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.
Abstract

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