title: [Correlation of inflammatory cytokines in the urine and serum with clinico-laboratory and pathohistologic features in patients with IgA nephropathy].
abstract: Complete examination of 21 patients with IgA nephropathy included determination urine and serum IL-6, TNF alpha and INF gamma levels by ELISA (Luzernachen, Luzern Switzerland). Control group included 15 healthy volunteers. Urine IL-6 levels ranging 37-274.1 pg/ml were detected in 15 (71.2%) patients with IgA nephropathy. IL-6 serum levels were undetectable. In the control group serum and urine levels were also undetectable. Correlation between the IL-6 level and proteinuria degree and endogenous creatinine clearance rate has not revealed statistically significant relationship. In relation to histologic groups (minimal changes, focal glomerulonephritis, mesangial proliferative, diffuse sclerosing) patients with minimal changes had (statistically) significantly higher IL-6 urine levels than the third and fourth group. Average the urine levels were 145.8 +/- 166.6 pg/ml and the serum ones were 148 +/- 101 pg/ml. In relation to the control group (statistically) significant difference was not found. Correlation between TNF alpha level and proteinuria degree and creatinine clearance rate has revealed (statistically) significant relationship (p < 0.05). Average interferon gamma serum levels in lgA nephropathy patients were 312.0 +/- 111.8 and in comparison with the control group (statistically) significant difference was found (p < 0.01). The obtained results suggest the important role of cytokine production disregulation associated with the pathogenesis of IgA nephropathy.
authors.affiliation: Clinic of Nephrology, Military Medical Academy, Belgrade.
authors.forename: D J
authors.initials: DJ
authors.lastname: Maksić
authors.forename: J
authors.initials: J
authors.lastname: Dimitrijević
authors.forename: P
authors.initials: P
authors.lastname: Spasić
authors.forename: R
authors.initials: R
authors.lastname: Hrvacević
authors.forename: D
authors.initials: D
authors.lastname: Topalov
authors.forename: R
authors.initials: R
authors.lastname: Pantović
authors.forename: M
authors.initials: M
authors.lastname: Marić
authors.forename: Z
authors.initials: Z
authors.lastname: Kovacević
authors.forename: D
authors.initials: D
authors.lastname: Zelenka
authors.forename: S
authors.initials: S
authors.lastname: Aleksić
authors.forename: R
authors.initials: R
authors.lastname: Maksimović
mesh_terms: D000293:Adolescent; D000328:Adult; D016207:Cytokines / Q000378:metabolism*; D005922:Glomerulonephritis, IGA / Q000378:metabolism* / Q000473:pathology*; D006801:Humans; D007371:Interferon-gamma / Q000378:metabolism; D015850:Interleukin-6 / Q000378:metabolism; D007668:Kidney / Q000473:pathology*; D008875:Middle Aged; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism
chemical_list: D016207:Cytokines; D015850:Interleukin-6; D014409:Tumor Necrosis Factor-alpha; D007371:Interferon-gamma
vernacular_title: Korelacija koncentracije inflamacionih citokina u urinu i serumu s klinicko-laboratorijskim i patohistoloskim odlikama kod bolesnika s IgA nefropatijom.