OBJECTIVESTo investigate the intrarenal mRNA expression of monocyte chemoattractant proteinâ1 (MCPâ1) and interleukinâ6 (ILâ6) in patients with nephrolithiasis, and to evaluate whether their expression is associated with renal function, as oxidative stress and inflammation are involved in the pathogenesis of nephrolithiasis.PATIENTS, SUBJECTS AND METHODSRenal biopsies from near the stone, and blood and 24âh urine specimens were collected from 29 patients with nephrolithiasis. Control renal tissues were taken from nonâcancerous and cancerous portions of nephrectomy from six patients with renal cancers, and control 24âh urine samples were obtained from 30 healthy subjects. Corrected creatinine clearance, urinary NâacetylâÎČâglucosaminidase activity and 8âhydroxyâdeoxyguanosine (8âOHdG) were determined. The mRNA expressions of MCPâ1 and ILâ6 in the tissues were measured by real time reverse transcriptionâpolymerase chain reaction.RESULTSPatients with nephrolithiasis had significantly greater renal tubular damage and oxidative stress than the healthy controls. Intrarenal mRNA expressions of MCPâ1 and ILâ6 in stoneâadjacent renal tissues were significantly lower than in cancerous renal tissues, but not statistically different from that in nonâcancerous renal tissues. In stoneâadjacent renal tissues, the mRNA level of MCPâ1 was significantly higher than that of ILâ6, but their expressions were significantly correlated with each other. Histological examination showed that the number of infiltrated leukocytes corresponded well with the intrarenal mRNA levels of MCPâ1 and ILâ6. Patients with nephrolithiasis and compromised renal function had significantly higher intrarenal mRNA levels of MCPâ1 and ILâ6 than those with preserved renal function. Also, the mRNA levels in patients with severe renal tubular damage were significantly greater than in those with less renal tubular damage. There was no association between intrarenal mRNA expression and urinary 8âOHdG.CONCLUSIONNephrolithiasis was associated with lowâgrade intrarenal inflammation. A greater intrarenal mRNA expression of MCPâ1 and ILâ6 was associated with enhanced renal impairment. Thus, expression of MCPâ1 and ILâ6, at least in part, contributed to the progression of nephrolithiasis.