Tekrarlayan İdrar Yolu Enfeksiyonu ve Renal Skarı Olan Çocuklarda Serum Renalazın Değerlendirilmesi

Year 2024, Volume: 18 Issue: 6, 338 - 341, 18.11.2024

Melike Arslan , Umut Selda Bayrakçı , Halil İbrahim Yakut , Ali Ata Çerkezoğlu

https://doi.org/10.12956/tchd.1459460

Abstract

Amaç: Tekrarlayan idrar yolu enfeksiyonları (İYE), böbrek skarlaşması için önemli bir risk faktörüdür. Çalışmanın amacı çocuklarda renalaz düzeyleri ile böbrek skarları arasındaki ilişkiyi değerlendirmekti.
Gereç ve Yöntemler: Çalışmaya tekrarlayan İYE geçiren 78 hasta ve 20 sağlıklı kontrol dahil edildi. Tüm hastalara işeme sistoüretrografisi ve dimerkaptosüksinik asit (DMSA) sintigrafisi çekildi. Tekrarlayan İYE geçiren çocuklarda ve kontrollerde serum renalaz düzeyi analiz edildi.Bulgular: Çalışmaya tekrarlayan İYE öyküsü olan 78 hasta (7 erkek, %9.0; 71 kız, %91.0) ve 20 sağlıklı çocuk (3 erkek, %15; 17 kız, %85) dahil edildi. Hastaların ve sağlıklı kontrollerin yaş ortalaması sırasıyla 11.71±0.91 yıl ve 12.35±1.83 yıldı. Hastaların %48.7’sinde (38/8) Vezikoüreteral reflü (VUR) tespit edildi. Tekrarlayan İYE’ lerin 45’inde skar, bunların da %71’inde VUR vardı. Tekrarlayan İYE grubunun renalaz düzeyi kontrol grubuna göre anlamlı olarak yüksek bulundu (p=0.014). Renalaz düzeyinin böbrek skarları ile anlamlı bir ilişkisi olduğu bulundu. Skarlı grubun ortalama renalaz düzeyi skarsız gruba göre anlamlı olarak yüksek bulundu (p=0.005). Skarlı çocukların renalaz ortalamaları arasında VUR olup olmamasına göre istatistiksel olarak farklılık olmadığı belirlendi (p=0.688).
Sonuç: Bu çalışma renalazın renal fibrozis ve skar oluşumunda önemli bir rol oynayabileceğini düşündürmektedir. Renalazın renal skarlaşmadaki rolünün aydınlatılmasının ardından tekrarlayan idrar yolu enfeksiyonu olan hastalarda fibrozis ve skar dokusu gelişiminin önlenmesinde yeni bir ajan olarak gündeme gelebilir.

Keywords

Çocuklar, Tekrarlayan idrar yolu enfeksiyonu, Renalaz, Renal skar, Vezikoüreteral reflü

Evaluation of Serum Renalase in Children with Recurrent Urinary Tract Infection and Renal Scars

Abstract

Objective: Recurrent urinary tract infections (UTI) are important risk factors for renal scarring. The aim of the study was to assess the relationship between renalase and renal scars in children.
Material and Methods: The study included 78 patients with recurrent UTI and 20 healthy controls. All patients had voiding cystourethrography and dimercaptosuccinic acid (DMSA) scintigraphy. Serum renalase level were analyzed in children with recurrent UTI and controls.
Results: The study included the 78 patients with a history of recurrent UTI (7 boys, 9.0%; 71 girls, 91.0%) and 20 healthy children (3 boys, 15%; 17 girls, 85%) were included in the study. The mean age of the patients and healthy controls were 11.71±0.91 years and 12.35±1.83 years, respectively. Vesicoureteral reflux (VUR) was detected in 48.7% of patients (38/78). Of 45 recurrent UTI with renal scar, 71% also had VUR. The renalase level of the recurrent UTI group was found to be significantly higher than the control group (p=0.014). Renalase level was found to have a significant relationship with renal scars. The mean renalase level of the scar group was found to be significantly higher than the scar-free group (p=0.005). It was found that there was no statistical difference between the renalase means of children with scars depending on whether they had VUR or not (p=0.688).
Conclusion: This study suggests that renalase may play an important role in the formation of renal fibrosis and scars. After clarifying the role of renalase in renal scarring, it might come up as a new agent to prevent fibrosis and scar tissue development in patients with recurrent urinary tract infections.

Keywords

Children, Recurrent UTI, Renalase, Renal scar, Vesicoureteral reflux

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