Biomarkers in Overactive Bladder: A New Objective and Noninvasive Tool?

Overactive bladder syndrome (OAB) is a highly prevalent urinary dysfunction, with considerable economic and human costs. Clinical diagnosis of OAB is still based on subjective symptoms. A new accurate, objective and noninvasive test to diagnose OAB and assess therapeutic outcome is lacking. Recent s...

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Main Authors: Tiago Antunes-Lopes, Sérgio Carvalho-Barros, Célia-Duarte Cruz, Francisco Cruz, Carlos Martins-Silva
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2011/382431
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author Tiago Antunes-Lopes
Sérgio Carvalho-Barros
Célia-Duarte Cruz
Francisco Cruz
Carlos Martins-Silva
author_facet Tiago Antunes-Lopes
Sérgio Carvalho-Barros
Célia-Duarte Cruz
Francisco Cruz
Carlos Martins-Silva
author_sort Tiago Antunes-Lopes
collection DOAJ
description Overactive bladder syndrome (OAB) is a highly prevalent urinary dysfunction, with considerable economic and human costs. Clinical diagnosis of OAB is still based on subjective symptoms. A new accurate, objective and noninvasive test to diagnose OAB and assess therapeutic outcome is lacking. Recent studies in lower urinary tract (LUT) dysfunctions, particularly in OAB patients, indicate that urinary proteins (neurotrophins, prostaglandins, and cytokines), serum C reactive protein, and detrusor wall thickness are altered, and such changes could be used as biomarkers of the disease. Nowadays, increasing emphasis has been given to the role of urinary neurotrophins, namely nerve growth factor (NGF) and brain derived neurotrophic factor (BDNF), as key players in some urinary dysfunctions. Although recently considered to be a bladder dysfunction biomarker, urinary NGF presents low sensitivity and specificity. Preliminary results suggest that BDNF may serve as a more efficient biomarker. Even though we have to wait for future studies to confirm the potential role of NGF and BDNF as OAB biomarkers, it is already clear that neurotrophins will contribute to elucidate the physiopathological basis of OAB. Herein are reviewed the latest advances in this new and exciting field, the detection and clinical application of emerging OAB biomarkers.
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spelling doaj-art-aea8734ceeb943d080925b95ed6f66842025-08-20T03:38:59ZengWileyAdvances in Urology1687-63691687-63772011-01-01201110.1155/2011/382431382431Biomarkers in Overactive Bladder: A New Objective and Noninvasive Tool?Tiago Antunes-Lopes0Sérgio Carvalho-Barros1Célia-Duarte Cruz2Francisco Cruz3Carlos Martins-Silva4Department of Urology, Hospital de S. João, 4200-319 Porto, PortugalInstituto de Biologia e Molecular e Celular (IBMC), University of Porto, 4150-180 Porto, PortugalInstituto de Biologia e Molecular e Celular (IBMC), University of Porto, 4150-180 Porto, PortugalDepartment of Urology, Hospital de S. João, 4200-319 Porto, PortugalDepartment of Urology, Hospital de S. João, 4200-319 Porto, PortugalOveractive bladder syndrome (OAB) is a highly prevalent urinary dysfunction, with considerable economic and human costs. Clinical diagnosis of OAB is still based on subjective symptoms. A new accurate, objective and noninvasive test to diagnose OAB and assess therapeutic outcome is lacking. Recent studies in lower urinary tract (LUT) dysfunctions, particularly in OAB patients, indicate that urinary proteins (neurotrophins, prostaglandins, and cytokines), serum C reactive protein, and detrusor wall thickness are altered, and such changes could be used as biomarkers of the disease. Nowadays, increasing emphasis has been given to the role of urinary neurotrophins, namely nerve growth factor (NGF) and brain derived neurotrophic factor (BDNF), as key players in some urinary dysfunctions. Although recently considered to be a bladder dysfunction biomarker, urinary NGF presents low sensitivity and specificity. Preliminary results suggest that BDNF may serve as a more efficient biomarker. Even though we have to wait for future studies to confirm the potential role of NGF and BDNF as OAB biomarkers, it is already clear that neurotrophins will contribute to elucidate the physiopathological basis of OAB. Herein are reviewed the latest advances in this new and exciting field, the detection and clinical application of emerging OAB biomarkers.http://dx.doi.org/10.1155/2011/382431
spellingShingle Tiago Antunes-Lopes
Sérgio Carvalho-Barros
Célia-Duarte Cruz
Francisco Cruz
Carlos Martins-Silva
Biomarkers in Overactive Bladder: A New Objective and Noninvasive Tool?
Advances in Urology
title Biomarkers in Overactive Bladder: A New Objective and Noninvasive Tool?
title_full Biomarkers in Overactive Bladder: A New Objective and Noninvasive Tool?
title_fullStr Biomarkers in Overactive Bladder: A New Objective and Noninvasive Tool?
title_full_unstemmed Biomarkers in Overactive Bladder: A New Objective and Noninvasive Tool?
title_short Biomarkers in Overactive Bladder: A New Objective and Noninvasive Tool?
title_sort biomarkers in overactive bladder a new objective and noninvasive tool
url http://dx.doi.org/10.1155/2011/382431
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