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Yilmaz K, Saygili S, Canpolat N, Akgun-Dogan O, Yuruk Yildirim ZN, Cicek-Oksuz RY, Oner HA, Aksu B, Akyel NG, Oguzhan-Hamis O, Dursun H, Yavuz S, Cicek N, Akinci N, Karabag Yilmaz E, Agbas A, Nayir AN, Konukoglu D, Kurugoglu S, Sever L, Caliskan S. Magnetic resonance imaging based kidney volume assessment for risk stratification in pediatric autosomal dominant polycystic kidney disease. Front Pediatr 2024; 12:1357365. [PMID: 38464892 PMCID: PMC10920221 DOI: 10.3389/fped.2024.1357365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 02/12/2024] [Indexed: 03/12/2024] Open
Abstract
Introduction In the pediatric context, most children with autosomal dominant polycystic kidney disease (ADPKD) maintain a normal glomerular filtration rate (GFR) despite underlying structural kidney damage, highlighting the critical need for early intervention and predictive markers. Due to the inverse relationship between kidney volume and kidney function, risk assessments have been presented on the basis of kidney volume. The aim of this study was to use magnetic resonance imaging (MRI)-based kidney volume assessment for risk stratification in pediatric ADPKD and to investigate clinical and genetic differences among risk groups. Methods This multicenter, cross-sectional, and case-control study included 75 genetically confirmed pediatric ADPKD patients (5-18 years) and 27 controls. Kidney function was assessed by eGFR calculated from serum creatinine and cystatin C using the CKiD-U25 equation. Blood pressure was assessed by both office and 24-hour ambulatory measurements. Kidney volume was calculated from MRI using the stereological method. Total kidney volume was adjusted for the height (htTKV). Patients were stratified from A to E classes according to the Leuven Imaging Classification (LIC) using MRI-derived htTKV. Results Median (Q1-Q3) age of the patients was 6.0 (2.0-10.0) years, 56% were male. There were no differences in sex, age, height-SDS, or GFR between the patient and control groups. Of the patients, 89% had PKD1 and 11% had PKD2 mutations. Non-missense mutations were 73% in PKD1 and 75% in PKD2. Twenty patients (27%) had hypertension based on ABPM. Median htTKV of the patients was significantly higher than controls (141 vs. 117 ml/m, p = 0.0003). LIC stratification revealed Classes A (38.7%), B (28%), C (24%), and D + E (9.3%). All children in class D + E and 94% in class C had PKD1 variants. Class D + E patients had significantly higher blood pressure values and hypertension compared to other classes (p > 0.05 for all). Discussion This study distinguishes itself by using MRI-based measurements of kidney volume to stratify pediatric ADPKD patients into specific risk groups. It is important to note that PKD1 mutation and elevated blood pressure were higher in the high-risk groups stratified by age and kidney volume. Our results need to be confirmed in further studies.
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Affiliation(s)
- Kubra Yilmaz
- Department of Pediatrics, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Seha Saygili
- Department of Pediatric Nephrology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Nur Canpolat
- Department of Pediatric Nephrology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Ozlem Akgun-Dogan
- Division of Pediatric Genetics, Department of Pediatrics, Acıbadem University School of Medicine, Istanbul, Türkiye
| | | | | | - Huseyin Adil Oner
- Department of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Türkiye
| | - Bagdagul Aksu
- Department of Pediatric Basic Sciences, Istanbul University, Institute of Child Health, Istanbul, Türkiye
| | - Nazli Gulsum Akyel
- Department of Pediatric Radiology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Ozge Oguzhan-Hamis
- Department of Pediatrics, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Hasan Dursun
- Department of Pediatric Nephrology, Istanbul Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Türkiye
| | - Sevgi Yavuz
- Department of Pediatric Nephrology, University of Health Sciences, Istanbul Basaksehir Cam and Sakura City Hospital, Istanbul, Türkiye
| | - Neslihan Cicek
- Department of Pediatric Nephrology, Marmara University School of Medicine, Istanbul, Türkiye
| | - Nurver Akinci
- Department of Pediatric Nephrology, Bezmialem Vakif University Hospital, Istanbul, Türkiye
| | - Esra Karabag Yilmaz
- Department of Pediatric Nephrology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Ayse Agbas
- Department of Pediatric Nephrology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Ahmet Nevzat Nayir
- Department of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Türkiye
| | - Dildar Konukoglu
- Department of Biochemistry, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Sebuh Kurugoglu
- Department of Pediatric Radiology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Lale Sever
- Department of Pediatric Nephrology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
| | - Salim Caliskan
- Department of Pediatric Nephrology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Türkiye
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2
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Aksu B, Afonso AC, Akil I, Alpay H, Atmis B, Aydog O, Bayazıt AK, Bayram MT, Bilge I, Bulut IK, Buyukkaragoz B, Comak E, Demir BK, Dincel N, Donmez O, Durmus MA, Dursun H, Dusunsel R, Duzova A, Ertan P, Gedikbasi A, Goknar N, Guven S, Hacihamdioglu D, Jankauskiene A, Kalyoncu M, Kavukcu S, Kenan BU, Kucuk N, Kural B, Litwin M, Montini G, Morello W, Obrycki L, Omer B, Oner HA, Ozdemir EM, Ozkayin N, Paripovic D, Pehlivanoglu C, Saygili S, Schaefer F, Schaefer S, Sonmez F, Tabel Y, Tas N, Tasdemir M, Teixeira A, Tekcan D, Topaloglu R, Tulpar S, Turkkan ON, Uysal B, Uysalol M, Vitkevic R, Yavuz S, Yel S, Yildirim T, Yildirim ZY, Yildiz N, Yuksel S, Yurtseven E, Yilmaz A. Urine soluble TLR4 levels may contribute to predict urinary tract infection in children: the UTILISE Study. Pediatr Nephrol 2024; 39:483-491. [PMID: 37462743 DOI: 10.1007/s00467-023-06063-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 06/11/2023] [Accepted: 06/12/2023] [Indexed: 09/29/2023]
Abstract
BACKGROUND One of the most common bacterial infections in childhood is urinary tract infection (UTI). Toll-like receptors (TLRs) contribute to immune response against UTI recognizing specific pathogenic agents. Our aim was to determine whether soluble TLR4 (sTLR4), soluble TLR5 (sTLR5) and interleukin 8 (IL-8) can be used as biomarkers to diagnose UTI. We also aimed to reveal the relationship between urine Heat Shock Protein 70 (uHSP70) and those biomarkers investigated in this study. METHODS A total of 802 children from 37 centers participated in the study. The participants (n = 282) who did not meet the inclusion criteria were excluded from the study. The remaining 520 children, including 191 patients with UTI, 178 patients with non-UTI infections, 50 children with contaminated urine samples, 26 participants with asymptomatic bacteriuria and 75 healthy controls were included in the study. Urine and serum levels of sTLR4, sTLR5 and IL-8 were measured at presentation in all patients and after antibiotic treatment in patients with UTI. RESULTS Urine sTLR4 was higher in the UTI group than in the other groups. UTI may be predicted using 1.28 ng/mL as cut-off for urine sTLR4 with 68% sensitivity and 65% specificity (AUC = 0.682). In the UTI group, urine sTLR4 levels were significantly higher in pyelonephritis than in cystitis (p < 0.0001). Post-treatment urine sTLR4 levels in the UTI group were significantly lower than pre-treatment values (p < 0.0001). CONCLUSIONS Urine sTLR4 may be used as a useful biomarker in predicting UTI and subsequent pyelonephritis in children with UTI. A higher resolution version of the Graphical abstract is available as Supplementary information.
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Affiliation(s)
- Bagdagul Aksu
- Department of Pediatrics Basic Sciences, Institute of Child Health, Istanbul University, Istanbul, Turkey.
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey.
| | - Alberto Caldas Afonso
- Division of Pediatric Nephrology, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - Ipek Akil
- Division of Pediatric Nephrology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey
| | - Harika Alpay
- Division of Pediatric Nephrology, Faculty of Medicine, Marmara University, Istanbul, Turkey
| | - Bahriye Atmis
- Pediatric Nephrology, Erzurum Training and Research Hospital, Erzurum, Turkey
- Division of Pediatric Nephrology, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - Ozlem Aydog
- Division of Pediatric Nephrology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
| | - Aysun Karabay Bayazıt
- Division of Pediatric Nephrology, Faculty of Medicine, Cukurova University, Adana, Turkey
| | - Meral Torun Bayram
- Division of Pediatric Nephrology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Ilmay Bilge
- Division of Pediatric Nephrology, Department of Pediatrics, School of Medicine, Koc University, Istanbul, Turkey
| | - Ipek Kaplan Bulut
- Division of Pediatric Nephrology, Faculty of Medicine, Ege University, Izmir, Turkey
| | - Bahar Buyukkaragoz
- Division of Pediatric Nephrology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Elif Comak
- Division of Pediatric Nephrology, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Belde Kasap Demir
- Division of Pediatric Nephrology, Tepecik Training and Research Hospital, University of Health Sciences, Izmir, Turkey
- Division of Pediatric Nephrology, Izmir Katip Celebi University Faculty of Medicine, Izmir, Turkey
| | - Nida Dincel
- Division of Pediatric Nephrology, Dr. Behcet Uz Children Diseases Training and Research Hospital, University of Health Sciences, Izmir, Turkey
| | - Osman Donmez
- Division of Pediatric Nephrology, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Mehmet Akif Durmus
- Department of Medical Microbiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Hasan Dursun
- Division of Pediatric Nephrology, Okmeydani Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Ruhan Dusunsel
- Division of Pediatric Nephrology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Ali Duzova
- Division of Pediatric Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Pelin Ertan
- Division of Pediatric Nephrology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey
| | - Asuman Gedikbasi
- Department of Rare Diseases, Institute of Child Health, Istanbul University, Istanbul, Turkey
| | - Nilufer Goknar
- Division of Pediatric Nephrology, Bagcilar Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Sercin Guven
- Division of Pediatric Nephrology, Faculty of Medicine, Marmara University, Istanbul, Turkey
| | - Duygu Hacihamdioglu
- Division of Pediatric Nephrology, Faculty of Medicine, Bahcesehir University, Istanbul, Turkey
| | - Augustina Jankauskiene
- Clinic of Pediatrics, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
| | - Mukaddes Kalyoncu
- Division of Pediatric Nephrology, Faculty of Medicine, Karadeniz Technic University, Trabzon, Turkey
| | - Salih Kavukcu
- Division of Pediatric Nephrology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Bahriye Uzun Kenan
- Division of Pediatric Nephrology, Faculty of Medicine, Gazi University, Ankara, Turkey
| | - Nuran Kucuk
- Division of Pediatric Nephrology, Kartal Training and Research Hospital, Istanbul, Turkey
| | - Bahar Kural
- Department of Pediatrics, Health Science University Bakirkoy Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Mieczysław Litwin
- Division of Nephrology, Kidney Transplantation and Hypertension, The Children's Memorial Health Institute, Warsaw, Poland
| | - Giovanni Montini
- Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milano, Milan, Italy
| | - William Morello
- Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy
| | - Lukasz Obrycki
- Division of Nephrology, Kidney Transplantation and Hypertension, The Children's Memorial Health Institute, Warsaw, Poland
| | - Beyhan Omer
- Department of Biochemistry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Huseyin Adil Oner
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey
| | - Ebru Misirli Ozdemir
- Department of Pediatrics, Okmeydani Training and Research Hospital, Istanbul, Turkey
| | - Nese Ozkayin
- Division of Pediatric Nephrology, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - Dusan Paripovic
- Division of Pediatric Nephrology, University Children's Hospital, Belgrade, Serbia
| | - Cemile Pehlivanoglu
- Division of Pediatric Nephrology, Umraniye Training and Research Hospital, Istanbul, Turkey
| | - Seha Saygili
- Division of Pediatric Nephrology, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Franz Schaefer
- Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University, Heidelberg, Germany
| | - Susanne Schaefer
- Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg University, Heidelberg, Germany
| | - Ferah Sonmez
- Division of Pediatric Nephrology, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey
| | - Yilmaz Tabel
- Division of Pediatric Nephrology, Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Nesrin Tas
- Division of Pediatric Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Mehmet Tasdemir
- Division of Pediatric Nephrology, Department of Pediatrics, School of Medicine, Koc University, Istanbul, Turkey
- Department of Pediatric Nephrology, Istinye University, Faculty of Medicine, Liv Hospital Ulus, Istanbul, Turkey
| | - Ana Teixeira
- Division of Pediatric Nephrology, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal
| | - Demet Tekcan
- Division of Pediatric Nephrology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
| | - Rezan Topaloglu
- Division of Pediatric Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Sebahat Tulpar
- Division of Pediatric Nephrology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Ozde Nisa Turkkan
- Division of Pediatric Nephrology, Faculty of Medicine, Marmara University, Istanbul, Turkey
| | - Berfin Uysal
- Division of Pediatric Nephrology, Dortcelik Children's Hospital, Bursa, Turkey
- Division of Pediatric Nephrology, Bursa City Hospital, Bursa, Turkey
| | - Metin Uysalol
- Division of Pediatric Emergency, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Renata Vitkevic
- Clinic of Pediatrics, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
| | - Sevgi Yavuz
- Division of Pediatric Nephrology, Department of Pediatrics, Kanuni Sultan Suleyman Research and Training Hospital, University of Health Sciences, Istanbul, Turkey
| | - Sibel Yel
- Division of Pediatric Nephrology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Tarik Yildirim
- Department of Pediatrics, Kanuni Sultan Suleyman Research and Training Hospital, University of Health Sciences, Istanbul, Turkey
| | - Zeynep Yuruk Yildirim
- Department of Pediatrics Basic Sciences, Institute of Child Health, Istanbul University, Istanbul, Turkey
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey
| | - Nurdan Yildiz
- Division of Pediatric Nephrology, Faculty of Medicine, Marmara University, Istanbul, Turkey
| | - Selcuk Yuksel
- Division of Pediatric Nephrology, Faculty of Medicine, Pamukkale University, Denizli, Turkey
| | - Eray Yurtseven
- Department of Biostatistics, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Alev Yilmaz
- Department of Pediatrics Basic Sciences, Institute of Child Health, Istanbul University, Istanbul, Turkey
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey
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Hurdogan O, Karakus F, Dirim AB, Aksu B, Saygili S, Turkmen A, Yilmaz A, Canpolat N, Solakoglu S, Kilicaslan I, Ozluk Y. Spatial Distribution of Macrophage Subtypes Among Rejection Subtypes in Renal Transplant Biopsies by Dual Immunohistochemistry. Appl Immunohistochem Mol Morphol 2023; 31:224-231. [PMID: 36812388 DOI: 10.1097/pai.0000000000001109] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 01/19/2023] [Indexed: 02/24/2023]
Abstract
We performed dual immunohistochemistry for CD163/CD34 and CD68/CD34 in 108 renal transplant indication biopsies to investigate the presence and distribution of macrophages in various renal compartments. All Banff scores and diagnoses were revised according to the Banff 2019 classification. CD163 and CD68 positive cell counts (CD163pos and CD68pos) were evaluated in the interstitium, glomerular mesangium, and, within glomerular and peritubular capillaries. The diagnosis was antibody-mediated rejection (ABMR) in 38 (35.2%), T-cell mediated rejection (TCMR) in 24 (22.2%), mixed rejection in 30 (27.8%), and no rejection in 16 (14.8%). Banff lesion scores t , i , and ti were correlated with both CD163 and CD68 interstitial inflammation scores ( r > 0.30; P < 0.05). Glomerular total CD163pos was correlated to Banff lesion scores g and cg ( r > 0.30; P < 0.05). Glomerular total, mesangial, and intracapillary CD68pos were correlated with g ( r > 0.30; P < 0.05). Both glomerular total and peritubular capillary CD68pos were correlated with peritubular capillaritis ( r > 0.30; P < 0.05). Glomerular CD163pos were significantly higher in ABMR compared with no rejection, in mixed rejection compared with no rejection and TCMR. CD163pos in peritubular capillaries was significantly higher in mixed rejection compared with no rejection. Glomerular CD68pos was significantly higher in ABMR compared with no rejection. CD68pos per peritubular capillary was higher in mixed rejection, ABMR, and TCMR compared with no rejection. In conclusion, compared with CD68 positive macrophages, localization of CD163 positive macrophages in various renal compartments seems to be different among rejection subtypes and their glomerular infiltration seems to be more specific for the presence of ABMR component.
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Affiliation(s)
| | | | | | - Bagdagul Aksu
- Department of Pediatrics, Subdivision of Pediatric Nephrology, Istanbul University
| | - Seha Saygili
- Department of Pediatrics, Subdivision of Pediatric Nephrology, Istanbul University Cerrahpasa, Istanbul, Turkey
| | - Aydin Turkmen
- Department of Internal Medicine, Subdivision of Nephrology
| | - Alev Yilmaz
- Department of Pediatrics, Subdivision of Pediatric Nephrology, Istanbul University
| | - Nur Canpolat
- Department of Pediatrics, Subdivision of Pediatric Nephrology, Istanbul University Cerrahpasa, Istanbul, Turkey
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Gulmez R, Ozbey D, Agbas A, Aksu B, Yildiz N, Uckardes D, Saygili S, Yilmaz EK, Yildirim ZY, Tasdemir M, Kiykim A, Cokugras H, Canpolat N, Nayir A, Kocazeybek B, Caliskan S. Humoral and cellular immune response to SARS-CoV-2 mRNA BNT162b2 vaccine in pediatric kidney transplant recipients compared with dialysis patients and healthy children. Pediatr Nephrol 2022:10.1007/s00467-022-05813-w. [PMID: 36459243 PMCID: PMC9716124 DOI: 10.1007/s00467-022-05813-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 10/10/2022] [Accepted: 10/31/2022] [Indexed: 12/04/2022]
Abstract
BACKGROUND Compared with the general population, the immune response to COVID-19 mRNA vaccines is lower in adult kidney transplant recipients (KTRs). However, data is limited for pediatric KTRs. In this study, we aimed to assess humoral and cellular immune responses to the COVID-19 mRNA vaccine in pediatric KTRs. METHODS This multicenter, prospective, case-control study included 63 KTRs (37 male, aged 12-21 years), 19 dialysis patients, and 19 controls. Humoral (anti-SARS-CoV2 IgG, neutralizing Ab (nAb)) and cellular (interferon-gamma release assay (IGRA)) immune responses were assessed at least one month after two doses of BNT162b2 mRNA vaccine. RESULTS Among COVID-19 naïve KTRs (n = 46), 76.1% tested positive for anti-SARS-CoV-2 IgG, 54.3% for nAb, and 63% for IGRA. Serum levels of anti-SARS-CoV-2 IgG and nAb activity were significantly lower in KTRs compared to dialysis and control groups (p < 0.05 for all). Seropositivity in KTRs was independently associated with shorter transplant duration (p = 0.005), and higher eGFR (p = 0.007). IGRA titer was significantly lower than dialysis patients (p = 0.009). Twenty (43.4%) KTRs were positive for all immune parameters. Only four of 11 seronegative KTRs were IGRA-positive. COVID-19 recovered KTRs had significantly higher anti-SARS-CoV-2 IgG and nAb activity levels than COVID-19 naïve KTRs (p = 0.018 and p = 0.007, respectively). CONCLUSIONS The humoral and cellular immune responses to SARS-CoV-2 mRNA BNT162b2 vaccine are lower in pediatric KTRs compared to dialysis patients. Further prospective studies are required to demonstrate the clinical efficacy of the mRNA vaccine in KTRs. This prospective study was registered in ClinicalTrials.gov (NCT05465863, registered retrospectively at 20.07.2022). A higher resolution version of the Graphical abstract is available as Supplementary information.
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Affiliation(s)
- Ruveyda Gulmez
- grid.506076.20000 0004 1797 5496Department of Pediatric Nephrology, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
| | - Dogukan Ozbey
- grid.506076.20000 0004 1797 5496Department of Microbiology, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
| | - Ayse Agbas
- Department of Pediatric Nephrology, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey.
| | - Bagdagul Aksu
- grid.9601.e0000 0001 2166 6619Department of Pediatric Nephrology, Istanbul University School of Medicine, Istanbul, Turkey ,grid.9601.e0000 0001 2166 6619Institute of Child Health, Istanbul University, Istanbul, Turkey
| | - Nurdan Yildiz
- grid.16477.330000 0001 0668 8422Department of Pediatric Nephrology, Marmara University School of Medicine, Istanbul, Turkey
| | - Diana Uckardes
- grid.411776.20000 0004 0454 921XDepartment of Pediatric Nephrology, Medeniyet University School of Medicine, Istanbul, Turkey
| | - Seha Saygili
- grid.506076.20000 0004 1797 5496Department of Pediatric Nephrology, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
| | - Esra Karabag Yilmaz
- grid.506076.20000 0004 1797 5496Department of Pediatric Nephrology, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
| | - Zeynep Yuruk Yildirim
- grid.9601.e0000 0001 2166 6619Department of Pediatric Nephrology, Istanbul University School of Medicine, Istanbul, Turkey
| | - Mehmet Tasdemir
- grid.459708.70000 0004 7553 3311Department of Pediatric Nephrology, Istinye University School of Medicine, Liv Hospital, Istanbul, Turkey
| | - Ayca Kiykim
- grid.506076.20000 0004 1797 5496Department of Pediatric Immunology and Allergy, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
| | - Haluk Cokugras
- grid.506076.20000 0004 1797 5496Department of Pediatric Immunology and Allergy, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
| | - Nur Canpolat
- grid.506076.20000 0004 1797 5496Department of Pediatric Nephrology, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
| | - Ahmet Nayir
- grid.9601.e0000 0001 2166 6619Department of Pediatric Nephrology, Istanbul University School of Medicine, Istanbul, Turkey ,Department of Pediatric Nephrology, Memorial Hospital, Istanbul, Turkey
| | - Bekir Kocazeybek
- grid.506076.20000 0004 1797 5496Department of Microbiology, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
| | - Salim Caliskan
- grid.506076.20000 0004 1797 5496Department of Pediatric Nephrology, Cerrahpasa School of Medicine, IU-Cerrahpasa, Istanbul, Turkey
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Kantaputra P, Guven Y, Aksu B, Kalayci T, Doğan C, Intachai W, Olsen B, Tongsima S, Ngamphiw C, Noppakun K. Distal renal tubular acidosis, autoimmune thyroiditis, enamel hypomaturation, and tooth agenesis caused by homozygosity of a novel double-nucleotide substitution in SLC4A4. J Am Dent Assoc 2022; 153:668-676. [DOI: 10.1016/j.adaj.2021.12.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 12/22/2021] [Accepted: 12/29/2021] [Indexed: 01/10/2023]
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Yuruk Yildirim ZN, Usta Akgul S, Alpay H, Aksu B, Savran Oguz F, Kiyak A, Akinci N, Yavuz S, Ozcelik G, Gedikbasi A, Gokce I, Ozkayin N, Yildiz N, Pehlivanoglu C, Goknar N, Saygili S, Tulpar S, Kucuk N, Bilge I, Tasdemir M, Agbas A, Dirican A, Emre S, Nayir A, Yilmaz A. PROGRESS STUDY: Progression of chronic kidney disease in children and heat shock proteins. Cell Stress Chaperones 2021; 26:973-987. [PMID: 34671941 PMCID: PMC8578260 DOI: 10.1007/s12192-021-01239-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 09/22/2021] [Accepted: 09/23/2021] [Indexed: 10/20/2022] Open
Abstract
Various molecular and cellular processes are involved in renal fibrosis, such as oxidative stress, inflammation, endothelial cell injury, and apoptosis. Heat shock proteins (HSPs) are implicated in the progression of chronic kidney disease (CKD). Our aim was to evaluate changes in urine and serum HSP levels over time and their relationships with the clinical parameters of CKD in children. In total, 117 children with CKD and 56 healthy children were examined. The CKD group was followed up prospectively for 24 months. Serum and urine HSP27, HSP40, HSP47, HSP60, HSP70, HSP72, and HSP90 levels and serum anti-HSP60 and anti-HSP70 levels were measured by ELISA at baseline, 12 months, and 24 months. The urine levels of all HSPs and the serum levels of HSP40, HSP47, HSP60, HSP70, anti-HSP60, and anti-HSP70 were higher at baseline in the CKD group than in the control group. Over the months, serum HSP47 and HSP60 levels steadily decreased, whereas HSP90 and anti-HSP60 levels steadily increased. Urine HSP levels were elevated in children with CKD; however, with the exception of HSP90, they decreased over time. In conclusion, our study demonstrates that CKD progression is a complicated process that involves HSPs, but they do not predict CKD progression. The protective role of HSPs against CKD may weaken over time, and HSP90 may have a detrimental effect on the disease course.
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Affiliation(s)
| | - Sebahat Usta Akgul
- Department of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, 34390 Istanbul, Turkey
| | - Harika Alpay
- Division of Pediatric Nephrology, Medical Faculty, Marmara University, Istanbul, Turkey
| | - Bagdagul Aksu
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Capa, 34390 Istanbul, Turkey
- Institute of Child Health, Istanbul University, Istanbul, Turkey
| | - Fatma Savran Oguz
- Department of Medical Biology, Istanbul Faculty of Medicine, Istanbul University, 34390 Istanbul, Turkey
| | - Aysel Kiyak
- Division of Pediatric Nephrology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey
| | - Nurver Akinci
- Division of Pediatric Nephrology, Sisli Etfal Education and Research Hospital, Istanbul, Turkey
| | - Sevgi Yavuz
- Division of Pediatric Nephrology, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey
| | - Gul Ozcelik
- Division of Pediatric Nephrology, Sisli Etfal Education and Research Hospital, Istanbul, Turkey
| | - Asuman Gedikbasi
- Institute of Child Health, Istanbul University, Istanbul, Turkey
- Division of Pediatric Nutrition and Metabolism, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Ibrahim Gokce
- Division of Pediatric Nephrology, Medical Faculty, Marmara University, Istanbul, Turkey
| | - Nese Ozkayin
- Division of Pediatric Nephrology, School of Medicine, Trakya University, Edirne, Turkey
| | - Nurdan Yildiz
- Division of Pediatric Nephrology, Medical Faculty, Marmara University, Istanbul, Turkey
| | - Cemile Pehlivanoglu
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Capa, 34390 Istanbul, Turkey
| | - Nilufer Goknar
- Division of Pediatric Nephrology, Bagcilar Education and Research Hospital, Istanbul, Turkey
| | - Seha Saygili
- Division of Pediatric Nephrology, Cerrahpasa School of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Sebahat Tulpar
- Division of Pediatric Nephrology, Bakirkoy Sadi Konuk Education and Research Hospital, Istanbul, Turkey
| | - Nuran Kucuk
- Division of Pediatric Nephrology, Kartal Education and Research Hospital, Istanbul, Turkey
| | - Ilmay Bilge
- Division of Pediatric Nephrology, School of Medicine, Koc University, Istanbul, Turkey
| | - Mehmet Tasdemir
- Division of Pediatric Nephrology, School of Medicine, Koc University, Istanbul, Turkey
| | - Ayse Agbas
- Division of Pediatric Nephrology, Haseki Education and Research Hospital, Istanbul, Turkey
| | - Ahmet Dirican
- Department of Biostatistics, Istanbul Faculty of Medicine, Istanbul University, 34390 Capa, Istanbul, Turkey
| | - Sevinc Emre
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Capa, 34390 Istanbul, Turkey
| | - Ahmet Nayir
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Capa, 34390 Istanbul, Turkey
| | - Alev Yilmaz
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, Capa, 34390 Istanbul, Turkey
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7
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Aksu B, Rahimov E, Yilmaz A, Yildirim ZY, Bilge I, Emre S, Sirin A. Metabolic acidosis with increased anion gap, oxaluria, and acute kidney injury: Questions. Pediatr Nephrol 2021; 36:1447-1448. [PMID: 32989609 DOI: 10.1007/s00467-020-04757-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Revised: 08/02/2020] [Accepted: 09/02/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Bagdagul Aksu
- Department of Pediatric Basic Sciences, Institute of Child Health, Istanbul University, 34390, Istanbul, Turkey. .,Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey.
| | - Erkin Rahimov
- Department of Child Health and Diseases, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey.,Department of Child Health and Diseases, Baku Medical Plaza, Baku, Azerbaijan
| | - Alev Yilmaz
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey.,Institute of Child Health, Istanbul University, 34390, Istanbul, Turkey
| | - Zeynep Yuruk Yildirim
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey.,Institute of Child Health, Istanbul University, 34390, Istanbul, Turkey
| | - Ilmay Bilge
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey.,Division of Pediatric Nephrology, Koc University Hospital, Istanbul, Turkey
| | - Sevinc Emre
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey
| | - Aydan Sirin
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey
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Aksu B, Rahimov E, Yilmaz A, Yildirim ZY, Bilge I, Emre S, Sirin A. Metabolic acidosis with increased anion gap, oxaluria, and acute kidney injury: Answers. Pediatr Nephrol 2021; 36:1449-1451. [PMID: 32989610 DOI: 10.1007/s00467-020-04758-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Revised: 08/02/2020] [Accepted: 09/02/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Bagdagul Aksu
- Department of Pediatric Basic Sciences, Institute of Child Health, Istanbul University, 34390, Istanbul, Turkey.
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey.
| | - Erkin Rahimov
- Department of Child Health and Diseases, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey
- Department of Child Health and Diseases, Baku Medical Plaza, Baku, Azerbaijan
| | - Alev Yilmaz
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey
- Institute of Child Health, Istanbul University, 34390, Istanbul, Turkey
| | - Zeynep Yuruk Yildirim
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey
- Institute of Child Health, Istanbul University, 34390, Istanbul, Turkey
| | - Ilmay Bilge
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey
- Division of Pediatric Nephrology, Koc University Hospital, Istanbul, Turkey
| | - Sevinc Emre
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey
| | - Aydan Sirin
- Division of Pediatric Nephrology, Istanbul Faculty of Medicine, Istanbul University, 34390, Istanbul, Turkey
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Bockenhauer D, Emma F, Talhi A, Papizh S, Atmis B, Homan N, Aksu B, Santos F, Boyer O, Fila M, Bayrakci US, Ouda Eid LA, VanDyck M, Moguel C, Yüksel S, Canpolat N, Schaefer F, Oh J, Liebau M, Ariceta Iraola MG, Vargas-Poussou R, Levtchenko E, Lopez-Garcia SC, Wlodkowski T, Topologlu R. MO001THE EUROPEAN DRTA REGISTRY: AN INITIAL DATA ANALYSIS*. Nephrol Dial Transplant 2021. [DOI: 10.1093/ndt/gfab077.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background and Aims
Distal renal tubular acidosis (dRTA) is a rare disorder characterised by an inability of the distal tubule to secrete acid, leading to metabolic acidosis. Clinical consequences typically include hypokalaemia, hypercalciuria with nephrocalcinosis and/or urolithiasis, as well as bone disease. Treatment with adequate alkali supplementation corrects the acidosis and hypercalciuria, but there are few data on long-term outcome. In 2018, a registry for dRTA was established by the European Society for Paediatric Nephrology, hosted by the European Rare Kidney Disease Reference Network. Here, we present an initial analysis of data in the registry.
Method
Analysis of data entered into the registry by the cut-off data of 18/11/2020.
Results
A total of 135 patients had been entered, of which 106 had additional data from an annual follow-up visit. Median age at last visit was 10 years (range 0-54), including 16 adults (>17y). Genetic testing had been performed in 91 subjects and causative variants were reported in 74 (81%). Pertinent clinical details according to genetic group are listed in table 1.
Treatment was provided with at least 15 different preparations, containing citrate or bicarbonate, given in 1-10 (median 3) daily doses.
Adequate treatment at last follow-up, as judged by a plasma bicarbonate level >21 mmol/l and a urine calcium-creatinine ratio in the age-specific normal range was present in 46% of subjects.
There was a trend for higher eGFR and height SDS in subjects with adequate treatment compared to those without, but this was not statistically significant.
Conclusion
Currently available data demonstrate the difficulties in treating dRTA, with less than half of subjects achieving adequate control of their acidosis. By collecting long-term data, the registry will provide important information on the prognosis and complications of dRTA and to what degree these can be prevented with treatment. Enrollment of further, especially adult patients will contribute to our understanding of this rare disorder.
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Affiliation(s)
| | | | - Amina Talhi
- Hôpital Femme Mère Enfant - Service des Urgences, Bron, France
| | - Svetlana Papizh
- Pirogov Russian National Research Medical University, Moskva, Russia
| | | | - Nakisa Homan
- Iran University of Medical Sciences, Tehran, Iran
| | | | | | | | - Marc Fila
- Hospital Arnaud-De-Villeneuve, Montpellier, France
| | | | | | | | | | | | | | | | - Jun Oh
- Uni Klink Eppendorf, Hamburg, Germany
| | - Max Liebau
- Uniklinik Köln - Klinik und Poliklinik für Pädiatrie, Köln, Germany
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Velioglu A, Aksu B, Asicioglu E, Arıkan H, Tinay I, Yardimci S, Yegen C, Tuglular S, Ozener C. Association of BK Virus Titers With Lymphocyte Count in Renal Transplant Patients. Transplant Proc 2015; 47:1421-4. [PMID: 26093733 DOI: 10.1016/j.transproceed.2015.04.042] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVES Regular screening for the BK virus (BKV) is recommended for early intervention in renal transplant patients. Identification of predictors for the development of BK viremia would improve their monitoring. We performed a retrospective study investigating whether the lymphocyte count may be a predictor of BKV development in renal transplant patients. PATIENTS AND METHODS We retrospectively analyzed 268 renal transplant patients who were followed in our clinic from January 2011 to August 2014. The viral loads of BKV in blood detected by quantitative real-time polymerase chain reaction test were performed according to relevant guidelines. We also retrospectively monitored lymphocyte count, creatinine, immunosuppressive drug doses, and tacrolimus/cyclosporine/mTor inhibitors levels during the same time as BKV screening. Demographic and other clinical data were extracted from patients' files. The calculation of correlation coefficients and receiver operating characteristics (ROC) curve analysis were performed. RESULTS Overall, 16 patients (5.9%) who experienced BKV-DNA positivity were included the study. Mean age of patients was 38.2 ± 12.8 years. All patients received steroid and calcineurin inhibitors (CNIs). Mycophenolate mofetil/mycophenolic acid (MMF/MPA) was administered to 14 patients. BKV-DNA was found in 64 of the 88 (72.7%) plasma samples. The lymphocyte count on the first day of positive BKV-DNA test was significantly lower than in those with negative BKV-DNA results (1700/μl vs 2400/μl, respectively; P = .009). Its AUC of the ROC curve was 0.77 (P = .012). The optimal cutoff point for lymphocyte count was 1900/μl, and sensitivity and specificity for predict BKV positivity were 75% and 78.57%, respectively. We also found that lymphocyte count negatively correlated with the first detectable BKV titers (r = -0.438; P = .015). However, there is no relation between CNI/mTOR inhibitor levels, MMF/MPA doses, lymphocyte count, and all BKV-titers. CONCLUSIONS Decreased lymphocyte count may be a predictor for preceding BKV viremia. Clinicians should be more careful in terms of the decreased lymphocyte count in case of BKV replication in renal transplant patients.
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Affiliation(s)
- A Velioglu
- Division of Nephrology, Department of Internal Medicine, School of Medicine, Marmara University, Istanbul, Turkey.
| | - B Aksu
- Department of Medical Microbiology, School of Medicine, Marmara University, Istanbul, Turkey
| | - E Asicioglu
- Division of Nephrology, Department of Internal Medicine, School of Medicine, Marmara University, Istanbul, Turkey
| | - H Arıkan
- Division of Nephrology, Department of Internal Medicine, School of Medicine, Marmara University, Istanbul, Turkey
| | - I Tinay
- Department of Urology, School of Medicine, Marmara University, Istanbul, Turkey
| | - S Yardimci
- Department of General Surgery, School of Medicine, Marmara University, Istanbul, Turkey
| | - C Yegen
- Department of General Surgery, School of Medicine, Marmara University, Istanbul, Turkey
| | - S Tuglular
- Division of Nephrology, Department of Internal Medicine, School of Medicine, Marmara University, Istanbul, Turkey
| | - C Ozener
- Division of Nephrology, Department of Internal Medicine, School of Medicine, Marmara University, Istanbul, Turkey
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Emre S, Yuruk Yildirim Z, Yilmaz A, Aksu B, Pehlivanoglu C, Tole N, Bilge I, Sirin A. SP488CHRONIC PERITONEAL DIALYSIS IN CHILDREN: SINGLE CENTER EXPERIENCE OVER 18 YEARS. Nephrol Dial Transplant 2015. [DOI: 10.1093/ndt/gfv196.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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12
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Aksu B, Yegen G, Purisa S, Cevher E, Ozsoy Y. Optimisation of Ondansetron Orally Disintegrating Tablets Using Artificial Neural Networks. TROP J PHARM RES 2014. [DOI: 10.4314/tjpr.v13i9.1] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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13
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Ayvaz S, Aksu B, Karaca T, Cemek M, Tarladacalisir YT, Ayaz A, Metin MS, Basaran U, Ayvaz AT, Aksu F, Pul M. Effects of methylene blue in acute lung injury induced by blunt chest trauma. Hippokratia 2014; 18:50-56. [PMID: 25125953 PMCID: PMC4103043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
BACKGROUND We studied whether methylene blue (MB) treatment blunts chest trauma-induced lung injury in rats. MATERIAL AND METHODS Forty male Sprague-Dawley rats, 200-300g, were used. The rats were divided into five groups (n=8): control, early contusion (EC), early contusion + methylene blue (2 mg/kg, EC+MB), late contusion (LC), and late contusion + methylene blue (2 mg/kg, LC+MB). RESULTS Histopathological analysis showed increased hemorrhage, alveolar wall thickness, edema, and inflammatory cell infiltrates in the EC and LC rats, which decreased upon MB treatment. Immunohistochemical studies revealed that MB reduced activation of inducible nitric oxide synthase (iNOS) and the number of active terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL)-positive cells. A significant increase was observed in the malondialdehyde (MDA) and nitric oxide (NO) levels in the EC group compared to the control group (p<0.05). In addition, a significant decrease was reported in the glutathione (GSH), superoxide dismutase (SOD), and glutathione peroxidase (GPx) levels (p<0.01), but no significant difference was observed in the catalase (CAT) levels among the groups. The MDA level was significantly higher in the LC group compared to the control group, whereas the GSH level was significantly lower compared to the control group. The NO level in the EC+MB group was significantly lower when compared to the NO level in the EC group (p<0.05). CONCLUSION The present study provides evidence that MB might serve as a therapeutic treatment for blunt chest trauma.
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Affiliation(s)
- S Ayvaz
- Department of Pediatric Surgery, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - B Aksu
- Department of Pediatric Surgery, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - T Karaca
- Department of Histology and Embryology, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - M Cemek
- Department of Bioengineering , Division of Biochemistry, Faculty of Chem. and Met. Eng., Yıldız Technical University, Istanbul, Turkey
| | - Y-T Tarladacalisir
- Department of Histology and Embryology, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - A Ayaz
- Department of Bioengineering , Division of Biochemistry, Faculty of Chem. and Met. Eng., Yıldız Technical University, Istanbul, Turkey
| | - M-S Metin
- Department of Histology and Embryology, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - Un Basaran
- Department of Pediatric Surgery, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - A-T Ayvaz
- Department of Ophtalmology, Edirne State Hospital, Edirne, Turkey
| | - F Aksu
- Department of Cardiology, Edirne State Hospital, Edirne, Turkey
| | - M Pul
- Department of Pediatric Surgery, Faculty of Medicine, Trakya University, Edirne, Turkey
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Dal T, Aksu B, Pages JM, Over-Hasdemir U. Expression of the adeB gene and responsiveness to 1-(1-naphthylmethyl)-piperazine and phenylalanyl-arginyl- -naphthylamide in clinical isolates of Acinetobacter baumannii. J Antimicrob Chemother 2013; 68:1200-2. [DOI: 10.1093/jac/dks511] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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15
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Aksu B, Temizöz O, Inan M, Gençhellaç H, Başaran UN. Bilateral spigelian hernia concomitant with multiple skeletal anomalies and fibular aplasia in a child. Eur J Pediatr Surg 2008; 18:205-8. [PMID: 18493901 DOI: 10.1055/s-2007-989486] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
A child with Spigelian hernia, concomitant multiple skeletal anomalies and whole body hemihypoplasia and fibular aplasia is presented here. Irrespective of the patient's age at presentation, Spigelian hernias associated with anomalies are congenital in origin. This case emphasizes the fact that a bilateral Spigelian hernia can occur in children together with multiple skeletal anomalies.
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Affiliation(s)
- B Aksu
- Department of Pediatric Surgery, Trakya University, Faculty of Medicine, Edirne, Turkey.
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Ozcan I, Aksu B, Abaci O, Boyacioglu H, Haliki A, Senel S, Ozer O, Guneri T. Comparative statistical analysis of ex vivo permeation and antifungal activity studies of Terbinafine hydrochloride chitosan gels. Eur J Pharm Sci 2007. [DOI: 10.1016/j.ejps.2007.05.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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17
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Aslan O, Aksu B, Babacan F. P614 Slime production in blood isolates of Staphylococcus aureus under various growth conditions. Int J Antimicrob Agents 2007. [DOI: 10.1016/s0924-8579(07)70457-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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