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Urinary nerve growth factor level in children with neurogenic bladder due to myelomeningocele
Agata Korzeniecka-Kozerska1, Tadeusz Porowski, Joanna Michaluk-Skutnik
1Department of Paediatrics and Nephrology, Medical University of Białystok , Białystok , Poland.
Insights
Children with myelomeningocele and neurogenic bladder show elevated urinary nerve growth factor (NGF). This finding may help understand bladder dysfunction in this condition.
Area of Science:
- Pediatric Urology
- Neuroscience
- Biochemistry
Background:
- Myelomeningocele is a common birth defect causing physical disability and neurogenic bladder.
- Neurogenic bladder in children increases risks of urinary tract infections and kidney damage.
- Nerve growth factor (NGF) is implicated in bladder overactivity.
Purpose of the Study:
- To investigate urinary nerve growth factor (NGF) excretion in children with neurogenic bladder secondary to myelomeningocele.
- To correlate urinary NGF levels with bladder function parameters.
Main Methods:
- Comparative study involving 28 children with myelomeningocele-related neurogenic bladder and 20 healthy controls.
- Urinary NGF levels quantified using enzyme-linked immunosorbent assay (ELISA).
Main Results:
- Significantly higher median urinary NGF concentrations were observed in children with myelomeningocele compared to controls.
- Urinary NGF levels positively correlated with detrusor pressure at maximum bladder capacity.
- Urinary NGF levels negatively correlated with bladder wall compliance.
Conclusions:
- Urinary NGF is significantly elevated in pediatric patients with myelomeningocele and neurogenic bladder.
- Further research is warranted to elucidate the role of urinary NGF in the pathogenesis of neurogenic bladder in myelomeningocele.
Objective:
Myelomeningocele is the most common physically disabling birth defect in humans. It is caused by the failure of the neural tube to close and is most common in the lumbosacral area. Because of associated neurogenic bladder dysfunction, children with myelomeningocele have an increased risk of urinary tract infections and, ultimately, of kidney damage. Nerve growth factor (NGF) is an important mediator inducing bladder overactivity in many pathological conditions. The aim of this study was to evaluate urinary NGF excretion in children with neurogenic bladder caused by myelomeningocele.
Material And Methods:
The investigation was conducted into two groups. Group 1 comprised 28 children with neurogenic bladder, and group 2 comprised 20 healthy children with no abnormalities in the urinary and nervous systems. Urinary NGF levels were measured by enzyme-linked immunosorbent assay.
Results:
Median urinary NGF concentration in group 1 was higher when compared with healthy controls. Positive correlations between urinary NGF level and detrusor pressure at maximum bladder capacity, and negative correlations between NGF and bladder wall compliance were found.
Conclusions:
Urinary NGF levels were significantly elevated in patients with myelomeningocele. Future studies are needed to examine further the significance of urinary NGF levels in the pathogenesis of neurogenic bladder in this clinical condition.
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