Proverbio D, Spada E, Baggiani L, Bagnagatti De Giorgi G, Ferro E, Martino P A, Perego R
Dipartimento di Scienze Veterinarie per la Salute, la Produzione Animale e la Sicurezza Alimentare (VESPA), Università degli Studi di Milano, Via Celoria 10, 20133 Milano, Italy.
Dipartimento di Scienze Veterinarie e Sanità Pubblica (DIVET) Università degli Studi di Milano, Via Celoria 10, 20133 Milano, Italy.
Dis Markers. 2015;2015:387825. doi: 10.1155/2015/387825. Epub 2015 Apr 16.
Neutrophil gelatinase-associated lipocalin (NGAL) is a neutrophil-derived protein whose concentration increases in plasma and urine with ongoing renal damage. Urinary leucocytes can be a potential source of urinary NGAL. The aim of this study is to investigate the effects of urinary neutrophil count and other urinary parameters on urinary NGAL values in urine with negative culture. Urinalysis, urine culture, and determination of urinary NGAL were performed on 33 clinically healthy nonproteinuric dogs with negative urinoculture. The median uNGAL concentration in dogs in this study population was 9.74 ng/mL (IQR 1.93-25.43 ng/mL). In samples with WBCs > 5 hpf (mean 15.9, 6-50 leucocytes/hpf), median uNGAL value was significantly higher than that in samples with WBCs < 5 hpf (mean 0.9, 0-3 leucocytes/hpf), (4.96 pg/mL (0.29-11.34) and 23.65 pg/mL (20.04-29.80), resp.; P = 0.0053). The severity of urinary pyuria and the UPC value were correlated with uNGAL concentration. The results of our study show that urinary NGAL concentration is correlated with WBCs number in urinary sediment of dogs with negative urinoculture. The present study suggests that noninfectious pyuria is significantly correlated with urinary NGAL values and might influence uNGAL values.
中性粒细胞明胶酶相关脂质运载蛋白(NGAL)是一种源自中性粒细胞的蛋白质,随着肾脏持续受损,其在血浆和尿液中的浓度会升高。尿白细胞可能是尿NGAL的潜在来源。本研究的目的是探讨尿中性粒细胞计数及其他尿液参数对尿培养阴性尿液中尿NGAL值的影响。对33只临床健康、无蛋白尿且尿培养阴性的犬进行了尿液分析、尿培养及尿NGAL测定。本研究群体中犬的尿NGAL浓度中位数为9.74 ng/mL(四分位间距1.93 - 25.43 ng/mL)。在白细胞>5个/高倍视野(平均15.9,6 - 50个白细胞/高倍视野)的样本中,尿NGAL值中位数显著高于白细胞<5个/高倍视野(平均0.9,0 - 3个白细胞/高倍视野)的样本,分别为4.96 pg/mL(0.29 - 11.34)和23.65 pg/mL(20.04 - 29.80);P = 0.0053。尿脓尿的严重程度和尿蛋白肌酐比值(UPC)值与尿NGAL浓度相关。我们的研究结果表明,尿培养阴性犬的尿NGAL浓度与尿沉渣中的白细胞数量相关。本研究提示,非感染性脓尿与尿NGAL值显著相关,可能会影响尿NGAL值。