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Published on: April 25, 2017
Decrease of urinary nerve growth factor levels after antimuscarinic therapy in patients with overactive bladder.
Hsin-Tzu Liu1, Michael B Chancellor, Hann-Chorng Kuo
1Department of Urology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.
Urinary nerve growth factor (NGF) levels decreased in overactive bladder (OAB) patients responding to antimuscarinic treatment. These NGF changes correlated with symptom improvement, suggesting NGF as a potential biomarker for OAB therapy effectiveness.
Area of Science:
- Urology
- Biochemistry
- Pharmacology
Background:
- Overactive bladder (OAB) is a condition characterized by urinary urgency.
- Nerve growth factor (NGF) is implicated in bladder function and dysfunction.
- Current biomarkers for OAB treatment efficacy are limited.
Purpose of the Study:
- To investigate urinary nerve growth factor (NGF) levels in patients with OAB.
- To assess changes in urinary NGF levels following antimuscarinic treatment.
- To explore the correlation between urinary NGF levels and OAB symptom severity.
Main Methods:
- Urinary NGF levels were measured using enzyme-linked immunosorbent assay (ELISA) and normalized to urinary creatinine (NGF/Cr).
- Measurements were taken in 70 OAB patients and 38 healthy controls at baseline and during/after tolterodine treatment.
- Urgency Severity Scale (USS) scores were used to assess symptom severity.
Main Results:
- OAB patients exhibited significantly higher baseline urinary NGF/Cr levels compared to controls.
- Urinary NGF/Cr levels significantly decreased in responders after 3 months of antimuscarinic treatment.
- Changes in urinary NGF/Cr levels correlated significantly with changes in USS scores in responders.
Conclusions:
- Urinary NGF levels are elevated in OAB patients and decrease with effective antimuscarinic therapy.
- Urinary NGF may serve as a potential biomarker for evaluating the therapeutic response in OAB patients.
- Further studies are needed to validate NGF as a reliable biomarker in OAB management.
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