Matched serum- and urine-derived biomarkers of interstitial cystitis/bladder pain syndrome.

Setting up the correct diagnosis of interstitial cystitis/bladder pain syndrome (IC/BPS), a chronic inflammatory disease of the bladder, is a challenge, as there are neither diagnostic criteria nor reliable and non-invasive disease biomarkers available. The aim of the present study was to simultaneo...

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Main Authors: Tadeja Kuret, Igor Sterle, Rok Romih, Peter Veranič
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0309815
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author Tadeja Kuret
Igor Sterle
Rok Romih
Peter Veranič
author_facet Tadeja Kuret
Igor Sterle
Rok Romih
Peter Veranič
author_sort Tadeja Kuret
collection DOAJ
description Setting up the correct diagnosis of interstitial cystitis/bladder pain syndrome (IC/BPS), a chronic inflammatory disease of the bladder, is a challenge, as there are neither diagnostic criteria nor reliable and non-invasive disease biomarkers available. The aim of the present study was to simultaneously determine matched serum- and urine-derived biomarkers of IC/BPS, which would provide additional insights into disease mechanisms and set the basis for further biomarker validation. Our study included 12 female patients with IC/BPS and 12 healthy controls. A total of 33 different biomarkers were measured, including cytokines and chemokines, proteins involved in extracellular matrix remodeling, adhesion molecules, growth factors, and markers of oxidative stress using enzyme linked immunoassays and multiplex technology. Heatmaps and principal component analysis based on significantly altered biomarkers, revealed urine- and serum-associated IC/BPS signatures that clearly differentiated IC/BPS patients from controls. Four biomarkers, including CCL11, BAFF, HGF and MMP9, were significantly upregulated in both serum and urine of patients with IC/BPS compared to controls. Serum levels of MMP9 were associated with disease severity and could distinguish well between IC/BPS patients with and without Hunner's lesions. Systemic levels of MMP9 can therefore mirror the local pathology within the bladders of IC/BPS patients, and MMP9 may prove to be a useful target for the development of novel therapeutic interventions. Utilizing a comprehensive panel of both urine and serum biomarkers, identified here, holds promise for disease detection in IC/BPS patients.
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spelling doaj-art-48c756e711de419f9f063adc770f49f12025-02-05T05:32:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e030981510.1371/journal.pone.0309815Matched serum- and urine-derived biomarkers of interstitial cystitis/bladder pain syndrome.Tadeja KuretIgor SterleRok RomihPeter VeraničSetting up the correct diagnosis of interstitial cystitis/bladder pain syndrome (IC/BPS), a chronic inflammatory disease of the bladder, is a challenge, as there are neither diagnostic criteria nor reliable and non-invasive disease biomarkers available. The aim of the present study was to simultaneously determine matched serum- and urine-derived biomarkers of IC/BPS, which would provide additional insights into disease mechanisms and set the basis for further biomarker validation. Our study included 12 female patients with IC/BPS and 12 healthy controls. A total of 33 different biomarkers were measured, including cytokines and chemokines, proteins involved in extracellular matrix remodeling, adhesion molecules, growth factors, and markers of oxidative stress using enzyme linked immunoassays and multiplex technology. Heatmaps and principal component analysis based on significantly altered biomarkers, revealed urine- and serum-associated IC/BPS signatures that clearly differentiated IC/BPS patients from controls. Four biomarkers, including CCL11, BAFF, HGF and MMP9, were significantly upregulated in both serum and urine of patients with IC/BPS compared to controls. Serum levels of MMP9 were associated with disease severity and could distinguish well between IC/BPS patients with and without Hunner's lesions. Systemic levels of MMP9 can therefore mirror the local pathology within the bladders of IC/BPS patients, and MMP9 may prove to be a useful target for the development of novel therapeutic interventions. Utilizing a comprehensive panel of both urine and serum biomarkers, identified here, holds promise for disease detection in IC/BPS patients.https://doi.org/10.1371/journal.pone.0309815
spellingShingle Tadeja Kuret
Igor Sterle
Rok Romih
Peter Veranič
Matched serum- and urine-derived biomarkers of interstitial cystitis/bladder pain syndrome.
PLoS ONE
title Matched serum- and urine-derived biomarkers of interstitial cystitis/bladder pain syndrome.
title_full Matched serum- and urine-derived biomarkers of interstitial cystitis/bladder pain syndrome.
title_fullStr Matched serum- and urine-derived biomarkers of interstitial cystitis/bladder pain syndrome.
title_full_unstemmed Matched serum- and urine-derived biomarkers of interstitial cystitis/bladder pain syndrome.
title_short Matched serum- and urine-derived biomarkers of interstitial cystitis/bladder pain syndrome.
title_sort matched serum and urine derived biomarkers of interstitial cystitis bladder pain syndrome
url https://doi.org/10.1371/journal.pone.0309815
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