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Urinary Kidney Injury Molecules in Children with Iron Deficiency Anemia        
Yazarlar
 Ali GÜNEŞ Ali GÜNEŞ
Kırşehir Ahi Evran Üniversitesi
Aydin Ece
Fesih Aktar
Ilhan Tan
Murat Soker
Duran Karabel
Hasan Balik
Unal Uluca
Velat Sen
Ilyas Yolbas
Özet
Background: The aim of this study was to investigate the urine levels of human kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), N-acetyl-beta-D-glucosaminidase (NAG), and liver-type fatty acid-binding protein (L-FABP) in children with iron-deficiency anemia (IDA).
Material/Methods: Thirty-five children with IDA and 32 matched healthy controls were recruited. We assessed complete blood count, serum iron, iron-binding capacity, ferritin, serum levels of urea, creatinine (Cr), sodium (Na), potassium (K), calcium (Ca), and glucose levels. Estimated glomerular filtration rate (eGFR) was calculated. Urinary NAG, NGAL, KIM-1, and L-FABP were measured and divided by urine creatinine for comparisons.
Results: There were no significant differences in serum urea, Cr, or eGFR between the IDA group and the control group (p>0.05, for all). IDA patients had significantly higher urine NGAL/Cr, L-FABP/Cr, KIM-1/Cr, and NAG/Cr compared with the control group (p<0.05). There were significant negative correlations between hemoglobin, hematocrit, red blood cell count, and urine NGAL/Cr, NAG/Cr, L-FABP/Cr, KIM-1/Cr levels (p<0.05).
Conclusions: Higher urinary kidney injury molecule levels in IDA patients suggest a possible subclinical renal injury in pediatric IDA patients whose renal functions and serum electrolytes were normal.
Anahtar Kelimeler
Anemia | Early diagnosis | Iron-deficiency | Kidney diseases
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı MEDICAL SCIENCE MONITOR
Dergi ISSN 1643-3750
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 12-2015
Cilt No 21
Sayı 1
Sayfalar 4023 / 4029
Doi Numarası 10.12659/MSM.896794
Makale Linki http://www.medscimonit.com/abstract/index/idArt/896794