Predictive Values of Urinary Interleukin 18 and Neutrophil Gelatinase-Associated Lipocalin for Delayed Graft Function Diagnosis in Kidney Transplantation

Autor: Mojtaba Mojtahedzadeh, Farhad Etezadi, Javad Motaharinia, Alireza Abdollahi, Abdorasul Mehrsai, Shadi Ziaie, Soheil Saadat
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Iranian Journal of Pathology, Vol 11, Iss 4, Pp 391-398 (2016)
Druh dokumentu: article
ISSN: 1735-5303
2345-3656
Popis: Background: Delayed graft function is a main complication after deceased donor kidney transplantation that adversely affects graft outcome. Difficulties in prediction and early detection of delayed graft function have hindered the ability to perform proper therapeutic interventions. We investigated whether measuring urinary interleukin 18 and neutrophil gelatinase-associated lipocalin as markers of ischemia reperfusion injury could predict delayed graft function in deceased donor kidney transplant patients. Methods: We studied 69 patients undergoing kidney transplantation from deceased donor during early October 2013 to December 2014 at the Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. Serial urine samples at 2, 24, and 48 h after transplantation were analyzed for interleukin 18 and neutrophil gelatinase-associated lipocalin levels. Results: Thirteen patients (18.9%) developed delayed graft function. Urine interleukin 18 to urine creatinine ratio was significantly higher in patients with delayed graft function compared to those with non-delayed graft function, at 2 (P=0.003), 24 (P
Databáze: Directory of Open Access Journals