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Erschienen in: International Urology and Nephrology 10/2019

18.07.2019 | Urology - Original Paper

Evaluation of the urinary podocalyxin and nephrin excretion levels to determine a safe time interval between two sessions of SWL for renal stones: a non randomized exploratory study

verfasst von: Hüseyin Kocatürk, Nursen Atasoy, Fevzi Bedir, İbrahim Karabulut, Engin Şebin, Kemal Sarica

Erschienen in: International Urology and Nephrology | Ausgabe 10/2019

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Abstract

Objectives

We aimed to evaluate the role of nephrin and podocalyxin in determining the intervals between shock wave lithotripsy (SWL) sessions and how soon the kidney damage was recovered.

Methods

This work was a prospective study that included 30 patients with unilateral kidney stones. The patients’ midflow urine samples were collected before SWL and 1 h, 1 day and 1 week after the procedure. Nephrin and podocalyxin levels in the urine samples were measured by the enzyme-linked immunosorbent assay method.

Results

Among the 30 patients who underwent SWL, 19 were males and 11 were females. The mean age of the SWL group was 34.7 ± 13.2. Both biomarkers did not correlate with age, creatinine values, body mass index, stone side, stone size, energy, frequency and shock numbers. Nephrin and podocalyxin levels were significantly higher at the pre-SWL point (p < 0.05). After the procedure, a significant decrease was observed in both biomarker levels (p < 0.05). At the end of first day, these levels started to increase progressively up to the end of the first week (p  > 0.05).

Conclusions

Nephrin and podocalyxin may help to determine early period kidney damage associated with SWL. Post-SWL podocalyxin and nephrin values may be used to determine the interval between SWL sessions.
Literatur
1.
Zurück zum Zitat Romero V, Akpinar H, Assimos DG (2010) Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol 12(2–3):e86–e96PubMedPubMedCentral Romero V, Akpinar H, Assimos DG (2010) Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol 12(2–3):e86–e96PubMedPubMedCentral
2.
Zurück zum Zitat Cohen TD, Durrani AF, Brown SA, Ferraro R, Preminger GM (1998) Lipid peroxidation induced by shockwave lithotripsy. J Endourol 12(3):229–232PubMedCrossRef Cohen TD, Durrani AF, Brown SA, Ferraro R, Preminger GM (1998) Lipid peroxidation induced by shockwave lithotripsy. J Endourol 12(3):229–232PubMedCrossRef
3.
Zurück zum Zitat Willis LR, Evan AP, Connors BA, Blomgren P, Fineberg NS, Lingeman JE (1999) Relationship between kidney size, renal injury, and renal impairment induced by shock wave lithotripsy. J Am Soc Nephrol 10(8):1753–1762PubMed Willis LR, Evan AP, Connors BA, Blomgren P, Fineberg NS, Lingeman JE (1999) Relationship between kidney size, renal injury, and renal impairment induced by shock wave lithotripsy. J Am Soc Nephrol 10(8):1753–1762PubMed
4.
Zurück zum Zitat Lingeman JE, McAteer JA, Kempson SA, Evan AP (1988) Bioeffects of extracorporeal shockwave lithotripsy: strategy for research and treatment. Urol Clin N Am 15:507 Lingeman JE, McAteer JA, Kempson SA, Evan AP (1988) Bioeffects of extracorporeal shockwave lithotripsy: strategy for research and treatment. Urol Clin N Am 15:507
5.
Zurück zum Zitat Recker F, Hofmann W, Bex A, Tscholl R (1992) Quantitative determination of urinary marker proteins: a model to detect intrarenal bioeffects after extracorporeal lithotripsy. J Urol 148(3):1000–1006PubMedCrossRef Recker F, Hofmann W, Bex A, Tscholl R (1992) Quantitative determination of urinary marker proteins: a model to detect intrarenal bioeffects after extracorporeal lithotripsy. J Urol 148(3):1000–1006PubMedCrossRef
6.
Zurück zum Zitat Mundel P, Shankland SJ (2002) Podocyte biology and response to injury. J Am Soc Nephrol. 13:3005–3015PubMedCrossRef Mundel P, Shankland SJ (2002) Podocyte biology and response to injury. J Am Soc Nephrol. 13:3005–3015PubMedCrossRef
7.
8.
Zurück zum Zitat Kerjaschki D, Sharkey DJ, Farquhar MG (1984) Identification and characterization of podocalyxin–the major sialoprotein of the renal glomerular epithelial cell. J Cell Biol 98(4):1591–1596PubMedCrossRef Kerjaschki D, Sharkey DJ, Farquhar MG (1984) Identification and characterization of podocalyxin–the major sialoprotein of the renal glomerular epithelial cell. J Cell Biol 98(4):1591–1596PubMedCrossRef
9.
Zurück zum Zitat Kerosuo L, Juvonen E, Alitalo R, Gylling M, Kerjaschki D, Miettinen A (2004) Podocalyxin in human haematopoietic cells. Br J Haematol 124:809–818PubMedCrossRef Kerosuo L, Juvonen E, Alitalo R, Gylling M, Kerjaschki D, Miettinen A (2004) Podocalyxin in human haematopoietic cells. Br J Haematol 124:809–818PubMedCrossRef
10.
Zurück zum Zitat Kershaw DB, Beck SG, Wharram BL, Wiggins JE, Goyal M, Thomas PE, Wiggins RC (1997) Molecular cloning and characterization of human podocalyxin-like protein. Orthologous relationship to rabbit PCLP1 and rat podocalyxin. J Biol Chem 272:15708–15714PubMedCrossRef Kershaw DB, Beck SG, Wharram BL, Wiggins JE, Goyal M, Thomas PE, Wiggins RC (1997) Molecular cloning and characterization of human podocalyxin-like protein. Orthologous relationship to rabbit PCLP1 and rat podocalyxin. J Biol Chem 272:15708–15714PubMedCrossRef
11.
Zurück zum Zitat Casey G, Neville PJ, Liu X, Plummer SJ, Cicek MS, Krumroy LM, Curran AP, McGreevy MR, Catalona WJ, Klein EA, Witte JS (2006) Podocalyxin variants and risk of prostate cancer and tumor aggressiveness. Hum Mol Genet 15:735–741PubMedCrossRef Casey G, Neville PJ, Liu X, Plummer SJ, Cicek MS, Krumroy LM, Curran AP, McGreevy MR, Catalona WJ, Klein EA, Witte JS (2006) Podocalyxin variants and risk of prostate cancer and tumor aggressiveness. Hum Mol Genet 15:735–741PubMedCrossRef
12.
Zurück zum Zitat Larrucea S, Butta N, Arias-Salgado EG, Alonso-Martin S, Ayuso MS, Parrilla R (2008) Expression of podocalyxin enhances the adherence, migration, and intercellular communication of cells. Exp Cell Res 314:2004–2015PubMedCrossRef Larrucea S, Butta N, Arias-Salgado EG, Alonso-Martin S, Ayuso MS, Parrilla R (2008) Expression of podocalyxin enhances the adherence, migration, and intercellular communication of cells. Exp Cell Res 314:2004–2015PubMedCrossRef
13.
Zurück zum Zitat Kestilä M, Lenkkeri U, Männikkö M, Lamerdin J, McCready P, Putaala H, Ruotsalainen V, Morita T, Nissinen M et al (1998) Positionally cloned gene for a novel glomerular protein—nephrin—is mutated in congenital nephrotic syndrome. Mol Cell 1:575–582PubMedCrossRef Kestilä M, Lenkkeri U, Männikkö M, Lamerdin J, McCready P, Putaala H, Ruotsalainen V, Morita T, Nissinen M et al (1998) Positionally cloned gene for a novel glomerular protein—nephrin—is mutated in congenital nephrotic syndrome. Mol Cell 1:575–582PubMedCrossRef
14.
Zurück zum Zitat Aström E, Rinta-Valkama J, Gylling M, Ahola H, Miettinen A, Timonen T, Holthöfer H (2006) Nephrin in human lymphoid tissues. Cell Mol Life Sci 63:498–504PubMedCrossRef Aström E, Rinta-Valkama J, Gylling M, Ahola H, Miettinen A, Timonen T, Holthöfer H (2006) Nephrin in human lymphoid tissues. Cell Mol Life Sci 63:498–504PubMedCrossRef
15.
Zurück zum Zitat Karalezli G, Gögüş O, Bedük Y, Köküuslu C, Sarica K, Kutsal O (1993) Histopathologic effects of extracorporeal shock wave lithotripsy on rabbit kidney. Urol Res 21(1):67–70PubMedCrossRef Karalezli G, Gögüş O, Bedük Y, Köküuslu C, Sarica K, Kutsal O (1993) Histopathologic effects of extracorporeal shock wave lithotripsy on rabbit kidney. Urol Res 21(1):67–70PubMedCrossRef
16.
Zurück zum Zitat Sarica K, Ozer G, Soygür T, Yaman O, Ozer E, Ustün H, Yaman LS, Göğüş O (1997) Preservation of shock-wave-induced renal histologic changes by dermatan sulfate. Urology 49(1):145–150PubMedCrossRef Sarica K, Ozer G, Soygür T, Yaman O, Ozer E, Ustün H, Yaman LS, Göğüş O (1997) Preservation of shock-wave-induced renal histologic changes by dermatan sulfate. Urology 49(1):145–150PubMedCrossRef
17.
Zurück zum Zitat Krysiewicz S (1992) Complications of renal extracorporeal shock wave lithotripsy reviewed. Urol Radiol 13(3):139–145PubMed Krysiewicz S (1992) Complications of renal extracorporeal shock wave lithotripsy reviewed. Urol Radiol 13(3):139–145PubMed
18.
Zurück zum Zitat Biri H, Oztürk HS, Büyükkoçak S, Kaçmaz M, Cimen MY, Unal D, Birey M, Bozkirli I, Durak I (1998) Antioxidant defense potential of rabbit renal tissues after ESWL: protective effects of antioxidant vitamins. Nephron 79(2):181–185PubMedCrossRef Biri H, Oztürk HS, Büyükkoçak S, Kaçmaz M, Cimen MY, Unal D, Birey M, Bozkirli I, Durak I (1998) Antioxidant defense potential of rabbit renal tissues after ESWL: protective effects of antioxidant vitamins. Nephron 79(2):181–185PubMedCrossRef
19.
Zurück zum Zitat Kaude JV, Williams CM, Miliner MR, Scott KN, Finlayson B (1985) Renal morphology and function immediately after extracorporeal shock-wave lithotripsy. AJR Am J Roentgenol 145(2):305–313PubMedCrossRef Kaude JV, Williams CM, Miliner MR, Scott KN, Finlayson B (1985) Renal morphology and function immediately after extracorporeal shock-wave lithotripsy. AJR Am J Roentgenol 145(2):305–313PubMedCrossRef
20.
Zurück zum Zitat Bomanji J, Boddy S, Britton KE, Nimmon CC, Whitfield HN (1987) Radionuclide evaluation pre and post-extracorporeal shock wave lithotripsy for renal calculi. J Nucl Med 28(8):1284–1289PubMed Bomanji J, Boddy S, Britton KE, Nimmon CC, Whitfield HN (1987) Radionuclide evaluation pre and post-extracorporeal shock wave lithotripsy for renal calculi. J Nucl Med 28(8):1284–1289PubMed
21.
Zurück zum Zitat Sarıca K, Kosar A, Yaman O, Bedük Y, Durak I, Göğüş O, Kavukçu M (1996) Evaluation of ischemia after SWL: detection of free oxygen radical scavenger enzymes in renal parenchyma subjected to high-energy shock waves. Urol Int 57(4):221–223PubMedCrossRef Sarıca K, Kosar A, Yaman O, Bedük Y, Durak I, Göğüş O, Kavukçu M (1996) Evaluation of ischemia after SWL: detection of free oxygen radical scavenger enzymes in renal parenchyma subjected to high-energy shock waves. Urol Int 57(4):221–223PubMedCrossRef
22.
Zurück zum Zitat Neal DE Jr, Kaack MB, Harmon EP, Puyau F, Morvant A, Richardson E, Thomas R (1991) Renin production after experimental extracorporeal shock wave lithotripsy: a primate model. J Urol 146(2 (Pt 2)):548–550PubMedCrossRef Neal DE Jr, Kaack MB, Harmon EP, Puyau F, Morvant A, Richardson E, Thomas R (1991) Renin production after experimental extracorporeal shock wave lithotripsy: a primate model. J Urol 146(2 (Pt 2)):548–550PubMedCrossRef
23.
Zurück zum Zitat Strohmaier WL, Carl AM, Wilbert DM, Bichler KH (1996) Effects of extracorporeal shock wave lithotripsy on plasma concentrations of endothelin and renin in humans. J Urol 155(1):48–51PubMedCrossRef Strohmaier WL, Carl AM, Wilbert DM, Bichler KH (1996) Effects of extracorporeal shock wave lithotripsy on plasma concentrations of endothelin and renin in humans. J Urol 155(1):48–51PubMedCrossRef
24.
Zurück zum Zitat Yurdakul T, Kulaksizoglu H, Pişkin MM, Avunduk MC, Ertemli E, Gokçe G, Barişkaner H, Byükbaş S, Kocabas V (2010) Combination antioxidant effect of α-tocoferol and erdosteine in ischemia-reperfusion injury in rat model. Int Urol Nephrol 42(3):647–655PubMedCrossRef Yurdakul T, Kulaksizoglu H, Pişkin MM, Avunduk MC, Ertemli E, Gokçe G, Barişkaner H, Byükbaş S, Kocabas V (2010) Combination antioxidant effect of α-tocoferol and erdosteine in ischemia-reperfusion injury in rat model. Int Urol Nephrol 42(3):647–655PubMedCrossRef
25.
Zurück zum Zitat Thamilselvan S, Byer KJ, Hackett RL, Khan SR (2000) Free radical scavengers, catalase and superoxide dismutase provide protection from oxalate-associated injury to LLC-PK1 and MDCK cells. J Urol 164(1):224–229PubMedCrossRef Thamilselvan S, Byer KJ, Hackett RL, Khan SR (2000) Free radical scavengers, catalase and superoxide dismutase provide protection from oxalate-associated injury to LLC-PK1 and MDCK cells. J Urol 164(1):224–229PubMedCrossRef
26.
Zurück zum Zitat Zhu B, Li XF, Zhu XL, Lin Y, Zhong S, Zhu CF, Tang XL, Hu YQ, Cheng XX, Wang YJ (2014) ELISA analysis of urinary nephrin and podocalyxin standardized by aquaporin-2 in adult patients with nephrotic syndrome. J Nephrol 27(4):411–417PubMedCrossRef Zhu B, Li XF, Zhu XL, Lin Y, Zhong S, Zhu CF, Tang XL, Hu YQ, Cheng XX, Wang YJ (2014) ELISA analysis of urinary nephrin and podocalyxin standardized by aquaporin-2 in adult patients with nephrotic syndrome. J Nephrol 27(4):411–417PubMedCrossRef
28.
Zurück zum Zitat Whiteside C, Porutis K, Cameron R, Thomson J (1989) Glomerular epithelial detachment not reduced charge density correlates with proteinuria in adriamycin and puromycin nephrosis. Lab Investig 61:650–660PubMed Whiteside C, Porutis K, Cameron R, Thomson J (1989) Glomerular epithelial detachment not reduced charge density correlates with proteinuria in adriamycin and puromycin nephrosis. Lab Investig 61:650–660PubMed
29.
Zurück zum Zitat Hara M, Yamamoto T, Yanagihara T, Takada T, Itoh M, Adachi Y, Yoshizumi A, Kawasaki K, Kihara I (1995) Urinary excretion of podocalyxin indicates glomerular epithelial cell injuries in glomerulonephritis. Nephron 69:397–403PubMedCrossRef Hara M, Yamamoto T, Yanagihara T, Takada T, Itoh M, Adachi Y, Yoshizumi A, Kawasaki K, Kihara I (1995) Urinary excretion of podocalyxin indicates glomerular epithelial cell injuries in glomerulonephritis. Nephron 69:397–403PubMedCrossRef
30.
Zurück zum Zitat Andersson M, Nilsson U, Hjalmarsson C, Haraldsson B, Nystrom JS (2007) Mild renal ischemia-reperfusion reduces charge and size selectivity of the glomerular barrier. Am J Physiol Renal Physiol 292:F1802–F1809PubMedCrossRef Andersson M, Nilsson U, Hjalmarsson C, Haraldsson B, Nystrom JS (2007) Mild renal ischemia-reperfusion reduces charge and size selectivity of the glomerular barrier. Am J Physiol Renal Physiol 292:F1802–F1809PubMedCrossRef
31.
Zurück zum Zitat Koop K, Eikmans M, Baelde HJ, Kawachi H, De Heer E, Paul LC, Bruijn JA (2003) Expression of podocyte-associated molecules in acquired human kidney diseases. J Am Soc Nephrol 14(8):2063–2071PubMedCrossRef Koop K, Eikmans M, Baelde HJ, Kawachi H, De Heer E, Paul LC, Bruijn JA (2003) Expression of podocyte-associated molecules in acquired human kidney diseases. J Am Soc Nephrol 14(8):2063–2071PubMedCrossRef
32.
Zurück zum Zitat Jim B, Ghanta M, Qipo A, Fan Y, Chuang PY, Cohen HW, Abadi M, Thomas DB, He JC (2012) Dysregulated nephrin in diabetic nephropathy of type 2 diabetes: a cross sectional study. PLoS One 7(5):e36041PubMedPubMedCentralCrossRef Jim B, Ghanta M, Qipo A, Fan Y, Chuang PY, Cohen HW, Abadi M, Thomas DB, He JC (2012) Dysregulated nephrin in diabetic nephropathy of type 2 diabetes: a cross sectional study. PLoS One 7(5):e36041PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Hara A, Wada T, Furuichi K, Sakai N, Kawachi H, Shimizu F, Shibuya M, Matsushima K, Yokoyama H, Egashira K, Kaneko S (2006) Blockade of VEGF accelerates proteinuria, via decrease in nephrin expression in rat crescentic glomerulonephritis. Kidney Int 69(11):1986–1995PubMedCrossRef Hara A, Wada T, Furuichi K, Sakai N, Kawachi H, Shimizu F, Shibuya M, Matsushima K, Yokoyama H, Egashira K, Kaneko S (2006) Blockade of VEGF accelerates proteinuria, via decrease in nephrin expression in rat crescentic glomerulonephritis. Kidney Int 69(11):1986–1995PubMedCrossRef
34.
Zurück zum Zitat Shao Y, Connors BA, Evan AP, Willis LR, Lıfshıtz DA, Lıngeman JE (2003) Morphological changes induced in the pig kidney by extracorporeal shockwave lithotripsy: nephron injury. Anat Rec A Discov Mol Cell Evol Biol 275(1):979–989PubMedCrossRef Shao Y, Connors BA, Evan AP, Willis LR, Lıfshıtz DA, Lıngeman JE (2003) Morphological changes induced in the pig kidney by extracorporeal shockwave lithotripsy: nephron injury. Anat Rec A Discov Mol Cell Evol Biol 275(1):979–989PubMedCrossRef
35.
Zurück zum Zitat Wang Y, Zhao S, Loyd S, Groome LJ (2012) Increased urinary excretion of nephrin, podocalyxin, and βig-h3 in women with preeclampsia. Am J Physiol Renal Physiol 302(9):F1084–F1089PubMedCrossRef Wang Y, Zhao S, Loyd S, Groome LJ (2012) Increased urinary excretion of nephrin, podocalyxin, and βig-h3 in women with preeclampsia. Am J Physiol Renal Physiol 302(9):F1084–F1089PubMedCrossRef
36.
Zurück zum Zitat Obermüller N, Geiger H, Weipert C, Urbschat A (2014) Current developments in early diagnosis of acute kidney injury. Int Urol Nephrol 46(1):1–7PubMedCrossRef Obermüller N, Geiger H, Weipert C, Urbschat A (2014) Current developments in early diagnosis of acute kidney injury. Int Urol Nephrol 46(1):1–7PubMedCrossRef
38.
Zurück zum Zitat Aydin HR, Irkilata L, Aydin M, Daggulli M, Taskin MH, Demirel HC, Adanur S, Moral C, Atilla MK, Sancaktutar AA (2016) The application of kidney injury molecule-1 to determine the duration between shock wave lithotripsy sessions. J Endourol 30(1):109–113PubMedCrossRef Aydin HR, Irkilata L, Aydin M, Daggulli M, Taskin MH, Demirel HC, Adanur S, Moral C, Atilla MK, Sancaktutar AA (2016) The application of kidney injury molecule-1 to determine the duration between shock wave lithotripsy sessions. J Endourol 30(1):109–113PubMedCrossRef
39.
Zurück zum Zitat Turk C, Petrik A, Seitz C, Skolarikos A, Thomas K, Neisius A et al (2018) Guidelines on urolithiasis (limited text update March 2017), pp 1–81. http://uroweb.org. 13 Mar 2017 Turk C, Petrik A, Seitz C, Skolarikos A, Thomas K, Neisius A et al (2018) Guidelines on urolithiasis (limited text update March 2017), pp 1–81. http://​uroweb.​org. 13 Mar 2017
40.
Zurück zum Zitat Kira VM, Fagundes DJ, Bandeira CO, Fagundes AT, Ortiz V (2007) The repeated extracorporeal shockwaves and the renal parenchyma injury on normal and diabetic rats. Acta Cir Bras 22(4):285–290PubMedCrossRef Kira VM, Fagundes DJ, Bandeira CO, Fagundes AT, Ortiz V (2007) The repeated extracorporeal shockwaves and the renal parenchyma injury on normal and diabetic rats. Acta Cir Bras 22(4):285–290PubMedCrossRef
Metadaten
Titel
Evaluation of the urinary podocalyxin and nephrin excretion levels to determine a safe time interval between two sessions of SWL for renal stones: a non randomized exploratory study
verfasst von
Hüseyin Kocatürk
Nursen Atasoy
Fevzi Bedir
İbrahim Karabulut
Engin Şebin
Kemal Sarica
Publikationsdatum
18.07.2019
Verlag
Springer Netherlands
Erschienen in
International Urology and Nephrology / Ausgabe 10/2019
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-019-02229-8

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