Author(s): Chetan J. Girase, Hemant V. Deore

Email(s): chetanjgirase1525@gmail.com , hemantdeore24@gmail.com

DOI: 10.52711/2231-5659.2025.00062   

Address: Chetan J. Girase1, Hemant V. Deore2
1Research Scholar, DCS’S A.R.A. College of Pharmacy, Nagaon, Dhule.
2Associate Professor, DCS’S A.R.A. College of Pharmacy, Nagaon, Dhule.
*Corresponding Author

Published In:   Volume - 15,      Issue - 4,     Year - 2025


ABSTRACT:
This review critically analyzes current insights into the pathogenesis and diagnostics of urolithiasis from molecular, genetic, and clinical viewpoints. Urolithiasis, affecting 1–15% of the global population, results from imbalances between urinary crystallization promoters (e.g., calcium, oxalate) and inhibitors (e.g., citrate, magnesium), leading to stone formation. Five main theories explain its mechanisms: Free Particle and Fixed Particle Theories, Randall’s Plaque Hypothesis, the Blocked Lymphatic Theory, and the Vascular Theory. Modern understanding highlights its polyetiological nature, involving genetic polymorphisms (e.g., VDR, ORAI1, CASR) and environmental factors. Diagnostic methods include urine and serum analysis, stone composition techniques (e.g., infrared spectroscopy), and imaging—ranging from ultrasound to CT. Emerging tools like parametric MRI and biomarker detection offer improved specificity. A personalized diagnostic approach, integrating metabolic, genetic, and imaging data, is essential for effective treatment and prevention of this complex condition.


Cite this article:
Chetan J. Girase, Hemant V. Deore. Modern Pathogenetic Aspects and Updates on Diagnostic Modalities of Urolithiasis Development: A Review. Asian Journal of Research in Pharmaceutical Sciences. 2025; 15(4):418-2. doi: 10.52711/2231-5659.2025.00062

Cite(Electronic):
Chetan J. Girase, Hemant V. Deore. Modern Pathogenetic Aspects and Updates on Diagnostic Modalities of Urolithiasis Development: A Review. Asian Journal of Research in Pharmaceutical Sciences. 2025; 15(4):418-2. doi: 10.52711/2231-5659.2025.00062   Available on: https://ajpsonline.com/AbstractView.aspx?PID=2025-15-4-12


6.0 REFERENCES:
1.    Bawari S, Sah AN, Tewari D. Urolithiasis: an update on diagnostic modalities and treatment protocols. Indian J Pharm Sci. 2017 Mar 1; 79(2): 164-74.
2.    López M, Hoppe B. History, epidemiology and regional diversities of urolithiasis. PediatrNephrol. 2010; 25:49-59.
3.    Chen Y. Urolithiasis update: evaluation and management. UrolSci. 2012; 23:5-8.
4.    Touhami M, Laroubi A, Elhabazi K, Loubna F, Zrara I, Eljahiri Y, et al. Lemon juice has protective activity in a rat urolithiasis model. BMC Urol. 2007; 7:2-3.
5.    Wilikinson B, Hall J. Management of stone disease. Surgery. 2010; 28: 338-44.
6.    Evan AP. Physiopathology and etiology of stone formation in the kidney and the urinary tract. PediatrNephrol 2010; 25:831-41.
7.    Robertson WG. The scientific basis of urinary stone formation. In: Mundy AR, Fitzpatrick JM, Neal DE, George NJR, editors. The scientific basis of urology. 3rd ed. United Kingdom: T and F InformaUK Limited; 2010. p. 162-81.
8.    Evan AP. Physiopathology and etiology of stone formation in the kidney and the urinary tract. PediatrNephrol. 2010; 25:831-41.
9.    Robertson WG. The scientific basis of urinary stone formation. In: Mundy AR, Fitzpatrick JM, Neal DE, George NJR, editors. The scientific basis of urology. 3rd ed. United Kingdom: T and F InformaUK Limited; 2010. p. 162-81.
10.    Evan AP. Physiopathology and etiology of stone formation in the kidney and the urinary tract. Pediatr Nephrol. 2010; 25:831-41.
11.    Randall A. The origin and growth of renal calculi. Ann Surg. 1937; 105: 1009-27.
12.    Evan AP, Coe FL, Lingeman JE, Shao Y, Sommer AJ, Bledsoe SB, et al. Mechanism of formation of human calcium oxalate renal stones on Randall’s plaque. Anat Rec. 2007; 290: 1315-23.
13.    Matlaga BR, Coe FL, Evan AP, Lingeman JE. The role of Randall’s plaques in the pathogenesis of calcium stones. J Urol. 2007; 177:31-38.
14.    Green W, Ratan H. Molecular mechanisms of urolithiasis. Urology. 2013; 81:701-04.
15.    Carr RJ. A new theory on the formation of renal calculi. Brit J Urol. 1954; 26:105-17.
16.    King JS Jr. Currents in renal stone research. ClinChem. 1971; 17: 971-82.
17.    Stoller ML, Meng MV, Abrahams HM, Kane JP. The primary stone event: a new hypothesis involving a vascular etiology. J Urol. 2004; 171: 1920-24.
18.    Azimova SB, Khalikov HD. Modern pathogenetic aspects of urolithiasis development. The American Journal of Medical Sciences and Pharmaceutical Research. 2025 Apr 16; 7(4):.21-4.
19.    Leanez Jiménez M, Candau Vargas-Zúñiga F, Reina Ruiz C. Urinary lithiasis as a systemic disease. Arch Esp Urol. 2017;70(1): 28-39. 
20.    Scales CD, Smith AC, Hanley JM, Saigal CS. Prevalence of kidney stones in the United States. Eur Urol. 2012; 62: 160-165.
21.    Prosyannikov M. Yu. et al. Prevalence of urolithiasis among women over 45 years old in the Chuvash Republic. Experimental and Clinical Urology. 2023; 3: 10-14. 
22.    Apolikhin O. I., Kalinchenko S. Yu., Kamalov A. A. et al. Urolithiasis as a new component of metabolic syndrome. Saratov Scientific Medical Journal. 2011; 7(2); 117.
23.    Voshchula V. I. et al. Statistics and risk factors for urolithiasis in Belarus. Experimental and Clinical Urology. 2013; 2: 18-25. 
24.    Dutov V. V. Modern aspects of diagnostics and treatment of urolithiasis in elderly and senile patients. RMJ. 2014; 22(29); 2100-2104. 
25.    Koo K. C. et al. Monogenic features of urolithiasis: A comprehensive review. Asian Journal of Urology. 2023.
26.    Yasui T. et al. Pathophysiology-based treatment of urolithiasis. International Journal of Urology. 2017; 24(1): 32-38. 
27.    Glybochko P. V., Chekhonatskaya M. L., Piskunova L. V. State of urodynamics of the lower urinary tract of the fetus in intrauterine growth retardation. Saratov Scientific-Medical Journal. 2011; 7(2): 513- 517. 
28.    Nazarov T. Kh. et al. Urolithiasis: etiopathogenesis, diagnosis and treatment. Andrology and Genital Surgery. 2019; 20(3): 42-50.
29.    Apolikhin O.I., Sivkov A.V., Moskaleva N.G., Solntseva T.V., Komarova V.A. Analysis of urological morbidity and mortality in the Russian Federation over a ten-year period (2002-2012). Experimental and Clinical Urology. 2014; 2: 4-12.
30.    Bartoletti R. et al. Treatment of urinary tract infections and antibiotic stewardship. European Urology Supplements. 2016; 15(4); 81-87. 
31.    Xu C., Song R., Yang J., Jiang B., Wang X.L., Wu W., Zhang W. Klotho gene polymorphism of rs3752472 is associated with the risk of urinary calculi in the population of Han nationality in Eastern China. Gene. 2013; 2: 494–497
32.    Vezzoli G., Terranegra A., Aloia A. Decreased transcriptional activity of calciumsensing receptor gene promoter 1 is associated with calcium nephrolithiasis. J. Clin. Endocrinol. Metab. 2013; 98: 3839–3847. 
33.    Wang S., Wang X., Wu J., Lin Y., Chen H., Zheng X., Zhou C., Xie L. Association of vitamin D receptor gene polymorphism and calcium urolithiasis in the Chinese Han population. Urol. Res. 2012; 4: 277–284. 
34.    Chou Y., Juo S., Chiu Y., Liu M.E., Chen W.C., Chang C.C., Chang W.P., Chang J.G., Chang W.C. A polymorphism of the ORAI1 gene is associated with the risk and recurrence of calcium nephrolithiasis. J. Urol. 2011; 5: 1742–1746.
35.    Pietrow PK, Karellas ME. Medical management of common urinary calculi. SA Fam Pract. 2007; 49:44-48.
36.    Kambadakone AR, Eisner BH, Catalano OA, Sahani DV. New and evolving concepts in the imaging and management of urolithiasis: urologists’ perspective. Radiographics. 2010; 30: 603-23
37.    Leehey DJ, Moinuddin IK. Handbook of Nephrology. 1st ed. Philadelphia (US): Lippincott Williams and Wilkins; 2013.
38.    Thomas B, Hall J. Urolithiasis. Surgery. 2005; 23: 129
39.    Rathod NR, Biswas D, Chitme HR, RatnaS, Muchandi IS, Chandra R. Antiurolithiatic effects of Punicagranatum. J Ethnopharmacol. 2012; 140: 234-38.
40.    Mandel NS, Mandel GS. Physicochemistry of urinary stone formation. In: Pak CY, editor. Renal stone disease: pathogenesis, prevention, and treatment. 1st ed. Boston: Martinus Nijhoff Publishing. 1987: 1-24.
41.    Portis AJ, Sundaram CP. Diagnosis and initial management of kidney stones. Am Fam. Physician. 2001; 63: 1329-38.
42.    http://uroweb.org/wp-content/uploads/22Urolithiasis_LR_full.pdf. 
43.    McKenzie G, Hall J. Management of stone disease. Surgery. 2013; 31: 354-61.
44.    Malhotra KK. Medical aspects of renal stones. J Indian Acad Clin Med. 2008; 9: 282-86.
45.    Villa L, Giusti G, Knoll T, Traxer O. Imaging for urinary stones: update in 2015. EU Focus. 2016; 2: 122-29.
46.    O’ DonoghuePM, McSweeney SE, Jhaveri K. Genitourinary imaging: current and emerging applications. J Postgrad Med. 2010; 56: 131-39
47.    Neisius A, Astroza GM, Wang C, Nguyen G, Kuntz NJ, Januzis N, et al. Digital tomosynthesis: a new technique for imaging nephrolithiasis. Specific organ doses and effective doses compared with renal stone protocol noncontrast computed tomography. Urology. 2014; 83: 282-87.

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