Journals / Türk Nefroloji Diyaliz ve Transplantasyon Dergisi / 2010 / Cilt: 19 - Sayı: 3

The relationship between endothelial dysfunction and pentraxin-3 concentration in chronic kidney disease

Kronik böbrek hastalarında endotel işlev bozukluğu ve serum pentraxin-3 düzeyleri

Pages
192–198
Publication Date
2022-11-05
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Plasma PTX-3 levels of the stage 1-2-3 CKD group were similar to those of the controls, while other groups had significantly higher values (p

📌 3 Key Takeaways

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Objective & Hypothesis:AIM: Cardiovascular diseases are the leading cause of morbidity and mortality in chronic kidney disease (CKD).
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Key Findings & Data:Pentraxin-3 (PTX-3), a new candidate marker for inflammation is expressed in a variety of cell types.
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Conclusion & Impact:Plasma PTX-3 levels of the stage 1-2-3 CKD group were similar to those of the controls, while other groups had significantly higher values (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

AIM: Cardiovascular diseases are the leading cause of morbidity and mortality in chronic kidney disease (CKD). Inflammation and endothelial dysfunction contribute to the development of cardiovascular disease in CKD. Pentraxin-3 (PTX-3), a new candidate marker for inflammation is expressed in a variety of cell types. We aimed to investigate the relation between plasma PTX-3, serum hs-CRP levels and endothelial dysfunction in CKD.MATERIAL and METHODS: One hundred and twenty-five patients with CKD were studied. Patients were divided into 5 groups according to their glomerular filtration rate (GFR) as assessed by K/DOQI guidelines. Twenty-five healthy subjects were studied as controls. Venous samples were obtained from all subjects for PTX-3 and hs-CRP levels in addition to detailed metabolic panel. Endothelial dysfunction was assessed from all subjects by flow-mediated dilatation (FMD).RESULTS: FMD levels were significantly decreased in all stages with the higher the stage of CKD, the lower the levels of FMD. Plasma PTX-3 levels of the stage 1-2-3 CKD group were similar to those of the controls, while other groups had significantly higher values (p

Özet

AMAÇ: Kronik böbrek hastalığında (KBH) morbidite ve mortalitenin en önemli nedenini kardiyovasküler hastalıklar oluşturmaktadır. Endotel işlev bozukluğu ve enflamasyon KBH'da kardiyovasküler hastalık gelişimine katkıda bulunur. Enflamasyon belirteci olmaya aday yeni bir belirteç olan Pentraxin-3 (PTX- 3) birçok farklı hücreden salınmaktadır. Amacımız KBH olanlarda endotel işlev bozukluğu ile plazma PTX-3, serum hs-CRP düzeyleri arasındaki ilişkiyi araştırmaktır.GEREÇ ve YÖNTEMLER: KBH olan 125 hasta çalışmaya alındı. Hastalar K/DQOI kılavuzunda belirlenen glomerüler filtrasyon hızına (GFH) göre 5 gruba ayrıldı. Kontrol olarak 25 sağlıklı kişi çalışıldı. Çalışmaya alınan tüm kişilerden venöz kan örneği alındı, detaylı metabolik panele ek olarak plazma PTX-3 ve serum hs-CRP düzeyleri ölçüldü. Endotel işlev bozukluğu çalışmaya katılan tüm kişilerden elde edilen endotel bağımlı vazodilatasyon (EBVD) değeri ile değerlendirildi.BULGULAR: EBVD düzeyleri bütün evrelerde belirgin olarak azalmaktaydı. KBH evresi ilerledikçe EBVD değeri de paralel olarak o kadar azalmaktaydı. Plazma PTX-3 düzeyi evre 1-2-3 hastalarda kontrollerden farksız iken diğer gruplarda belirgin olarak daha yüksek saptandı. Ek olarak hsCRP düzeyleri KBH'nın tüm evrelerinde belirgin olarak artmaktaydı. EBVD ve GFH arasında belirgin pozitif bir korelasyon saptandı (r=0,762, p

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Cite This Article

KARAMAN, M., BULUCU, F., SAĞLAM, M., YILMAZ, M. İ., ŞAHİN, E., AY, S. A., ÇAKIR, E. (2022). The relationship between endothelial dysfunction and pentraxin-3 concentration in chronic kidney disease. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi, Cilt: 19 - Sayı: 3, 192–198. https://ajindex.com/articles/636488

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References (14)

  1. Foley RN, Murray AM, Li S, Herzog CA, McBean AM, Eggers PW, Collins AJ: Chronic kidney disease and the risk for cardiovascular disease, renal replacement, and death in the United States States Medicare population, 1998 to 1999. J Am Soc Nephrol 2005
  2. 16(2): 489-495 2. Foley RN, Parfrey PS, Sarnak MJ: Clinical epidemiology of cardiovascular disease in chronic renal disease. Am J Kidney Dis 1998
  3. 32(5 Suppl 3): 112-119 3. Himmelfarb J, Stenvinkel P, Ikizler TA, Hakim RM: The elephant in uremia: Oxidant stress as a unifying concept of cardiovascular disease in uremia. Kidney Int 2002
  4. 62(5): 1524-1538 4. Cases A, Vera M, Lopez Gomez JM: Cardiovascular risk in patients with chronic renal failure. Patients in renal replacement therapy. Nefrologia 2002
  5. 22 Suppl 1: 68-74 5. Stenvinkel P: Interactions between inflammation, oxidative stress, and endothelial dysfunction in end-stage renal disease. J Ren Nutr 2003
  6. 13(2):144-148 6. Panichi V, Migliori M, De Pietro S, Taccola D, Bianchi AM, Norpoth M, Giovannini L, Palla R, Tetta C: C-reactive protein as a marker of chronic inflammation in uremic patients. Blood Purif 2000
  7. 18(3):183-190 7. O’Riordan E, Chen J, Brodsky SV, Smirnova I, Li H, Goligorsky MS: Endothelial cell dysfunction: The syndrome in making. Kidney Int 2005
  8. 1658 8. Suwaidi JA, Hamasaki S, Higano ST, Nishimura RA, Holmes DR Jr, Lerman A: Long-term follow-up of patients with mild coronary artery disease and endothelial dysfunction. Circulation 2000
  9. 954 9. Muntner P, Hamm LL, Kusek JW, Chen J, Whelton PK, He J: The prevalence of nontraditional risk factors for coronary heart disease in patients with chronic kidney disease. Ann lntern Med 2004
  10. 17 10. lkizler TA, Wingard RL, Harvell J, Shyr Y, Hakim RM: Association of morbidity with markers of nutrition and inflammation in chronic hemodialysis patients: A prospective study. Kidney Int 1999
  11. 1951 11. Zimmermann J, Herrlinger S, Pruy A, Metzger T, Wanner C: Inflammation enhances cardiovascular risk and mortality in hemodialysis patients. Kidney Int 1999
  12. 658 12. Mantovani A, Garlanda C, Doni A, Bottazzi B: Pentraxins in innate immunity: From C-reactive protein to the long pentraxin PTX3. J Clin Immunol 2008
  13. 13 13. Mantovani A, Garlanda C, Bottazzi B, Peri G, Doni A, Martinez de la Torre Y & Latini R: The long pentraxin PTX3 in vascular pathology. Vascul Pharmacol 2006
  14. 330 14. Fazzini F, Peri G, Doni A, Dell’Antonio G, Dal Cin E, Bozzolo E, D’Aur