Review Article

Interactions between Cytokines, Congenital Anomalies of Kidney and Urinary Tract and Chronic Kidney Disease

Table 2

Studies on urinary cytokines in patients with vesicoureteral reflux (VUR).

AuthorYearRef.Age of patientsCytokineStudy/control group ( )SensitivitySpecificityConclusions

Haraoka et al.1996[84]Mean age 6.7 yearsIL-832/—Levels of IL-8 are elevated in patients with VUR or renal scarring

Ninan et al.1999[85]5 months to 13.33 yearsIL-6; TNF-α17/healthy children (15)Levels of IL-6 and TNF-α receptor-1 are elevated in reflux associated with renal damage

Wang et al.2001[86]Mean age 14.6 yearsIL-666/healthy children (28)Levels of IL-6 are elevated in severe bilateral renal scarring

Galanakis et al.2006[87]1 month to 2 yearsIL-824/ITU+/VUR− (14);
ITU−/VUR− (21)
88%69%Levels of IL-8 are elevated in VUR patients

Sabasiñska et al.2008[88]6.23 ± 4.15 yearsTGF-β 154/healthy children (27)Highest urinary concentrations of TGF-β 1 are detected in grades IV and V reflux

Gokce et al.2010[89]1 month 16 yearsIL-6; IL-887/healthy children (27)IL-6 levels are elevated in VUR and IL-8 levels in renal scarring

Merrikhi et al.2012[90]ITU+/RVU+: 4.3 ± 2.9; ITU+/RVU−: 4 ± 2.6; control group: 4 ± 2.1 IL-828 (ITU+/VUR+); 28 (ITU+/VUR−); 28 healthy71.4% (cutoff point: 3 pg/µmoL)58.9% (cutoff point: 3 pg/µmoL)IL-8 levels were significantly higher in patients with RVU. At the cutoff point of 3 pg/µmoL, IL-8 was accurate in detecting VUR

Tramma et al.2012[91]71 ± 42.5 months IL-6; IL-850/history of pyelonephritis (23 RS+/VUR+; 10 RS+/VUR−; 13 RS−/VUR−; 4RS−/VUR+)Urinary levels of IL-8 were undetectable in all samples. There were no differences between urinary IL-6 levels in children with or without VUR. The levels of IL-6 were directly correlated with the grade of renal scars

Ref.: reference number.