Krivoborodov G G, Kolesanova E F, Tur E I, Efremov N S
Urologiia. 2015 May-Jun(3):19-22.
The purpose was to determine the concentration of the neurotrophin nerve growth factor in urine to assess its possible role as a marker in the diagnosis of various forms of overactive bladder. The study included patients with urinary frequency and urgency: 21 patients with idiopathic detrusor overactivity, 18--with overactive bladder without detrusor overactivity and 11 healthy volunteers (control group). The level of nerve growth factor in the urine was determined in all participants of the study by the enzyme immunoassay (ELISA). In the control group the average ratio of nerve growth factor level to the level of urine creatinine was 0.2 ± 0.06, in patients with overactive bladder without detrusor overactivity -0.33 ± 0.06 (p > 0.05). In patients with idiopathic detrusor overactivity the rate was significantly higher and amounted to 6.04 ± 0.9 (p < 0.05). Therefore, measurement of the concentration of nerve growth factor in the urine may be used for differential diagnosis of the presence or absence of detrusor overactivity in patients with overactive bladder.
目的是测定尿液中神经营养因子神经生长因子的浓度,以评估其作为各种形式膀胱过度活动症诊断标志物的潜在作用。该研究纳入了尿频和尿急患者:21例特发性逼尿肌过度活动患者、18例无逼尿肌过度活动的膀胱过度活动症患者以及11名健康志愿者(对照组)。通过酶联免疫吸附测定法(ELISA)测定了研究中所有参与者尿液中的神经生长因子水平。在对照组中,神经生长因子水平与尿肌酐水平的平均比值为0.2±0.06,在无逼尿肌过度活动的膀胱过度活动症患者中为-0.33±0.06(p>0.05)。在特发性逼尿肌过度活动患者中,该比值显著更高,达到6.04±0.9(p<0.05)。因此,测定尿液中神经生长因子的浓度可用于鉴别诊断膀胱过度活动症患者是否存在逼尿肌过度活动。