Use of B-2 Microglobulin and Pentraxin as an Inflammatory Marker in the Early Post-Renal Transplantation Period

Objective: CRP was the most commonly used marker of inflammation in renal transplant recipients in chronic renal disease, and renal functions were monitored with creatinine levels. In this study, we recorded the early course of B2 microglobulin and pentraxin levels as inflammatory markers in renal...

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Main Authors: Yenice, Mustafa Gürkan, Karadağ, Serdar, Sungur, Ubeyd, Akbay, Fatih Gökhan, Şeker, Kamil Gökhan, Güler, A.Faysal, Kural, Alev, Apaydın, Süheyla, Taşçı, Ali İhsan
Format: Article
Language:English
Published: Ali İhsan Taşçı 2020-06-01
Series:Yeni Üroloji Dergisi
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1110046
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author Yenice, Mustafa Gürkan
Karadağ, Serdar
Sungur, Ubeyd
Akbay, Fatih Gökhan
Şeker, Kamil Gökhan
Güler, A.Faysal
Kural, Alev
Apaydın, Süheyla
Taşçı, Ali İhsan
author_facet Yenice, Mustafa Gürkan
Karadağ, Serdar
Sungur, Ubeyd
Akbay, Fatih Gökhan
Şeker, Kamil Gökhan
Güler, A.Faysal
Kural, Alev
Apaydın, Süheyla
Taşçı, Ali İhsan
author_sort Yenice, Mustafa Gürkan
collection DOAJ
description Objective: CRP was the most commonly used marker of inflammation in renal transplant recipients in chronic renal disease, and renal functions were monitored with creatinine levels. In this study, we recorded the early course of B2 microglobulin and pentraxin levels as inflammatory markers in renal transplant patients and aimed to determine its usefulness as markers of inflammation. Materials and Methods: This is a prospective observation study of 23 adult patients who underwent renal transplantation from living donors between January and June 2017. Demographic characteristics, blood samples, biochemical parameters and inflammation markers were studied on the first day, 3rd day, 7th day and 30th day after transplantation. Results: 18 (78%) of the 23 patients included in our study were in the pre-transplant dialysis program and 5 (22%) received preemptive dialysis. There were significant decreases in B2 microglobulin levels on the first postoperative day on the 3rd day and 7th day (p <0.05), but no significant difference was found between the 1st week and the first month (p> 0.05). Creatinine levels decreased significantly on the third day compared to the first day. There was a significant positive correlation between B2 microglobulin and creatinine at postoperative day 0, day 3, day 7 and month 1 (p <0.05). Pentraxine and CRP levels increased significantly on the third day compared to the first day, then decreased significantly on the 7th day and the first month. (P <0.05) However, there was no significant correlation between pentraxin changes and CRP changes. Conclusion: Early detection of inflammation in renal transplant recipients is important for the risk of graft rejection. B2 microglobulin and pentraxin levels may be used as new markers for graft rejection and renal function evaluation, but randomized controlled trials with larger patient numbers are needed.
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spelling doaj.art-35751058074640b0909756096bf3b5582023-02-15T16:18:37ZengAli İhsan TaşçıYeni Üroloji Dergisi1305-24892687-19552020-06-0115212112610.33719/yud.643442Use of B-2 Microglobulin and Pentraxin as an Inflammatory Marker in the Early Post-Renal Transplantation PeriodYenice, Mustafa Gürkan 0https://orcid.org/0000-0002-5813-3565Karadağ, Serdar 1https://orcid.org/0000-0002-1420-4536Sungur, Ubeyd2https://orcid.org/0000-0002-8910-9859Akbay, Fatih Gökhan 3https://orcid.org/0000-0002-4263-1391Şeker, Kamil Gökhan 4https://orcid.org/0000-0003-4449-9037Güler, A.Faysal5https://orcid.org/0000-0003-0320-7843Kural, Alev6https://orcid.org/0000-0003-1459-4316Apaydın, Süheyla 7https://orcid.org/0000-0001-6224-405XTaşçı, Ali İhsan8https://orcid.org/0000-0002-6943-6676Sağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Üroloji Anabilim Dalı, İstanbul, TürkiyeSağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Üroloji Anabilim Dalı, İstanbul, TürkiyeSağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Üroloji Anabilim Dalı, İstanbul, TürkiyeSağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Nefroloji Kliniği, İstanbul, Türkiye Muş Devlet Hastanesi, MuşSağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Üroloji Anabilim Dalı, İstanbul, TürkiyeSağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Biyokimya, İstanbulSağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Nefroloji Kliniği, İstanbul, TürkiyeSağlık Bilimleri Üniversitesi, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Üroloji Anabilim Dalı, İstanbul, TürkiyeObjective: CRP was the most commonly used marker of inflammation in renal transplant recipients in chronic renal disease, and renal functions were monitored with creatinine levels. In this study, we recorded the early course of B2 microglobulin and pentraxin levels as inflammatory markers in renal transplant patients and aimed to determine its usefulness as markers of inflammation. Materials and Methods: This is a prospective observation study of 23 adult patients who underwent renal transplantation from living donors between January and June 2017. Demographic characteristics, blood samples, biochemical parameters and inflammation markers were studied on the first day, 3rd day, 7th day and 30th day after transplantation. Results: 18 (78%) of the 23 patients included in our study were in the pre-transplant dialysis program and 5 (22%) received preemptive dialysis. There were significant decreases in B2 microglobulin levels on the first postoperative day on the 3rd day and 7th day (p <0.05), but no significant difference was found between the 1st week and the first month (p> 0.05). Creatinine levels decreased significantly on the third day compared to the first day. There was a significant positive correlation between B2 microglobulin and creatinine at postoperative day 0, day 3, day 7 and month 1 (p <0.05). Pentraxine and CRP levels increased significantly on the third day compared to the first day, then decreased significantly on the 7th day and the first month. (P <0.05) However, there was no significant correlation between pentraxin changes and CRP changes. Conclusion: Early detection of inflammation in renal transplant recipients is important for the risk of graft rejection. B2 microglobulin and pentraxin levels may be used as new markers for graft rejection and renal function evaluation, but randomized controlled trials with larger patient numbers are needed.https://dergipark.org.tr/tr/download/article-file/1110046b2-microglobulininflammationpentraxintransplantation
spellingShingle Yenice, Mustafa Gürkan
Karadağ, Serdar
Sungur, Ubeyd
Akbay, Fatih Gökhan
Şeker, Kamil Gökhan
Güler, A.Faysal
Kural, Alev
Apaydın, Süheyla
Taşçı, Ali İhsan
Use of B-2 Microglobulin and Pentraxin as an Inflammatory Marker in the Early Post-Renal Transplantation Period
Yeni Üroloji Dergisi
b2-microglobulin
inflammation
pentraxin
transplantation
title Use of B-2 Microglobulin and Pentraxin as an Inflammatory Marker in the Early Post-Renal Transplantation Period
title_full Use of B-2 Microglobulin and Pentraxin as an Inflammatory Marker in the Early Post-Renal Transplantation Period
title_fullStr Use of B-2 Microglobulin and Pentraxin as an Inflammatory Marker in the Early Post-Renal Transplantation Period
title_full_unstemmed Use of B-2 Microglobulin and Pentraxin as an Inflammatory Marker in the Early Post-Renal Transplantation Period
title_short Use of B-2 Microglobulin and Pentraxin as an Inflammatory Marker in the Early Post-Renal Transplantation Period
title_sort use of b 2 microglobulin and pentraxin as an inflammatory marker in the early post renal transplantation period
topic b2-microglobulin
inflammation
pentraxin
transplantation
url https://dergipark.org.tr/tr/download/article-file/1110046
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