Nature Reviews Nephrology ( IF 28.6 ) Pub Date : 2024-10-22 , DOI: 10.1038/s41581-024-00903-4 Monica Wang
Several mechanisms prevent the ascent of uropathogenic bacteria from the bladder to the kidney, which can lead to pyelonephritis. A new study by Menna Clatworthy and colleagues clarifies the role of neutrophil extracellular traps (NETs) in this protection.
Noting the presence of neutrophils in urine from individuals with a negative leukocyte esterase urine dipstick test (which is typically thought to detect neutrophils in urine as a UTI marker), the researchers also demonstrated that the test was positive only in the presence of NETosing, and not intact, neutrophils.
中文翻译:
细菌被中性粒细胞捕获,尿液中 UMOD 陷阱
有几种机制可以防止尿路病原菌从膀胱上升到肾脏,这可能导致肾盂肾炎。Menna Clatworthy 及其同事的一项新研究阐明了中性粒细胞胞外陷阱 (NETs) 在这种保护中的作用。
注意到白细胞酯酶尿液试纸试验阴性的个体尿液中存在中性粒细胞(通常被认为检测尿液中的中性粒细胞作为 UTI 标志物),研究人员还证明,该测试仅在存在 NETosing 而不是完整中性粒细胞的情况下呈阳性。