephrolithiasis and urinary calcium in their descendants was detected. In addition, an elevated urinary excretion rate of calcium, phosphate, protein, and albumin, along with low citrate excretion and high urinary supersaturation was observed in both the nephrolithiasis patients and their descendants. Approximate 17.8–24.4% of the nephrolithiasis descendants had a urinary supersaturation higher than the nephrolithiasis level, but none was found in VD group. The level of urinary supersaturation index was correlated with urinary protein and albumin excretion in nephrolithiasis family. Conclusion It was demonstrated that nephrolithiasis offspring carried several urinary metabolic risks predisposing to stone formation which are similar to their parents, and about one in every five nephrolithiasis children had nephrolithiasis level urinary supersaturation.
doi_str_mv 10.1007/s00467-018-3927-1
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However, they are usually not regarded to be at risk, since it is unclear if there are any lithogenic abnormalities found in non-stone-forming nephrolithiasis relatives. Our aim was to investigate urinary metabolic abnormalities in the children of nephrolithiasis patients, compared with the general population. Methods The 24-h urinary metabolic profile was studied for 28 calcium oxalate nephrolithiasis patients (NL) and 46 of their descendants (ND), as well as 40 non-stone-forming volunteers (V) and 34 of their descendants (VD). Results There was no difference between age, gender, and serum creatinine between NL vs. V (parental groups) and ND vs. VD (descendant groups). High urinary oxalate in nephrolithiasis and urinary calcium in their descendants was detected. In addition, an elevated urinary excretion rate of calcium, phosphate, protein, and albumin, along with low citrate excretion and high urinary supersaturation was observed in both the nephrolithiasis patients and their descendants. Approximate 17.8–24.4% of the nephrolithiasis descendants had a urinary supersaturation higher than the nephrolithiasis level, but none was found in VD group. The level of urinary supersaturation index was correlated with urinary protein and albumin excretion in nephrolithiasis family. Conclusion It was demonstrated that nephrolithiasis offspring carried several urinary metabolic risks predisposing to stone formation which are similar to their parents, and about one in every five nephrolithiasis children had nephrolithiasis level urinary supersaturation.</description><identifier>ISSN: 0931-041X</identifier><identifier>EISSN: 1432-198X</identifier><identifier>DOI: 10.1007/s00467-018-3927-1</identifier><identifier>PMID: 29594505</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Albumin ; Calcium (urinary) ; Calcium oxalate ; Calcium phosphates ; Children ; Citric acid ; Creatinine ; Excretion ; Families &amp; family life ; Kidney stones ; Medicine ; Medicine &amp; Public Health ; Metabolism ; Nephrolithiasis ; Nephrology ; Original Article ; Oxalic acid ; Pediatrics ; Risk factors ; Sexually transmitted diseases ; STD ; Urology</subject><ispartof>Pediatric nephrology (Berlin, West), 2018-07, Vol.33 (7), p.1173-1181</ispartof><rights>IPNA 2018</rights><rights>Pediatric Nephrology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-8a95dcfc8e51d9b68c438493b3dde7411ed2a543442c70af3a659dc40fcdb1fa3</citedby><cites>FETCH-LOGICAL-c372t-8a95dcfc8e51d9b68c438493b3dde7411ed2a543442c70af3a659dc40fcdb1fa3</cites><orcidid>0000-0001-7066-0870</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00467-018-3927-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00467-018-3927-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29594505$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dissayabutra, Thasinas</creatorcontrib><creatorcontrib>Kalpongkul, Nuttiya</creatorcontrib><creatorcontrib>Rattanaphan, Jakkhaphan</creatorcontrib><creatorcontrib>Boonla, Chanchai</creatorcontrib><creatorcontrib>Srisa-art, Monpicha</creatorcontrib><creatorcontrib>Ungjaroenwathana, Wattanachai</creatorcontrib><creatorcontrib>Tosukhowong, Piyaratana</creatorcontrib><title>Urinary stone risk factors in the descendants of patients with kidney stone disease</title><title>Pediatric nephrology (Berlin, West)</title><addtitle>Pediatr Nephrol</addtitle><addtitle>Pediatr Nephrol</addtitle><description>Background Evidence has indicated that immediate family members of nephrolithiasis patients had high opportunity to develop stones. However, they are usually not regarded to be at risk, since it is unclear if there are any lithogenic abnormalities found in non-stone-forming nephrolithiasis relatives. Our aim was to investigate urinary metabolic abnormalities in the children of nephrolithiasis patients, compared with the general population. Methods The 24-h urinary metabolic profile was studied for 28 calcium oxalate nephrolithiasis patients (NL) and 46 of their descendants (ND), as well as 40 non-stone-forming volunteers (V) and 34 of their descendants (VD). Results There was no difference between age, gender, and serum creatinine between NL vs. V (parental groups) and ND vs. VD (descendant groups). High urinary oxalate in nephrolithiasis and urinary calcium in their descendants was detected. In addition, an elevated urinary excretion rate of calcium, phosphate, protein, and albumin, along with low citrate excretion and high urinary supersaturation was observed in both the nephrolithiasis patients and their descendants. Approximate 17.8–24.4% of the nephrolithiasis descendants had a urinary supersaturation higher than the nephrolithiasis level, but none was found in VD group. The level of urinary supersaturation index was correlated with urinary protein and albumin excretion in nephrolithiasis family. 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However, they are usually not regarded to be at risk, since it is unclear if there are any lithogenic abnormalities found in non-stone-forming nephrolithiasis relatives. Our aim was to investigate urinary metabolic abnormalities in the children of nephrolithiasis patients, compared with the general population. Methods The 24-h urinary metabolic profile was studied for 28 calcium oxalate nephrolithiasis patients (NL) and 46 of their descendants (ND), as well as 40 non-stone-forming volunteers (V) and 34 of their descendants (VD). Results There was no difference between age, gender, and serum creatinine between NL vs. V (parental groups) and ND vs. VD (descendant groups). High urinary oxalate in nephrolithiasis and urinary calcium in their descendants was detected. In addition, an elevated urinary excretion rate of calcium, phosphate, protein, and albumin, along with low citrate excretion and high urinary supersaturation was observed in both the nephrolithiasis patients and their descendants. Approximate 17.8–24.4% of the nephrolithiasis descendants had a urinary supersaturation higher than the nephrolithiasis level, but none was found in VD group. The level of urinary supersaturation index was correlated with urinary protein and albumin excretion in nephrolithiasis family. Conclusion It was demonstrated that nephrolithiasis offspring carried several urinary metabolic risks predisposing to stone formation which are similar to their parents, and about one in every five nephrolithiasis children had nephrolithiasis level urinary supersaturation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29594505</pmid><doi>10.1007/s00467-018-3927-1</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7066-0870</orcidid></addata></record>
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source SpringerNature Journals
subjects Albumin
Calcium (urinary)
Calcium oxalate
Calcium phosphates
Children
Citric acid
Creatinine
Excretion
Families & family life
Kidney stones
Medicine
Medicine & Public Health
Metabolism
Nephrolithiasis
Nephrology
Original Article
Oxalic acid
Pediatrics
Risk factors
Sexually transmitted diseases
STD
Urology
title Urinary stone risk factors in the descendants of patients with kidney stone disease
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