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The pelvis urinary microbiome in patients with kidney stones and clinical associations.

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.

SUBMITTER: Liu F

PROVIDER: S-EPMC7643416 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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The pelvis urinary microbiome in patients with kidney stones and clinical associations.

Liu Fengping F Zhang Nan N Wu Yunhong Y Jiang Peng P Jiang Tingting T Wang Yang Y Zhang Yuwei Y Zhai Qixiao Q Zou Yeqing Y Feng Ninghan N

BMC microbiology 20201105 1

<h4>Background</h4>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 ...[more]

PMID: 33153435

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Project description:BackgroundPrimary hyperoxaluria type 1 (PH1) is associated with nephrocalcinosis (NC) and calcium oxalate (CaOx) kidney stones (KS). Populations of urinary extracellular vesicles (EVs) can reflect kidney pathology. The aim of this study was to determine whether urinary EVs carrying specific biomarkers and proteins differ among PH1 patients with NC, KS or with neither disease process.MethodsMayo Clinic Rare Kidney Stone Consortium bio-banked cell-free urine from male and female PH1 patients without (n?=?10) and with NC (n?=?6) or KS (n?=?9) and an eGFR?>?40 mL/min/1.73 m2 were studied. Urinary EVs were quantified by digital flow cytometer and results expressed as EVs/ mg creatinine. Expressions of urinary proteins were measured by customized antibody array and results expressed as relative intensity. Data were analyzed by ANCOVA adjusting for sex, and biomarkers differences were considered statistically significant among groups at a false discovery rate threshold of Q?<?0.20.ResultsTotal EVs and EVs from different types of glomerular and renal tubular cells (11/13 markers) were significantly (Q?<?0.20) altered among PH1 patients without NC and KS, patients with NC or patients with KS alone. Three cellular adhesion/inflammatory (ICAM-1, MCP-1, and tissue factor) markers carrying EVs were statistically (Q?<?0.20) different between PH1 patients groups. Three renal injury (?2-microglobulin, laminin ?5, and NGAL) marker-positive urinary EVs out of 5 marker assayed were statistically (Q?<?0.20) different among PH1 patients without and with NC or KS. The number of immune/inflammatory cell-derived (8 different cell markers positive) EVs were statistically (Q?<?0.20) different between PH1 patients groups. EV generation markers (ANO4 and HIP1) and renal calcium/phosphate regulation or calcifying matrixvesicles markers (klotho, PiT1/2) were also statistically (Q?<?0.20) different between PH1 patients groups. Only 13 (CD14, CD40, CFVII, CRP, E-cadherin, EGFR, endoglin, fetuin A, MCP-1, neprilysin, OPN, OPGN, and PDGFR?) out of 40 proteins were significantly (Q?<?0.20) different between PH1 patients without and with NC or KS.ConclusionsThese results imply activation of distinct renal tubular and interstitial cell populations and processes associated with KS and NC, and suggest specific populations of urinary EVs and proteins are potential biomarkers to assess the pathogenic mechanisms between KS versus NC among PH1 patients.

Dataset Information

The pelvis urinary microbiome in patients with kidney stones and clinical associations.

Publications

The pelvis urinary microbiome in patients with kidney stones and clinical associations.

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