Open AccessThe Effect of Oxalobacter formigenes Colonization in Patients with Calcium Oxalate Renal Stones in Comparison with Healthy People in Qom: A Case-Control Study
Author(s) -
Gholam Ali Jafari,
Reza Fotouhi Ardakani,
Jamileh Nowroozi,
Mohammad Soleiman Soltanpour,
Mohsen Akhavan Sepahi
Publication year - 2021
Publication title -
nephro-urology monthly
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.15
H-Index - 18
eISSN - 2251-7014
pISSN - 2251-7006
DOI - 10.5812/numonthly.115769
Subject(s) - calcium oxalate , kidney stones , oxalate , urine , feces , medicine , urinary system , population , calcium , physiology , chemistry , microbiology and biotechnology , biology , environmental health , organic chemistry
Background: Urinary stones are a major problem world, and their incidence has increased significantly in recent years. Objectives: This study aimed to develop a simple and rapid molecular method based on PCR and qPCR assays to detect Oxalobacter formigenes (which causes oxalate degradation in intestines) in fecal samples of healthy volunteers and patients with calcium oxalate nephrolithiasis, and determine the amount of urinary oxalate in the two groups. Methods: This study was performed on urine and fecal samples of 73 patients with kidney stones and 52 healthy individuals. After DNA extraction, PCR and qPCR assays were performed on two gene regions of O. formigenes, OXC, and FRC. Also, urine oxalate was measured in the study population using biochemical methods. Results: We found that the presence of O. formigenes could reduce the risk of kidney stones and calcium oxalate stones. In fact, both FRC and OXC genes were involved in the diagnosis of O. formigenes; however, the results based on the FRC gene showed higher efficiency. In addition, the presence or absence of stones did not affect the amount of urinary excretion of oxalate, rather it is affected by diet. Conclusions: Molecular identification of O. formigenes by PCR and qPCR assays allows rapid, specific, and reproducible detection in fecal samples, which also allows immediate processing of these samples in clinical conditions.