Urinary ATP may be a biomarker of interstitial cystitis/bladder pain syndrome and its severity

Urinary tract cells respond to bladder distension by releasing adenosine triphosphate (ATP). Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) exhibit elevated urinary ATP levels compared to asymptomatic controls. This study aimed to evaluate the potential of urinary ATP as a non-i...

Full description

Bibliographic Details
Main Authors: Yanyuan Wu, Yedie He, Jun Qi, Song Wang, Zongping Wang
Format: Article
Language:English
Published: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina 2024-01-01
Series:Biomolecules & Biomedicine
Subjects:
Online Access:https://www.bjbms.org/ojs/index.php/bjbms/article/view/9694
_version_ 1797261358901755904
author Yanyuan Wu
Yedie He
Jun Qi
Song Wang
Zongping Wang
author_facet Yanyuan Wu
Yedie He
Jun Qi
Song Wang
Zongping Wang
author_sort Yanyuan Wu
collection DOAJ
description Urinary tract cells respond to bladder distension by releasing adenosine triphosphate (ATP). Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) exhibit elevated urinary ATP levels compared to asymptomatic controls. This study aimed to evaluate the potential of urinary ATP as a non-invasive biomarker for IC/BPS and its correlation with symptom severity. We included 56 patients diagnosed with IC/BPS and 50 asymptomatic controls. Urine samples were collected from both groups. Urinary ATP levels were quantified using the luciferin-luciferase bioluminescence method. The severity of IC/BPS symptoms was assessed using the visual analogue score (VAS), Interstitial Cystitis Symptom Index (ICSI), and Interstitial Cystitis Problem Index (ICPI) from the O'Leary-Sant score. We specifically examined the correlation between symptom scores and urinary ATP levels in IC/BPS patients. Urinary ATP levels were significantly higher in IC/BPS patients compared to the control group (P < 0.0001). There was a significant positive correlation between urinary ATP concentrations and VAS, ICPI, and ICSI scores among IC/BPS patients (P < 0.0001). The threshold value for ATP concentration was set at 56.6 nM, with an area under the receiver operating characteristic (ROC) curve of 0.811 (95% CI 0.730 - 0.892). Our findings indicate that IC/BPS patients excrete elevated amounts of ATP in their urine. This suggests that urinary ATP might serve as a non-invasive biomarker for IC/BPS, with a predictive potential in terms of symptom severity.
first_indexed 2024-04-24T23:39:57Z
format Article
id doaj.art-46e406fc3bb44b59815ab5500f55cc34
institution Directory Open Access Journal
issn 2831-0896
2831-090X
language English
last_indexed 2024-04-24T23:39:57Z
publishDate 2024-01-01
publisher Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina
record_format Article
series Biomolecules & Biomedicine
spelling doaj.art-46e406fc3bb44b59815ab5500f55cc342024-03-15T13:21:05ZengAssociation of Basic Medical Sciences of Federation of Bosnia and HerzegovinaBiomolecules & Biomedicine2831-08962831-090X2024-01-0124110.17305/bb.2023.9694Urinary ATP may be a biomarker of interstitial cystitis/bladder pain syndrome and its severityYanyuan Wu0Yedie He1Jun Qi2Song Wang3Zongping Wang4Department of Urology, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China; Institute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, ChinaDepartment of Urology, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China; Institute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, ChinaDepartment of Urology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai, ChinaDepartment of Urology, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China; Institute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, ChinaDepartment of Urology, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China; Institute of Cancer and Basic Medicine (IBMC), Chinese Academy of Sciences, Hangzhou, China Urinary tract cells respond to bladder distension by releasing adenosine triphosphate (ATP). Patients with interstitial cystitis/bladder pain syndrome (IC/BPS) exhibit elevated urinary ATP levels compared to asymptomatic controls. This study aimed to evaluate the potential of urinary ATP as a non-invasive biomarker for IC/BPS and its correlation with symptom severity. We included 56 patients diagnosed with IC/BPS and 50 asymptomatic controls. Urine samples were collected from both groups. Urinary ATP levels were quantified using the luciferin-luciferase bioluminescence method. The severity of IC/BPS symptoms was assessed using the visual analogue score (VAS), Interstitial Cystitis Symptom Index (ICSI), and Interstitial Cystitis Problem Index (ICPI) from the O'Leary-Sant score. We specifically examined the correlation between symptom scores and urinary ATP levels in IC/BPS patients. Urinary ATP levels were significantly higher in IC/BPS patients compared to the control group (P < 0.0001). There was a significant positive correlation between urinary ATP concentrations and VAS, ICPI, and ICSI scores among IC/BPS patients (P < 0.0001). The threshold value for ATP concentration was set at 56.6 nM, with an area under the receiver operating characteristic (ROC) curve of 0.811 (95% CI 0.730 - 0.892). Our findings indicate that IC/BPS patients excrete elevated amounts of ATP in their urine. This suggests that urinary ATP might serve as a non-invasive biomarker for IC/BPS, with a predictive potential in terms of symptom severity. https://www.bjbms.org/ojs/index.php/bjbms/article/view/9694Lower urinary tract symptoms (LUTS)lower abdominal paininterstitial cystitis/ bladder pain syndrome (IC/BPS)adenosine triphosphate (ATP)
spellingShingle Yanyuan Wu
Yedie He
Jun Qi
Song Wang
Zongping Wang
Urinary ATP may be a biomarker of interstitial cystitis/bladder pain syndrome and its severity
Biomolecules & Biomedicine
Lower urinary tract symptoms (LUTS)
lower abdominal pain
interstitial cystitis/ bladder pain syndrome (IC/BPS)
adenosine triphosphate (ATP)
title Urinary ATP may be a biomarker of interstitial cystitis/bladder pain syndrome and its severity
title_full Urinary ATP may be a biomarker of interstitial cystitis/bladder pain syndrome and its severity
title_fullStr Urinary ATP may be a biomarker of interstitial cystitis/bladder pain syndrome and its severity
title_full_unstemmed Urinary ATP may be a biomarker of interstitial cystitis/bladder pain syndrome and its severity
title_short Urinary ATP may be a biomarker of interstitial cystitis/bladder pain syndrome and its severity
title_sort urinary atp may be a biomarker of interstitial cystitis bladder pain syndrome and its severity
topic Lower urinary tract symptoms (LUTS)
lower abdominal pain
interstitial cystitis/ bladder pain syndrome (IC/BPS)
adenosine triphosphate (ATP)
url https://www.bjbms.org/ojs/index.php/bjbms/article/view/9694
work_keys_str_mv AT yanyuanwu urinaryatpmaybeabiomarkerofinterstitialcystitisbladderpainsyndromeanditsseverity
AT yediehe urinaryatpmaybeabiomarkerofinterstitialcystitisbladderpainsyndromeanditsseverity
AT junqi urinaryatpmaybeabiomarkerofinterstitialcystitisbladderpainsyndromeanditsseverity
AT songwang urinaryatpmaybeabiomarkerofinterstitialcystitisbladderpainsyndromeanditsseverity
AT zongpingwang urinaryatpmaybeabiomarkerofinterstitialcystitisbladderpainsyndromeanditsseverity