Research Article

Urinary Nerve Growth Factor Levels In Multiple Sclerosis Patients With Urinary System Symptoms

Volume: 16 Number: 2 July 7, 2021
TR EN

Urinary Nerve Growth Factor Levels In Multiple Sclerosis Patients With Urinary System Symptoms

Abstract

Aim: To estimate the sensitivity and specificity of the serum and urinary nerve growth factor (NGF) in MS patients as markers of detrusor overactivity. Materials and Methods: 20 volunteers who were diagnosed with MS and who had urinary tract symptoms and 29 volunteers who were diagnosed with MS however who did not have urinary tract symptoms were included in the study. A comprehensive anamnesis and spot urine samples were obtained from the subjects. Twenty seven healthy volunteers with similar age and gender distribution were included for making a comparison with regard to NGF levels and spot urine samples were obtained. Results: Urinary NGF levels and NGF/urinary creatinine ratios were found lower in the group composed of MS patients who had urinary symptoms compared to the group composed of MS patients who did not have urinary symptoms but the difference was not statistically significant. These parameters were found lower in patient group who did not have urinary symptoms compared to control group however the difference was not statistically significant (p: 0,114 and 0,833) Conclusions: urinary neurotrophins in patients with multiple sclerosis can be used to diagnose detrusor overactivity.

Keywords

Multiple sclerosis , nerve growth factor , urinary tract dysfunction

References

  1. 1. Siva A.The spectrum of multiple sclerosis and treatment decisions. Clin Neurol Neurosurg 2006;108:333-338.
  2. 2. Dobson, R., & Giovannoni, G. (2019). Multiple sclerosis–a review. European journal of neurology, 26(1), 27-40.
  3. 3. Keramat Kar, M., Whitehead, L., & Smith, C. M. Characteristics and correlates of coping with multiple sclerosis: a systematic review. Disability and rehabilitation, 2019; 41(3): 250-264.
  4. 4. Azami, M., Yekta Kooshali, M. H., Shohani, M., Khorshidi, A., & Mahmudi, L. Epidemiology of multiple sclerosis in Iran: A systematic review and meta-analysis. PloS one, 2019; 14(4).
  5. 5. Leboeuf L, Gousse AE. Multiplsclerosis. In(Ed. Corcos J, Schick E)Textbook of the Neurogenic Bladder Adults and Children 2005; 275-292,Maritz Dunitz, London.
  6. 6. Taylor RS. Rehabilitation of persons with multipl sclerosis. In (Ed. Braddom RL)Physical Medicine and Rehabilitation Saunders, Philadelphia 2000; 1177-1190.
  7. 7. Özgül A, Alaca R. Rehabilitation in multiple sclerosis. In (Ed. Özcan O, Arpacıoğlu O, Turan B) Neurorehabilitation 2000; 183-205, Güneş and Nobel Medical Bookstores Turkey.
  8. 8. Araki I, Matsui M, Ozawa K, Takeda M, Kuno S. Relationship of bladder dysfunction to lesion site in multiple sclerosis. J Urol 2003;169:1384-1387.
  9. 9. Bhide AA, Cartwright R, Khullar V, Digesu GA. Biomarkers in overactive bladder. Int Urogynecol J 2013;24:1065–1072.
  10. 10. Cruz F, Tubaro A. Future assessments of overactive bladder. Eur Urol Rev 2012;7:36–41.
AMA
1.Seyithanoğlu M, İnanç Y, Bavli S. Urinary Nerve Growth Factor Levels In Multiple Sclerosis Patients With Urinary System Symptoms. KSU Medical Journal. 2021;16(2):273-278. doi:10.17517/ksutfd.793595