1. Plasma and urinary levels of cytokines in patients with idiopathic hypercalciuria.
- Author
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Santos AC Jr, Lima EM, Penido MG, Silveira KD, Teixeira MM, Oliveira EA, and Simões E Silva AC
- Subjects
- Absorptiometry, Photon, Adolescent, Age Factors, Biomarkers blood, Biomarkers urine, Bone Density, Bone Remodeling, Brazil, Calcium urine, Case-Control Studies, Chemokine CCL2 blood, Chemokine CCL2 urine, Child, Cross-Sectional Studies, Enzyme-Linked Immunosorbent Assay, Female, Humans, Hypercalciuria blood, Hypercalciuria diagnostic imaging, Hypercalciuria urine, Interleukin-1beta blood, Interleukin-1beta urine, Interleukin-6 blood, Interleukin-6 urine, Interleukin-8 blood, Interleukin-8 urine, Lumbar Vertebrae diagnostic imaging, Male, Transforming Growth Factor beta1 blood, Transforming Growth Factor beta1 urine, Tumor Necrosis Factor-alpha blood, Tumor Necrosis Factor-alpha urine, Young Adult, Cytokines blood, Cytokines urine, Hypercalciuria immunology
- Abstract
Background: Recent studies suggest that cytokines modulate bone turnover. Idiopathic hypercalciuria (IH) seems to be associated with bone mineral loss. Therefore, the aim of this study was to assess cytokines involved in bone turnover in patients with IH., Methods: Plasma and spot-urine levels of interleukin (IL)-1β, IL-6, IL-8, tumor necrosis factor alpha (TNF-α), transforming growth factor β1 (TGF-β1), and monocyte chemoattractant protein (MCP-1) were measured in 70 children and adolescents with IH and in 37 healthy controls. Patients with IH were subdivided according to their calciuria at the time of sample collection: ≥4 mg/kg/day (persistent IH, n=27) and below 4 mg/kg/day (controlled IH, n=43). Cytokines were determined by enzyme-linked immunoassay., Results: Plasma and urinary concentrations of IL-1β, IL-6, IL-8, and TNF-α were undetectable in all groups. No differences were found between controlled and persistent hypercalciuria for plasma and urinary levels of MCP-1 and TGF-β1. On the other hand, MCP-1 levels were significantly higher in both subgroups of IH in comparison to healthy controls. Furthermore, urinary MCP-1 levels of IH patients correlated positively with bone mineral content (p=0.013)., Conclusion: Although cytokine measurements did not allow the differentiation between persistent and controlled IH, our findings suggest that MCP-1 might play a role in patients with IH.
- Published
- 2012
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