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Published on: February 14, 2019
Plasma citrate concentration: a possible biomarker for glaucoma in children
Marta Michalczuk1, Porowski Tadeusz2, Beata Urban1
1Department of Paediatric Ophthalmology and Strabismus, Medical University of Białystok, Białystok, Poland.
Insights
Plasma citrate levels may indicate glaucoma in children. This study found lower plasma citrate in children with glaucoma compared to healthy peers, suggesting its potential as a diagnostic biomarker.
Area of Science:
- Ophthalmology
- Biochemistry
- Pediatrics
Background:
- Glaucoma is a leading cause of irreversible blindness.
- Early detection and diagnosis are crucial for managing glaucoma, especially in pediatric populations.
- Biomarkers for glaucoma diagnosis are actively being researched.
Purpose of the Study:
- To investigate the potential of plasma and urine citrate levels as biomarkers for glaucoma in school-aged children.
- To compare citrate levels in children diagnosed with glaucoma versus a healthy control group.
Main Methods:
- The study included 34 school-aged children with glaucoma and 34 age-matched healthy controls.
- Plasma and urine citrate levels were measured in both groups.
- Statistical analysis, including the Kruskal-Wallis test, was used for comparison.
Main Results:
- Plasma citrate concentrations were significantly lower in children with glaucoma compared to the control group (p=0.0036).
- No statistically significant differences were found in urine citrate levels or urine citrate to creatine ratio between the groups.
- These findings suggest a specific role for plasma citrate.
Conclusions:
- Plasma citrate concentration may serve as a potential biomarker for glaucoma in the pediatric population.
- Further research is warranted to validate plasma citrate as a reliable glaucoma indicator in children.
Objectives:
The main aim of the present study was to examine a possible role of plasma and urine citrate levels as glaucoma indicators in school-aged children with glaucoma diagnosis.
Patients:
34 school-aged children with a glaucoma diagnosis (mean age 15.69±1.86 years) were qualified for the study group and 34 patients with no ophthalmological ailments were qualified for the control group (mean age 16.1±1.98 years). Plasma and urine citrate levels in the study and the control group (Kruskal-Wallis test) were compared.
Results:
Plasma citrate levels in the study (16.33±4.51 mg/L) and the control group (19.11±3.66 mg/L) were different; the statistical significance (p=0.0036). Plasma citrate concentrations were significantly lower in the study group in comparison with the control group. There were no statistically important differences between the study group (291.12±259.13 mg/24 hours; 275.82±217.57 mg/g) and the control group (434.88±357.66 mg/24 hours; 329.81±383.27 mg/g) including urine citrate level (p=0.052) and urine citrate to creatine ratio (p=0.4667).
Conclusion:
Plasma citrate concentration might be considered as glaucoma biomarker in paediatric population.
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