PMID- 36057907 OWN - NLM STAT- MEDLINE DCOM- 20220930 LR - 20221005 IS - 1437-9813 (Electronic) IS - 0179-0358 (Linking) VI - 38 IP - 11 DP - 2022 Nov TI - Role of urinary Neutrophil Gelatinase-Associated Lipocalin (NGAL), Monocyte Chemoattractant Protein-1(MCP-1), and Interleukin-6(IL-6) as biomarkers in pediatric patients with hydronephrosis. PG - 1635-1641 LID - 10.1007/s00383-022-05207-x [doi] AB - OBJECTIVES: The decision to surgically intervene in a hydronephrotic kidney in children is based on many debatable guidelines, some requiring repeated ultrasounds or renal scans. Urinary proteins have the potential to reflect renal disorders and hence can be the alternatives to such scans. Here, we aim to assess the role of urinary Neutrophil Gelatinase-Associated Lipocalin, Monocyte Chemoattractant Protein-1, and Interleukin-6 (IL-6) in such patients. METHODS: Seventeen children had obstructive hydronephrosis requiring pyeloplasty (UPJO), while seven were kept on conservative management in view of non-obstructive dilation (NOD). Urine samples were measured for the three urinary proteins at the time of presentation and following pyeloplasty using commercially available ELISA kits. RESULTS: The levels of all three urinary proteins were significantly higher in patients with UPJO children compared to the NOD group. Cut-off values to differentiate obstructive from non-obstructive hydronephrosis were obtained. A significant fall in the post-operative value of urinary IL-6 was also observed. CONCLUSION: This study highlights the potentiality of urinary proteins as biomarkers in identifying children with hydronephrosis and picking out the ones with obstructive hydronephrosis who will require pyeloplasty. The drop in levels after pyeloplasty can be employed to evaluate the effectiveness of pyeloplasty when sent serially. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Suchiang, Biangchwadaka AU - Suchiang B AD - Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, India. FAU - Pathak, Manish AU - Pathak M AD - Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, India. pathakm@aiimsjodhpur.edu.in. FAU - Saxena, Rahul AU - Saxena R AD - Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, India. FAU - Sharma, Shailja AU - Sharma S AD - Department of Biochemistry, All India Institute of Medical Sciences, Jodhpur, India. FAU - Mittal, Aliza AU - Mittal A AD - Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, India. FAU - Nayak, Shubhalaxmi AU - Nayak S AD - Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, India. FAU - Jadhav, Avinash AU - Jadhav A AD - Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, India. FAU - Rathod, Kirtikumar AU - Rathod K AD - Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, India. FAU - Sinha, Arvind AU - Sinha A AD - Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, India. LA - eng PT - Journal Article DEP - 20220904 PL - Germany TA - Pediatr Surg Int JT - Pediatric surgery international JID - 8609169 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (IL6 protein, human) RN - 0 (Interleukin-6) RN - 0 (LCN2 protein, human) RN - 0 (Lipocalin-2) SB - IM MH - Biomarkers/urine MH - Chemokine CCL2/*urine MH - Child MH - Humans MH - *Hydronephrosis/diagnosis/surgery MH - Interleukin-6/*urine MH - Lipocalin-2/*urine OTO - NOTNLM OT - Hydronephrosis OT - Interleukin-6 (IL-6) OT - Monocyte Chemoattractant Protein-1 (MCP-1) OT - Neutrophil Gelatinase-Associated Lipocalin (NGAL) EDAT- 2022/09/05 06:00 MHDA- 2022/10/01 06:00 CRDT- 2022/09/04 13:57 PHST- 2022/08/26 00:00 [accepted] PHST- 2022/09/05 06:00 [pubmed] PHST- 2022/10/01 06:00 [medline] PHST- 2022/09/04 13:57 [entrez] AID - 10.1007/s00383-022-05207-x [pii] AID - 10.1007/s00383-022-05207-x [doi] PST - ppublish SO - Pediatr Surg Int. 2022 Nov;38(11):1635-1641. doi: 10.1007/s00383-022-05207-x. Epub 2022 Sep 4.