PMID- 18241247 OWN - NLM STAT- MEDLINE DCOM- 20080522 LR - 20080410 IS - 1464-410X (Electronic) IS - 1464-4096 (Linking) VI - 101 IP - 9 DP - 2008 May TI - Messenger RNA expression of monocyte chemoattractant protein-1 and interleukin-6 in stone-containing kidneys. PG - 1170-7 LID - 10.1111/j.1464-410X.2008.07461.x [doi] AB - OBJECTIVES: To investigate the intrarenal mRNA expression of monocyte chemoattractant protein-1 (MCP-1) and interleukin-6 (IL-6) in patients with nephrolithiasis, and to evaluate whether their expression is associated with renal function, as oxidative stress and inflammation are involved in the pathogenesis of nephrolithiasis. PATIENTS, SUBJECTS AND METHODS: Renal biopsies from near the stone, and blood and 24-h urine specimens were collected from 29 patients with nephrolithiasis. Control renal tissues were taken from non-cancerous and cancerous portions of nephrectomy from six patients with renal cancers, and control 24-h urine samples were obtained from 30 healthy subjects. Corrected creatinine clearance, urinary N-acetyl-beta-glucosaminidase activity and 8-hydroxy-deoxyguanosine (8-OHdG) were determined. The mRNA expressions of MCP-1 and IL-6 in the tissues were measured by real time reverse transcription-polymerase chain reaction. RESULTS: Patients with nephrolithiasis had significantly greater renal tubular damage and oxidative stress than the healthy controls. Intrarenal mRNA expressions of MCP-1 and IL-6 in stone-adjacent renal tissues were significantly lower than in cancerous renal tissues, but not statistically different from that in non-cancerous renal tissues. In stone-adjacent renal tissues, the mRNA level of MCP-1 was significantly higher than that of IL-6, but their expressions were significantly correlated with each other. Histological examination showed that the number of infiltrated leukocytes corresponded well with the intrarenal mRNA levels of MCP-1 and IL-6. Patients with nephrolithiasis and compromised renal function had significantly higher intrarenal mRNA levels of MCP-1 and IL-6 than those with preserved renal function. Also, the mRNA levels in patients with severe renal tubular damage were significantly greater than in those with less renal tubular damage. There was no association between intrarenal mRNA expression and urinary 8-OHdG. CONCLUSION: Nephrolithiasis was associated with low-grade intrarenal inflammation. A greater intrarenal mRNA expression of MCP-1 and IL-6 was associated with enhanced renal impairment. Thus, expression of MCP-1 and IL-6, at least in part, contributed to the progression of nephrolithiasis. FAU - Boonla, Chanchai AU - Boonla C AD - Department of Biochemistry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Hunapathed, Chanutra AU - Hunapathed C FAU - Bovornpadungkitti, Sombat AU - Bovornpadungkitti S FAU - Poonpirome, Kanitta AU - Poonpirome K FAU - Tungsanga, Kriang AU - Tungsanga K FAU - Sampatanukul, Pichet AU - Sampatanukul P FAU - Tosukhowong, Piyaratana AU - Tosukhowong P LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20080130 PL - England TA - BJU Int JT - BJU international JID - 100886721 RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-6) RN - 0 (RNA, Messenger) SB - IM MH - Aged MH - Case-Control Studies MH - Chemokine CCL2/*metabolism MH - Female MH - Humans MH - Interleukin-6/*metabolism MH - Kidney/*pathology MH - Kidney Neoplasms/pathology MH - Male MH - Middle Aged MH - Nephritis/pathology MH - Nephrolithiasis/*pathology MH - Oxidative Stress/physiology MH - RNA, Messenger/*metabolism MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2008/02/05 09:00 MHDA- 2008/05/23 09:00 CRDT- 2008/02/05 09:00 PHST- 2008/02/05 09:00 [pubmed] PHST- 2008/05/23 09:00 [medline] PHST- 2008/02/05 09:00 [entrez] AID - BJU7461 [pii] AID - 10.1111/j.1464-410X.2008.07461.x [doi] PST - ppublish SO - BJU Int. 2008 May;101(9):1170-7. doi: 10.1111/j.1464-410X.2008.07461.x. Epub 2008 Jan 30.