Chemokine profile in the sera and urine of patients with schistosomal glomerulopathy

Am J Trop Med Hyg. 2014 Jan;90(1):48-53. doi: 10.4269/ajtmh.13-0270. Epub 2013 Nov 4.

Abstract

We investigated the serum and urine chemokine levels of patients with schistosomal mansoni glomerulonephritis. This cross-sectional study was conducted in the Southeast of Brazil. Overall, 160 subjects were enrolled and divided into five groups: 1) hepatosplenic schistosomiasis with renal disease (N = 12); 2) hepatosplenic schistosomiasis without renal disease (N = 68); 3) hepatointestinal schistosomiasis (N = 27); 4) glomerulopathy caused by other diseases (N = 22); and 5) healthy controls (N = 31). The patients with microalbuminuria > 30 mg in 24 hours were considered to have renal disease. The sera and urine chemokines CCL2, CCL3, CCL5, CCL11, and CXCL8 were measured using an enzyme-linked immunosorbent assay test. A similar profile was observed between the patients with schistosomal glomerulopathy and the patients with glomerulopathy caused by other diseases, with the exception of serum CCL2 ≤ 634.3 pg/mL. In cases with sera CCL2 > 634.3 pg/mL, the diagnosis of schistosomal glomerulopathy should be considered.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chemokines / blood*
  • Chemokines / urine*
  • Cross-Sectional Studies
  • Female
  • Gene Expression Regulation / physiology
  • Glomerulonephritis / blood
  • Glomerulonephritis / parasitology*
  • Glomerulonephritis / pathology
  • Glomerulonephritis / urine
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Schistosomiasis / blood*
  • Schistosomiasis / pathology
  • Schistosomiasis / urine*

Substances

  • Chemokines