PMID- 28786061 OWN - NLM STAT- MEDLINE DCOM- 20180430 LR - 20181113 IS - 1993-1352 (Electronic) IS - 1672-0733 (Linking) VI - 37 IP - 4 DP - 2017 Aug TI - Association of increased urine brain derived neurotrophic factor with lower urinary tract symptoms in men with benign prostatic hyperplasia. PG - 531-535 LID - 10.1007/s11596-017-1768-y [doi] AB - Urinary brain-derived neurotrophic factor (BDNF), an ubiquitous neurotrophin, was found to rise in patients with benign prostatic hyperplasia (BPH). We hypothesized that the urinary level of BDNF could be a potential biomarker for lower urinary tract symptoms (LUTS) in patients with BPH. Totally, 76 patients with BPH-caused LUTS and 32 male control subjects without BPH were enrolled. International Prostate Symptom Score (IPSS) was applied to assess the symptom severity of LUTS. Urodynamic tests were performed for the diagnosis of underlying detrusor overactivity (DO) in the patients with BPH. Urine samples were collected from all subjects. Urinary BDNF levels were measured using enzyme-linked immunosorbent assays and normalized by urinary creatinine (Cr) levels. Seventy-six BPH patients were divided into moderate LUTS group (n=51, 720) according to the IPSS. Of the 76 BPH patients, DO was present in 34 (44.7%) according to the urodynamic test. The urinary BDNF/Cr levels were significantly higher in BPH patients with moderate LUTS (8.29+/-3.635, P<0.0001) and severe LUTS (11.8+/-6.44, P<0.0001) than normal controls (1.71+/-0.555). Patients with severe LUTS tended to have higher urinary BDNF/Cr levels than patients with moderate LUTS (11.8+/-6.44 vs. 8.29+/-3.635, P=0.000). The conditions of BPH with LUTS correlated with elevated urinary BDNF levels, and urinary BDNF levels were even higher in BPH-DO patients. The results of this study have provided evidence to suggest that urinary BDNF level test could evaluate the severity of LUTS in BPH patients, and BDNF level can be used as a biomarker for the diagnosis of DO in BPH patients. FAU - Wang, Long-Wang AU - Wang LW AD - Department of Urology, the Second Hospital of Nanchang University, Nanchang, 330006, China. FAU - Li, Jian-Long AU - Li JL AD - Department of Urology, Xi'an Third Hospital, Xi'an, 710018, China. FAU - Yu, Yi AU - Yu Y AD - Department of Urology, the Second Hospital of Nanchang University, Nanchang, 330006, China. FAU - Xiao, Rui-Hai AU - Xiao RH AD - Department of Urology, the Second Hospital of Nanchang University, Nanchang, 330006, China. FAU - Huang, Hong-Wei AU - Huang HW AD - Department of Urology, the Second Hospital of Nanchang University, Nanchang, 330006, China. FAU - Kuang, Ren-Rui AU - Kuang RR AD - Department of Urology, the Second Hospital of Nanchang University, Nanchang, 330006, China. FAU - Hai, Bo AU - Hai B AD - Department of Urology, Union Hospital, Tongji Medical College, Huazhong Unicersity of Science and Technology, Wuhan, 430022, China. bohai234@yeah.net. LA - eng PT - Journal Article DEP - 20170808 PL - China TA - J Huazhong Univ Sci Technolog Med Sci JT - Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban JID - 101169627 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) RN - AYI8EX34EU (Creatinine) SB - IM MH - Aged MH - Brain-Derived Neurotrophic Factor/*urine MH - Case-Control Studies MH - Creatinine/urine MH - Humans MH - Lower Urinary Tract Symptoms/*complications/*urine MH - Male MH - Middle Aged MH - Prostatic Hyperplasia/*complications MH - Urinary Bladder, Overactive/complications/urine OTO - NOTNLM OT - benign prostatic hyperplasia OT - biomarker OT - increased urine brain derived neurotrophic factor OT - lower urinary tract symptoms EDAT- 2017/08/09 06:00 MHDA- 2018/05/01 06:00 CRDT- 2017/08/09 06:00 PHST- 2016/08/30 00:00 [received] PHST- 2017/05/19 00:00 [revised] PHST- 2017/08/09 06:00 [entrez] PHST- 2017/08/09 06:00 [pubmed] PHST- 2018/05/01 06:00 [medline] AID - 10.1007/s11596-017-1768-y [pii] AID - 10.1007/s11596-017-1768-y [doi] PST - ppublish SO - J Huazhong Univ Sci Technolog Med Sci. 2017 Aug;37(4):531-535. doi: 10.1007/s11596-017-1768-y. Epub 2017 Aug 8.