Abstract
Genetic factor may play a role in the pathogenesis of kidney stone that is found in the northeastern (NE) Thai population. Herein, we report initial evidence suggesting genetic contribution to the disease in this population. We examined 1,034 subjects including 135 patients with kidney stone, 551 family members, and 348 villagers by radiography of kidney–ureter–bladder (KUB) and other methods, and also analyzed stones removed by surgical operations. One hundred and sixteen of 551 family members (21.05%) and 23 of the 348 villagers (6.61%) were affected with kidney stone. The relative risk (λR) of the disease among family members was 3.18. Calcium stones (whewellite, dahllite, and weddellite) were observed in about 88% of stones analyzed. Our data indicate familial aggregation of kidney stone in this population supporting that genetic factor should play some role in its pathogenesis. Genetic and genomic studies will be conducted to identify the genes associated with the disease.
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References
Unakul S (1961) Urinary stones in Thailand: a statistical survey. Siriraj Hosp Gaz 13:199–214
Chutikorn C, Valyasevi A, Halstead SB (1967) Studies of bladder stone disease in Thailand. II. Hospital experience. Urolithiasis at Ubol Provincial Hospital, 1956–1962. Am J Clin Nutr 20:1320–1328
Lonsdale K (1968) Human stones. Science 159:1199–1207. doi:10.1126/science.159.3820.1199
Aegukkatajit S, Nagaphant A, Nuhung R, Sinturat R, Nugoonsawat P, Mungmai P (1994) Epidemiological study of urinary stones based on operative theater data at regional hospitals and general hospitals of public health region-5, Thailand. J Med Assoc Thai 77:284–287
Aegukkatajit S (1999) Reduction of urinary stone in children from north-eastern Thailand. J Med Assoc Thai 82:1230–1233
Yanagawa M, Kawamura J, Onishi T, Soga N, Kameda K, Sriboonlue P et al (1997) Incidence of urolithiasis in northeast Thailand. Int J Urol 4:537–540. doi:10.1111/j.1442-2042.1997.tb00304.x
Sriboonlue P, Prasongwattana V, Tungsanga K, Tosukhowong P, Phantumvanit P, Bejraputra O et al (1991) Blood and urinary aggregator and inhibitor composition in controls and renal-stone patients from northeastern Thailand. Nephron 59:591–596. doi:10.1159/000186649
Nilwarangkur S, Malasit P, Nimmannit S, Susaengrat W, Ong-Aj-Yooth S, Vasuvattakul S et al (1990) Urinary constituents in an endemic area of stones and renal tubular acidosis in northeastern Thailand. Southeast Asian J Trop Med Public Health 21:437–441
Sriboonlue P, Tungsanga K, Tosukhowong P, Sitprija V (1993) Seasonal changes in serum and erythrocyte potassium among renal stone formers from northeastern Thailand. Southeast Asian J Trop Med Public Health 24:287–292
Sriboonlue P, Prasongwatana V, Suwantrai S, Bovornpadungkitti S, Tungsanga K, Tosukhowong P (1998) Nutritional potassium status of healthy adult males residing in the rural northeast Thailand. J Med Assoc Thai 81:223–232
Nimmannit S, Malasit P, Chaovakul V, Susaengrat W, Vasuvattakul S, Nilwarangkur S (1991) Pathogenesis of sudden unexplained nocturnal death (lai tai) and endemic distal renal tubular acidosis. Lancet 338:930–932. doi:10.1016/0140-6736(91)91786-T
Nimmannit S, Malasit P, Susaengrat W, Ong-Aj-Yooth S, Vasuvattakul S, Pidetcha P et al (1996) Prevalence of endemic distal renal tubular acidosis and renal stone in the northeast of Thailand. Nephron 72:604–610. doi:10.1159/000188947
Sriboonlue P, Prasongwatana V, Chata K, Tungsanga K (1992) Prevalence of upper urinary tract stone disease in a rural community of north-eastern Thailand. Br J Urol 69:240–244. doi:10.1111/j.1464-410X.1992.tb15520.x
Romphruk AV, Puapairoj C, Romphruk A, Barasrux S, Urwijitaroon Y, Leelayuwat C (1999) Distributions of HLA-DRB1/DQB1 alleles and haplotypes in the Northeastern Thai population: indicative of a distinct Thai population with Chinese admixtures in the Central Thais. Eur J Immunogenet 26:129–133. doi:10.1046/j.1365-2370.1999.00133.x
Wrong O, Davies HE (1959) The excretion of acid in renal disease. Q J Med 28:259–313
Coe FL, Evan A, Worcester E (2005) Kidney stone disease. J Clin Invest 115:2598–2608. doi:10.1172/JCI26662
Acknowledgments
This work was financially supported by grants from the Faculty of Medicine Siriraj Hospital (to S. S.), the National Center for Genetic Engineering and Biotechnology (BIOTEC), National Science and Technology Development Agency (NSTDA) (to P. Y.), and Mahidol University (to P. Y.). We thank the patients and their families for participation in this project, the staff members of the Department of Medicine, Khon Kaen Hospital for their helps in logistics and field studies, the staff members of the Division of Nephrology, Department of Medicine Siriraj Hospital, Mahidol University for their assistances in laboratory works, and Ms. Ratree Tavichakorntrakool for her helps in parts of clinical studies and sample collection. P. Y. is a Senior Research Scholar of Thailand Research Fund (TRF).
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Sritippayawan, S., Borvornpadungkitti, S., Paemanee, A. et al. Evidence suggesting a genetic contribution to kidney stone in northeastern Thai population. Urol Res 37, 141–146 (2009). https://doi.org/10.1007/s00240-009-0189-1
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DOI: https://doi.org/10.1007/s00240-009-0189-1