Overview and Clinical Significance
Adenosine 3',5'-cyclic monophosphate (cAMP) is a key second messenger involved in intracellular signaling. In urine, cAMP levels reflect hormonal activity, particularly related to parathyroid function, renal physiology, and metabolic regulation.
Clinical Significance
- Parathyroid Function: Elevated urinary cAMP is often associated with hyperparathyroidism, as parathyroid hormone (PTH) stimulates renal cAMP production.
- Renal Physiology: cAMP plays a role in sodium and water reabsorption, influencing kidney function and fluid balance.
- Endocrine Disorders: Abnormal urinary cAMP levels may indicate adrenal dysfunction, pituitary disorders, or metabolic imbalances.
- Bone Metabolism: Since PTH regulates calcium homeostasis, urinary cAMP levels can provide insights into bone resorption and mineral balance.
Urinary cAMP measurement is particularly useful in parathyroid-related disorders, helping assess PTH activity and its effects on renal function.