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膀胱疼痛综合征/间质性膀胱炎患者的潜在尿液和血清生物标志物。

Potential Urine and Serum Biomarkers in Patients with Bladder Pain Syndrome/Interstitial Cystitis.

机构信息

Department of Urology, The First Hospital of Hebei Medical University, 050031 Shijiazhuang, Hebei, China.

出版信息

Arch Esp Urol. 2024 May;77(4):353-358. doi: 10.56434/j.arch.esp.urol.20247704.48.

DOI:10.56434/j.arch.esp.urol.20247704.48
PMID:38840277
Abstract

BACKGROUND

Interstitial cystitis/bladder pain syndrome (IC/BPS) is a common chronic disease, and its aetiology and pathogenesis remain unclear. This study aimed to identify potential urine and serum biomarkers in patients with IC/BPS to further understand the pathogenesis and diagnosis of the disease.

METHODS

Patients with IC/BPS diagnosed and treated in the First Hospital of Hebei Medical University from 1 July 2021 to 30 July 2023 were selected. The urine and serum biomarkers of 50 patients with IC/BPS were investigated and compared with the urine and serum samples of 50 healthy controls. IBM SPSS Statistics 26.0 was used for statistical analysis of the recorded data by using chi-square test, -test and logistic regression analysis.

RESULTS

Overall, 50 patients with IC/BPS (mean age, 54.20 ± 8.15 years) were included in the study. Those with history of urinary diseases, anxiety or depression were susceptible to IC/BPS. Levels of interleukin (IL)-6, tumor necrosis factor-α (TNF-α), nerve growth factor, and prostaglandin E2 (PGE2) in urine, as well as IL-8, TNF-α, and PGE2 in serum, were found to significantly increase in patients with interstitial cystitis/bladder pain syndrome (IC/BPS). These differences were statistically significant ( < 0.05). Multifactor analysis showed that anxiety, depression, IL-6, IL-8, TNF-α and PEG2 are risk factors for patients with IC/BPS.

CONCLUSIONS

Multiple biomarkers were identified in the urine and serum of patients with IC/BPS, suggesting a potential close relationship to the pathogenesis of IC/BPS.

摘要

背景

间质性膀胱炎/膀胱疼痛综合征(IC/BPS)是一种常见的慢性疾病,其病因和发病机制尚不清楚。本研究旨在鉴定 IC/BPS 患者潜在的尿液和血清生物标志物,以进一步了解疾病的发病机制和诊断。

方法

选取 2021 年 7 月 1 日至 2023 年 7 月 30 日在河北医科大学第一医院诊断和治疗的 50 例 IC/BPS 患者。对 50 例 IC/BPS 患者的尿液和血清生物标志物进行了研究,并与 50 例健康对照者的尿液和血清样本进行了比较。采用 IBM SPSS Statistics 26.0 对记录数据进行统计学分析,采用卡方检验、t 检验和逻辑回归分析。

结果

本研究共纳入 50 例 IC/BPS 患者(平均年龄 54.20±8.15 岁)。有尿路疾病史、焦虑或抑郁的患者易患 IC/BPS。间质性膀胱炎/膀胱疼痛综合征患者尿液中白细胞介素(IL)-6、肿瘤坏死因子-α(TNF-α)、神经生长因子和前列腺素 E2(PGE2)以及血清中 IL-8、TNF-α和 PGE2 水平明显升高,差异有统计学意义(<0.05)。多因素分析显示,焦虑、抑郁、IL-6、IL-8、TNF-α和 PEG2 是 IC/BPS 患者的危险因素。

结论

IC/BPS 患者尿液和血清中存在多种生物标志物,提示其与 IC/BPS 的发病机制有潜在的密切关系。

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