PMID- 24284376 OWN - NLM STAT- MEDLINE DCOM- 20140702 LR - 20190727 IS - 1349-3329 (Electronic) IS - 0040-8727 (Linking) VI - 231 IP - 4 DP - 2013 Dec TI - Urinary fractalkine and monocyte chemoattractant protein-1 as possible predictors of disease activity of childhood glomerulonephritis. PG - 265-70 AB - Renal biopsy is the gold standard for confirmation of disease severity and diagnosis of glomerulonephritis (GN), but its procedure is invasive with a risk of complications. Thus, a non-invasive monitoring method is desirable especially in pediatric patients. Fractalkine and monocyte chemoattractant protein-1 (MCP-1) are proinflammatory chemokines, and both have been reported to be involved in the pathogenesis of immunocomplex-mediated GN. Recently, it has been reported that urinary fractalkine and MCP-1 may serve as possible predictors of disease activity of adult patients with GN. We, therefore, examined whether urinary levels of fractalkine and MCP-1 correlate with clinical and histologic parameters. Twenty-six consecutive children with various types of GN were enrolled in this study, including lupus nephritis, IgA nephropathy, membranous nephropathy, acute GN, and thin basement membrane disease (served as a non-inflammatory control). Urinary fractalkine and MCP-1 concentrations in the first morning urine samples obtained at the time of renal biopsy were measured by enzyme-linked immunosorbent assay, and standardized for urinary creatinine concentrations. Urinary fractalkine concentration differed significantly among the disease categories. Urinary concentrations of fractalkine and MCP-1 showed a significant positive correlation with the degree of occult blood in urine and a significant inverse correlation with the estimated glomerular filtration rate. Furthermore, the urinary MCP-1 concentration was significantly correlated with histological chronicity indices in patients with lupus nephritis and IgA nephropathy. Measurement of urinary fractalkine and MCP-1 concentrations may be useful as a non-invasive method for predicting the disease activity of GN in children. FAU - Aizawa, Tomomi AU - Aizawa T AD - Department of Pediatrics, Hirosaki University Hospital. FAU - Imaizumi, Tadaatsu AU - Imaizumi T FAU - Tsuruga, Kazushi AU - Tsuruga K FAU - Watanabe, Shojiro AU - Watanabe S FAU - Yoshida, Hidemi AU - Yoshida H FAU - Kumagai, Naonori AU - Kumagai N FAU - Ito, Etsuro AU - Ito E FAU - Tanaka, Hiroshi AU - Tanaka H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Tohoku J Exp Med JT - The Tohoku journal of experimental medicine JID - 0417355 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CX3CL1) RN - 0 (Chemokines) RN - AYI8EX34EU (Creatinine) SB - IM MH - Adolescent MH - Biopsy MH - Chemokine CCL2/*urine MH - Chemokine CX3CL1/*urine MH - Chemokines/metabolism MH - Child MH - Child, Preschool MH - Creatinine/urine MH - Female MH - *Gene Expression Regulation MH - Glomerulonephritis/*urine MH - Glomerulonephritis, IGA/urine MH - Glomerulonephritis, Membranous/urine MH - Humans MH - Inflammation MH - Kidney/pathology MH - Lupus Nephritis/urine MH - Male EDAT- 2013/11/29 06:00 MHDA- 2014/07/06 06:00 CRDT- 2013/11/29 06:00 PHST- 2013/11/29 06:00 [entrez] PHST- 2013/11/29 06:00 [pubmed] PHST- 2014/07/06 06:00 [medline] AID - DN/JST.JSTAGE/tjem/231.265 [pii] AID - 10.1620/tjem.231.265 [doi] PST - ppublish SO - Tohoku J Exp Med. 2013 Dec;231(4):265-70. doi: 10.1620/tjem.231.265.