Are Tubular Injury Markers NGAL and KIM-1 Useful in Pediatric Neurogenic Bladder?

被引：6

作者：

Baginska, Joanna ^{[1
]}

Korzeniecka-Kozerska, Agata ^{[1
]}

机构：

[1] Med Univ Bialystok, Dept Pediat & Nephrol, 17 Waszyngtona Str, PL-15274 Bialystok, Poland

来源：

JOURNAL OF CLINICAL MEDICINE | 2021年 / 10卷 / 11期

关键词：

neurogenic bladder; myelomeningocele; markers; GELATINASE-ASSOCIATED LIPOCALIN; URINARY-TRACT-INFECTION; CHRONIC KIDNEY-DISEASE; CYSTATIN C; CHILDREN; BIOMARKERS; DIAGNOSIS;

D O I：

10.3390/jcm10112353

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The lack of early biomarkers of renal damage in children with neurogenic bladder (NB) prompts us to investigate the role of promising proteins: neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule-1 (KIM-1). This prospective analysis was conducted on 58 children with NB and 25 healthy children. We assessed urinary levels of NGAL and KIM-1 in both groups. Age, sex, anthropometric measurements, activity assessment, renal function, and urodynamics parameters were analyzed. The differences between the median uNGAL and uKIM-1 in the NB group compared to control were recorded. However, only uNGAL levels were statistically significantly higher. Statistically significant correlation was found between gender, recurrent urinary tract infections, bladder trabeculation, its compliance, activity assessment, and uNGAL. To conclude, elevated levels of uNGAL may be considered a biomarker of tubular injury in children with NB due to MMC in contrast to uKIM-1.

引用

页数：8

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