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Divalent cations levels change in nephrotic syndrome.
1University of Medicine and Pharmacy Grigore T. Popa-Iaşi, University of Medicine and Pharmacy, Grigore T. Popa-Iaşi School of Medicine.
Acute urinary infections in children alter divalent cation levels, with lower serum calcium (Ca), copper (Cu), and zinc (Zn). Routine measurement of these trace elements is recommended for pediatric renal disorders.
Area of Science:
- Biochemistry
- Pediatric Nephrology
- Clinical Chemistry
Background:
- Divalent cations (calcium, magnesium, zinc, copper, manganese) are vital for numerous biological functions.
- Renal disorders can disrupt the balance of these essential cations in the body.
- Understanding these disruptions is crucial for managing pediatric renal conditions.
Purpose of the Study:
- To evaluate alterations in divalent cation levels (copper, zinc, magnesium, calcium) in pediatric patients with acute renal diseases.
- To investigate the relationship between acute urinary tract infections and cation imbalances.
- To assess oxidative stress markers in conjunction with cation changes.
Main Methods:
- Measured plasma concentrations and urinary excretion of copper, zinc, magnesium, and calcium in pediatric patients.
- Assessed plasma levels of malondialdehyde (MDA) and total antioxidant capacity (TAC).
- Compared findings with a control group of healthy children.
Main Results:
- Serum levels of calcium, copper, and zinc were significantly decreased in patients with acute urinary infections compared to controls.
- Urinary excretion of copper and zinc was higher in the infected group.
- Increased MDA and decreased TAC indicated elevated oxidative stress, linked to lower copper and zinc concentrations.
Conclusions:
- Acute urinary tract conditions, including lower urinary tract infection and pyelonephritis, disrupt plasma and urinary divalent cation concentrations in children.
- Preliminary data suggest that trace element levels should be routinely monitored in pediatric patients with renal disorders.
- These findings highlight the potential role of divalent cations as biomarkers in pediatric renal disease.
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