The Role of TLR-4 Polymorphisms in Children With Urinary Track Infections (TLR-4)
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ClinicalTrials.gov Identifier: NCT02021305 |
Recruitment Status : Unknown
Verified December 2013 by Panagiota Karananou, Aristotle University Of Thessaloniki.
Recruitment status was: Recruiting
First Posted : December 27, 2013
Last Update Posted : December 27, 2013
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Purpose So far anatomical abnormalities (mostly congenital) were, in the majority of the patients, associated with urinary track infections. In this study the researchers will try to investigate the role of TLRs as molecular interactions between bacterial virulence and host response.
TLRs are important mediators in the development of the natural immunity against bacteria. They recognize microbial pathogen associated molecular patterns and alert the host's immune system to the presence of invading microbes
Condition or disease |
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Urinary Tract Infection |
The aim of his observational case-control study is to :
- investigate if the expression of TLR2 and TLR4 mediate in the development of the natural immunity of the uroepithileal cells against bacteria.
- evaluate the effect of the TLR-gene Asp299Gly and Thr399Ile polymorphisms on the development and clinical severity of urinary tract infections (UTI) in children.
- determine the association of the expression of TLR-2 and TLR-4 and TLR-4 polymorphisms with the formation of renal scar in children.
- investigate the expression of TLR-2 and TLR-4 and TLR-4 polymorphisms in healthy children and elaborate the results to the possible carriers of these polymorphisms.
Study Type : | Observational |
Estimated Enrollment : | 160 participants |
Observational Model: | Case-Control |
Time Perspective: | Prospective |
Official Title: | The Role of TLR-4 Asp299Gly and Thr399Ile Polymorphisms in Children With Urinary Tack Infections |
Study Start Date : | February 2013 |
Estimated Primary Completion Date : | February 2014 |
Estimated Study Completion Date : | February 2017 |
Group/Cohort |
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Patients
60 children with a recorded episode of acute Urinary Track infection who attended 4th Department of Pediatrics of Medical School of Aristotle University of Thessaloniki.
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Controls
100 children with no history of Urinary Track Infection who attended 4th Department of Pediatrics of Medical School of Aristotle University of Thessaloniki.
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- frequency of TLR-4 299, 399 polymorphism and expression of TLR-2 and TLR-4 by monocytes in children with urinary track infection and healthy controls. [ Time Frame: 4 years ]
Biospecimen Retention: Samples With DNA

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Ages Eligible for Study: | 6 Months to 14 Years (Child) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Sampling Method: | Probability Sample |
Inclusion Criteria:
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For the patients
- 6months -14 years of age
- unrelated male and female children with one episode of acute urinary track infection (positive urine culture and clinical symptoms )
- with/without anatomic genitourinary anomalies .
- children with upper UTI or children with lower UTI
- Sign written informed consent
Inclusion Criteria:
For the controls
- 6 months-14 years of age
- age and gender matched with the patients
- unrelated male and female children with no recorded history of urinary track infection and negative urine cultures .
- Sign written informed consent
Exclusion Criteria:
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For the patients
- Subjects who do not meet the criteria above
- Severe or chronic illness
- Symptoms of acute infection
- Immune deficiency or immune suppressor therapy
- Medication
Exclusion Criteria:
For the controls
- Subjects who do not meet the criteria above
- Severe or chronic illness
- Symptoms of acute infection
- Immune deficiency or immune suppressor therapy
- Medication

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02021305
Contact: Efimia Papadopoulou-Alataki, MD, PhD | +302313323901 ext 0030 | efiala@otenet.gr | |
Contact: Panagiota Karananou, MD | +302313323901 ext 0030 | yiotar@hotmail.com |
Greece | |
Aristotle University of Thessaloniki | Recruiting |
Thessaloniki, Greece, 54603 | |
Contact: Efimia Papadopoulou-Alataki, MD, PhD +302313323901 efiala@otenet.gr | |
Contact: Panagiota Karananou, MD +302313323901 yiotar@hotmail.com |
Study Director: | Efimia Papadopoulou-Alataki, MD, PhD | Aristotle University Of Thessaloniki |
Responsible Party: | Panagiota Karananou, MD, Aristotle University Of Thessaloniki |
ClinicalTrials.gov Identifier: | NCT02021305 |
Other Study ID Numbers: |
230283 |
First Posted: | December 27, 2013 Key Record Dates |
Last Update Posted: | December 27, 2013 |
Last Verified: | December 2013 |
Toll like Receptors TLR 4 Urinary track infections in children TLR 4 polymorphisms |
Innate immunity Defence mechanisms Immune responses |
Infection Communicable Diseases Urinary Tract Infections Urologic Diseases |