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Mannose-binding lectin in pre-menopausal women with recurrent urinary tract infections
R Colodner1, O Nitzan, B Chazan
1Laboratory Medicine Department, Ha'Emek Medical Center, Afula, Israel. colodner_ra@clalit.org.il
Abstract:
Mannose-binding lectin (MBL) comprises an oligomeric serum protein that is a member of the collectin class of the C-type lectin superfamily. Its deficiency is genetically determined and confers predisposition to recurrent infections as well as increased infection severity. This correlation has been demonstrated in recurrent furunculosis caused by Staphylococcus aureus, and in pneumococcal and Candida infections. The present study aimed to determine whether there is a correlation between MBL serum levels and recurrent urinary tact infections (UTI) in pre-menopausal women. The present aged-matched double-blind controlled study was conducted in 100 pre-menopausal adult women: 50 who suffered from recurrent UTI and 50 without UTI. The MBL concentration was measured in a single serum sample from each patient using an enzyme-linked immunosorbent assay. MBL serum levels [median (range)] were 2500 (4-12,000) ng/mL and 2105 (4-22,800) ng/mL for the research and control groups, respectively. The results from the two groups were compared and were not statistically different (p 0.4). According to these results, MBL serum levels are not associated with an increased risk for recurrent UTI in pre-menopausal women.
Insights
Mannose-binding lectin (MBL) deficiency is linked to recurrent infections. This study found no significant difference in MBL serum levels between pre-menopausal women with and without recurrent urinary tract infections (UTI).
Area of Science:
- Immunology
- Infectious Diseases
- Urology
Background:
- Mannose-binding lectin (MBL) is a serum protein crucial for innate immunity.
- MBL deficiency is associated with increased susceptibility to various infections.
- Previous studies link MBL deficiency to recurrent bacterial and fungal infections.
Purpose of the Study:
- To investigate the association between MBL serum levels and recurrent urinary tract infections (UTI) in pre-menopausal women.
- To determine if lower MBL levels increase the risk of recurrent UTIs.
Main Methods:
- An aged-matched, double-blind, controlled study involving 100 pre-menopausal women (50 with recurrent UTI, 50 controls).
- Serum MBL concentration was quantified using an enzyme-linked immunosorbent assay (ELISA).
Main Results:
- Median MBL serum levels were 2500 ng/mL (range: 4-12,000) in the recurrent UTI group and 2105 ng/mL (range: 4-22,800) in the control group.
- No statistically significant difference in MBL serum levels was observed between the two groups (p=0.4).
Conclusions:
- MBL serum levels are not associated with an increased risk of recurrent urinary tract infections in pre-menopausal women.
- The findings suggest MBL deficiency does not play a significant role in the pathogenesis of recurrent UTIs in this demographic.
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