Profiling the urinary microbiome in men with calcium-based kidney stones
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Abstract Background The dogma that urine is sterile in healthy individuals has been overturned by recent studies applying molecular-based methods. Mounting evidences indicate that dysbiosis of the urinary microbiota is associated with several urological diseases. In this study, we aimed to investigate the characteristics of the urinary microbiome of patients with calcium-based kidney stones and compare it with those of healthy individuals.Method We collected bladder urine samples from 22 adult male patients with calcium-based kidney stones and 21 age-matched healthy controls by transurethral catheterization. For kidney stone patients, paired renal pelvis urine was also collected via ureteral catheter using aseptic technique. The V3-V4 region of the bacterial 16S rRNA gene was sequenced, and the urinary microbiota was analyzed by kidney stone status and specimen-type.Results The diversity of the urinary microbiota in kidney stone patients was significantly lower than that of healthy controls based on the Shannon and Simpson index (P<0.001 for both indices). The urinary microbiota structure also significantly differed between kidney stone patients and healthy controls (ANOSIM, R = 0.11, P <0.001). Differential representation of inflammation associated bacteria (e.g., Acinetobacter ) and several enriched functional pathways were identified in the urine of kidney stones patients. Meanwhile, we found the species diversity, overall composition of microbiota and predicted functional pathways were similar between bladder urine and renal pelvis urine in kidney stone patients.Conclusion A marked dysbiosis of urinary microbiota in male patients with calcium-based kidney stones was observed, which may be helpful to interpret the association between bacteria and calcium-based kidney stones.Keywords:
Dysbiosis
Renal pelvis
Background and Purpose: Shockwave lithotripsy (SWL) and ureteroscopy (URS) are minimally invasive treatment alternatives for kidney stones. Although less invasive, SWL subjects the renal parenchyma to a high level of energy and the potential to cause renal injury. The ability to detect renal injury post-SWL in a reliable and noninvasive way would be clinically beneficial. Kidney injury molecule 1 (KIM-1) and N-acetyl-β-D-glucosaminidase (NAG) are two proteins secreted by the kidney into the urine and have been found to be sensitive markers of acute kidney injury in transplant patients. The aim of this work was to measure urinary levels of KIM-1 and NAG in patients with kidney stone who were treated by SWL or URS and in nonstone volunteers. Patients and Methods: Patients with kidney stones who were treated by SWL (n=50) or URS (n=10) were recruited. Voided urine samples were collected before and 2 to 3 hours after URS and SWL. In addition, further urinary specimens were collected 2 days and 2 weeks post-SWL treatment. Voided urine samples from healthy volunteers were also collected. Results: Mean KIM-1 values were increased in patients with kidney stones when compared with volunteers. KIM-1 and NAG levels significantly increased post-SWL and returned to baseline within 2 weeks post-SWL. Poor kidney function was significantly associated with increased biomarker activity both in baseline and post-SWL measurements. There was no significant change in urinary KIM-1 and NAG concentrations before and after URS. Conclusions: Kim-1 and NAG levels significantly increased post-SWL treatment suggesting a potential role for these urinary markers in identifying patients at higher risk of tissue injury.
Ureteroscopy
Nephrology
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Abstract Background The long-held notion that, without urinary tract or circulatory infection, bladder urine and blood are sterile biofluids has been disproven. There have been no previous reports on the kidney pelvis urinary microbiome after bladder disinfection in kidney stone patients. This study aimed to determine whether a kidney pelvis urinary microbiome is present after eliminating the influence of the bladder urinary microbiome, whether the microbiome composition is different in patients with stone kidney pelvis (SKP) and non-stone kidney pelvis (NSKP), and the correlation between SKP and patient clinical characteristics. Results Comparisons of bacterial diversity and community structure exhibited that urine in bladder was similar to SKP and NSKP. However, the comparisons showed that urine samples were different from blood. The most common operational taxonomic units were shared by all three types of urine samples. Corynebacterium was significantly higher in SKP compared to NSKP. Several bacteria were associated with patient characteristics, including Lactobacillus , which was positively correlated with fasting blood glucose, and Prevotella was negatively correlated with BMI. Lactobacillus was significantly higher in SKP compared to blood but not in NSKP compared to blood. Conclusions The composition of the kidney pelvis urinary microbiome after disinfection of the bladder and its similarity to the bladder microbiome indicate that bladder urine can be used to replace kidney pelvis urine in microbiome research. Additionally, the comparison of SKP and NSKP and clinical associations suggest that the occurrence of kidney stones is responsible for the SKP urinary microbiome.
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BACKGROUND: Bladder outlet obstruction is one of the main factors leading to the formation of stones in the urinary bladder. Understanding of the physico-biochemical processes in urine and blood, as well as the biomineralogy of urinary bladder stones, will make it possible to determine the pathogenetically justified treatment of such patients.
AIM: The aim of the study was to identify and study the relationship between the physico-biochemical parameters of urine and blood and the biomineralogical composition of urinary bladder stones in patients with bladder outlet obstruction.
MATERIALS AND METHODS: A comprehensive examination of 76 patients at the age of 37 to 89 years with urinary bladder stones occurred against the background of bladder outlet obstruction was carried out. A comprehensive diagnosis, including an assessment of the physico-biochemical parameters of urine and blood, bacteriological urine tests, radiological diagnostics, as well as biomineralogical studies of concretions, was carried out.
RESULTS: The data obtained show that not all physicochemical parameters of blood and urine of the subjects are comparable with the data of patients with nephrolithiasis. In the vast majority of the studied kidney calculi were not detected, in addition, blood biochemical parameters, including the level of stone-forming substances were within the reference values. In urine tests an increase in some lithogenic substances is detected. Urinary stones in patients with bladder outlet obstruction had a mixed composition, more often phosphates and uric acid salts were detected (75 and 54% of cases, respectively). Considering the nature of metabolism and the increase in uric acid excretion with age, as well as the presence of residual urine in case of bladder outlet obstruction, it can be assumed that uric acid is the primary matrix in cystolithiasis. The data obtained indicate a connection between the infectious process in the bladder and the composition of urinary stones. Against this background, there is a more intensive process of cystolithogenesis.
CONCLUSIONS: The algorithm for the diagnosis of urinary bladder stones secondary to bladder outlet obstruction should include not only the collection of anamnesis and the performance of routine blood and urine tests, but also specific physical and biochemical studies, as well as assess the biomineralogy of urinary stones, which will make it possible to choose an adequate tactics for the pathogenetic treatment of patients and effective metaphylaxis of stone formation.
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Urolithiasis is one of the most common diseases of the kidneys and urinary tract. The purpose of the study is to compare the size of a single kidney in patients with urolithiasis with parameters of the kidneys of patients with two kidneys who don’t have any diseases of the kidneys and urinary tract. A comprehensive examination of 84 patients with urolithiasis and single kidney and 65 patients with two kidneys who didn’t have any kidney and urinary tract diseases were conducted. The research was carried out on a magnetic resonance tomography Philips Intera-1,5T (standard magnetic resonance protocol included scanning in sagittal, frontal and axial projections to obtain T1 images). The length of the right single kidney is statistically significantly greater (1.18 times) in men with urolithiasis than in men with two kidneys who did not have any kidney and urinary tract disorders (p<0.05). The width, thickness and volume of the kidneys were also statistically significantly larger respectively 1.25 times, 1.27 times and 2.01 times (p <0.05). The parameters of the kidney (length, width, thickness and volume) were larger, respectively, in 1.21 times, 1.26 times, 1.26 times and 1.93 times in women with the single right kidney with urolithiasis. Conclusion. The morphometric parameters of a single kidney in patients with urolithiasis (length, width, thickness and volume) were statistically significantly different from those in patients with two kidneys who don’t have any kidney and urinary tract disorders. The measure of the volume of the right single kidney in men suffering from urolithiasis was the highest (p <0.05) in comparison with the same parameters in patients with two kidneys who don’t have any kidney and urinary tract disorders.
Upper urinary tract
Kidney disorder
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Abstract Background The dogma that urine is sterile in healthy individuals has been overturned by recent studies applying molecular-based methods. Mounting evidences indicate that dysbiosis of the urinary microbiota is associated with several urological diseases. In this study, we aimed to investigate the characteristics of the urinary microbiome of patients with calcium-based kidney stones and compare it with those of healthy individuals.Method We collected bladder urine samples from 22 adult male patients with calcium-based kidney stones and 21 age-matched healthy controls by transurethral catheterization. For kidney stone patients, paired renal pelvis urine was also collected via ureteral catheter using aseptic technique. The V3-V4 region of the bacterial 16S rRNA gene was sequenced, and the urinary microbiota was analyzed by kidney stone status and specimen-type.Results The diversity of the urinary microbiota in kidney stone patients was significantly lower than that of healthy controls based on the Shannon and Simpson index (P<0.001 for both indices). The urinary microbiota structure also significantly differed between kidney stone patients and healthy controls (ANOSIM, R = 0.11, P <0.001). Differential representation of inflammation associated bacteria (e.g., Acinetobacter ) and several enriched functional pathways were identified in the urine of kidney stones patients. Meanwhile, we found the species diversity, overall composition of microbiota and predicted functional pathways were similar between bladder urine and renal pelvis urine in kidney stone patients.Conclusion A marked dysbiosis of urinary microbiota in male patients with calcium-based kidney stones was observed, which may be helpful to interpret the association between bacteria and calcium-based kidney stones.
Dysbiosis
Renal pelvis
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Abstract Background The dogma that urine is sterile in healthy individuals has been overturned by recent studies applying molecular-based methods. Mounting evidences indicate that dysbiosis of the urinary microbiota is associated with several urological diseases. In this study, we aimed to investigate the urinary microbiome of male patients with calcium-based kidney stones and compare it with those of healthy individuals. Results The diversity of the urinary microbiota in kidney stone patients was significantly lower than that of healthy controls based on the Shannon and Simpson index ( P < 0.001 for both indices). The urinary microbiota structure also significantly differed between kidney stone patients and healthy controls (ANOSIM, R = 0.11, P < 0.001). Differential representation of inflammation associated bacteria (e.g., Acinetobacter ) and several enriched functional pathways were identified in the urine of kidney stones patients. Meanwhile, we found the species diversity, overall composition of microbiota and predicted functional pathways were similar between bladder urine and renal pelvis urine in kidney stone patients. Conclusions A marked dysbiosis of urinary microbiota in male patients with calcium-based kidney stones was observed, which may be helpful to interpret the association between bacteria and calcium-based kidney stones.
Dysbiosis
Urinary calcium
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Urolithiasis is one of the most common diseases of the kidneys and urinary tract. The purpose of the study is to compare the size of a single kidney in patients with urolithiasis with parameters of the kidneys of patients with two kidneys who don’t have any diseases of the kidneys and urinary tract. A comprehensive examination of 84 patients with urolithiasis and single kidney and 65 patients with two kidneys who didn’t have any kidney and urinary tract diseases were conducted. The research was carried out on a magnetic resonance tomography Philips Intera-1,5T (standard magnetic resonance protocol included scanning in sagittal, frontal and axial projections to obtain T1 images). The length of the right single kidney is statistically significantly greater (1.18 times) in men with urolithiasis than in men with two kidneys who did not have any kidney and urinary tract disorders (p<0.05). The width, thickness and volume of the kidneys were also statistically significantly larger respectively 1.25 times, 1.27 times and 2.01 times (p <0.05). The parameters of the kidney (length, width, thickness and volume) were larger, respectively, in 1.21 times, 1.26 times, 1.26 times and 1.93 times in women with the single right kidney with urolithiasis. Conclusion. The morphometric parameters of a single kidney in patients with urolithiasis (length, width, thickness and volume) were statistically significantly different from those in patients with two kidneys who don’t have any kidney and urinary tract disorders. The measure of the volume of the right single kidney in men suffering from urolithiasis was the highest (p <0.05) in comparison with the same parameters in patients with two kidneys who don’t have any kidney and urinary tract disorders.
Upper urinary tract
Kidney disorder
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Abstract Background The dogma that urine is sterile in healthy individuals has been overturned by recent studies applying molecular-based methods. Mounting evidences indicate that dysbiosis of the urinary microbiota is associated with several urological diseases. In this study, we aimed to investigate the urinary microbiome of male patients with calcium-based kidney stones and compare it with those of healthy individuals. Results The diversity of the urinary microbiota in kidney stone patients was significantly lower than that of healthy controls based on the Shannon and Simpson index (P<0.001 for both indices). The urinary microbiota structure also significantly differed between kidney stone patients and healthy controls (ANOSIM, R = 0.11, P <0.001). Differential representation of inflammation associated bacteria (e.g., Acinetobacter) and several enriched functional pathways were identified in the urine of kidney stones patients. Meanwhile, we found the species diversity, overall composition of microbiota and predicted functional pathways were similar between bladder urine and renal pelvis urine in kidney stone patients. Conclusions A marked dysbiosis of urinary microbiota in male patients with calcium-based kidney stones was observed, which may be helpful to interpret the association between bacteria and calcium-based kidney stones. Key Words: kidney stone, calcium-based, microbiome, urine, renal pelvis
Dysbiosis
Renal pelvis
Urinary calcium
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Abstract Background The dogma that urine is sterile in healthy individuals has been overturned by recent studies applying molecular-based methods. Mounting evidences indicate that dysbiosis of the urinary microbiota is associated with several urological diseases. In this study, we aimed to investigate the characteristics of the urinary microbiome of patients with calcium-based kidney stones and compare it with those of healthy individuals. Method We collected bladder urine samples from 22 adult male patients with calcium-based kidney stones and 21 age-matched healthy controls by transurethral catheterization. For kidney stone patients, paired renal pelvis urine was also collected via ureteral catheter using aseptic technique. The V3-V4 region of the bacterial 16S rRNA gene was sequenced, and the urinary microbiota was analyzed by kidney stone status and specimen-type. Results The diversity of the urinary microbiota in kidney stone patients was significantly lower than that of healthy controls based on the Shannon and Simpson index (P<0.001 for both indices). The urinary microbiota structure also significantly differed between kidney stone patients and healthy controls (ANOSIM, R = 0.11, P <0.001). Differential representation of inflammation associated bacteria (e.g., Acinetobacter ) and several enriched functional pathways were identified in the urine of kidney stones patients. Meanwhile, we found the species diversity, overall composition of microbiota and predicted functional pathways were similar between bladder urine and renal pelvis urine in kidney stone patients. Conclusion A marked dysbiosis of urinary microbiota in male patients with calcium-based kidney stones was observed, which may be helpful to interpret the association between bacteria and calcium-based kidney stones.
Renal pelvis
Dysbiosis
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