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Predicting stone episodes using cystine capacity

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Cystine capacity is an assay for assessing urinary cystine saturation and risk of a stone episode in patients with cystinuria. Lowering the threshold for this test improves its sensitivity, potentially enabling relaxation of follow-up regimens for patients at lowest risk of stone episodes and dose modification of medications for those at highest risk.

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Figure 1: Distribution of cystine capacity measurements in a recent study of 48 patients with cystinuria.

References

  1. Friedlander, J. I. et al. Do urinary cystine parameters predict clinical stone activity? J. Urol. http://dx.doi.org/10.1016/j.juro.2017.09.034 (2017).

  2. Coe, F. L., Clark, C., Parks, J. H. & Asplin, J. R. Solid phase assay of urine cystine supersaturation in the presence of cystine binding drugs. J. Urol. 166, 688–693 (2001).

    Article  CAS  Google Scholar 

  3. Dolin, D. et al. Effect of cystine-binding thiol drugs on urinary cystine capacity in patients with cystinuria. J. Endourol. 19, 429–432 (2005).

    Article  Google Scholar 

  4. Wong, K. et al. Can the presence of crystalluria predict stone formation in patients with cystinuria? J. Endourol. 30, 609–614 (2016).

    Article  Google Scholar 

  5. Pardy, C. et al. Urinary lysine is a better predictor of cystine stone formation than urinary cystine. Eur. Urol. Suppl. 10, 227 (2011).

    Article  Google Scholar 

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Correspondence to Matthew Bultitude or Kay Thomas.

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Bultitude, M., Thomas, K. Predicting stone episodes using cystine capacity. Nat Rev Urol 15, 8–9 (2018). https://doi.org/10.1038/nrurol.2017.189

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