PMID- 8640042 OWN - NLM STAT- MEDLINE DCOM- 19960715 LR - 20190821 IS - 0803-5253 (Print) IS - 0803-5253 (Linking) VI - 85 IP - 2 DP - 1996 Feb TI - Interleukin-1 alpha and interleukin-1 receptor antagonist in the urine of children with acute pyelonephritis and relation to renal scarring. PG - 158-62 AB - Urinary concentrations of interleukin-1 alpha (IL-1 alpha) and interleukin-1 receptor antagonist (IL-lra) standardized to urinary creatinine concentrations were studied. The median standardized IL-1 alpha creatinine quotient in children with first-time acute pyelonephritis was 3.6 pg/mumol, but was nondetectable in children with recurrent pyelonephritis, children with non-renal febrile conditions and children convalescent after acute pyelonephritis (p < 0.05-0.01). IL-lra levels were also significantly higher in children with acute first-time pyelonephritis (median of 239 pg/mumol) compared to these three groups of children (p < 0.01-0.001). The highest urinary IL-lra levels, however, were found in the healthy controls (median value 1.019; p < 0.001). Both cytokines were higher among children younger than one year compared to older children. The acute IL-1 alpha creatinine quotients were lowest in children with uptake defects on 99mTC-dimercaptosuccinic acid (DMSA) scintigraphy both during the acute infection (reflecting the acute inflammation) (p < 0.001) and 1 year after the acute infection (reflecting permanent kidney scarring) (p < 0.001). In conclusion, persisting high urinary levels of IL-1 alpha were associated with less renal inflammation and scarring. FAU - Tullus, K AU - Tullus K AD - Department of Pediatrics, St Goran's Children's Hospital, Stockholm, Sweden. FAU - Escobar-Billing, R AU - Escobar-Billing R FAU - Fituri, O AU - Fituri O FAU - Burman, L G AU - Burman LG FAU - Karlsson, A AU - Karlsson A FAU - Wikstad, I AU - Wikstad I FAU - Wretlind, B AU - Wretlind B FAU - Brauner, A AU - Brauner A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Norway TA - Acta Paediatr JT - Acta paediatrica (Oslo, Norway : 1992) JID - 9205968 RN - 0 (Interleukin-1) RN - 0 (Receptors, Interleukin-1) RN - AYI8EX34EU (Creatinine) SB - IM MH - Acute Disease MH - Age Factors MH - Child MH - Child, Preschool MH - Cicatrix/*physiopathology MH - Creatinine/urine MH - Humans MH - Infant MH - Interleukin-1/*urine MH - Kidney/*physiopathology MH - Pyelonephritis/*physiopathology/*urine MH - Receptors, Interleukin-1/*antagonists & inhibitors EDAT- 1996/02/01 00:00 MHDA- 1996/02/01 00:01 CRDT- 1996/02/01 00:00 PHST- 1996/02/01 00:00 [pubmed] PHST- 1996/02/01 00:01 [medline] PHST- 1996/02/01 00:00 [entrez] AID - 10.1111/j.1651-2227.1996.tb13984.x [doi] PST - ppublish SO - Acta Paediatr. 1996 Feb;85(2):158-62. doi: 10.1111/j.1651-2227.1996.tb13984.x.