E-viri
Recenzirano
-
Morinaga, Jun; Kakuma, Tatsuyuki; Fukami, Hirotaka; Hayata, Manabu; Uchimura, Kohei; Mizumoto, Teruhiko; Kakizoe, Yutaka; Miyoshi, Taku; Shiraishi, Naoki; Adachi, Masataka; Izumi, Yuichiro; Kuwabara, Takashige; Okadome, Yusuke; Sato, Michio; Horiguchi, Haruki; Sugizaki, Taichi; Kadomatsu, Tsuyoshi; Miyata, Keishi; Tajiri, Saeko; Tajiri, Tetsuya; Tomita, Kimio; Kitamura, Kenichiro; Oike, Yuichi; Mukoyama, Masashi
Nephrology, dialysis, transplantation, 05/2020, Letnik: 35, Številka: 5Journal Article
Abstract Background Patients undergoing hemodialysis treatment have a poor prognosis, as many develop premature aging. Systemic inflammatory conditions often underlie premature aging phenotypes in uremic patients. We investigated whether angiopoietin-like protein 2 (ANGPTL 2), a factor that accelerates the progression of aging-related and noninfectious inflammatory diseases, was associated with increased mortality risk in hemodialysis patients. Methods We conducted a multicenter prospective cohort study of 412 patients receiving maintenance hemodialysis and evaluated the relationship between circulating ANGPTL2 levels and the risk for all-cause mortality. Circulating ANGPTL2 levels were log-transformed to correct for skewed distribution and analyzed as a continuous variable. Results Of 412 patients, 395 were included for statistical analysis. Time-to-event data analysis showed high circulating ANGPTL2 levels were associated with an increased risk for all-cause mortality after adjustment for age, sex, hemodialysis vintage, nutritional status, metabolic parameters and circulating high-sensitivity C-reactive protein levels {hazard ratio HR 2.04 95% confidence interval (CI) 1.10–3.77}. High circulating ANGPTL2 levels were also strongly associated with an increased mortality risk, particularly in patients with a relatively benign prognostic profile HR 3.06 (95% CI 1.86–5.03). Furthermore, the relationship between circulating ANGPTL2 levels and mortality risk was particularly strong in patients showing few aging-related phenotypes, such as younger patients HR 7.99 (95% CI 3.55–18.01), patients with a short hemodialysis vintage HR 3.99 (95% CI 2.85–5.58) and nondiabetic patients HR 5.15 (95% CI 3.19–8.32). Conclusion We conclude that circulating ANGPTL2 levels are positively associated with mortality risk in patients receiving maintenance hemodialysis and that ANGPTL2 could be a unique marker for the progression of premature aging and subsequent mortality risk in uremic patients, except those with significant aging-related phenotypes.
Avtor
Vnos na polico
Trajna povezava
- URL:
Faktor vpliva
Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
---|
Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
---|
Vir: Osebne bibliografije
in: SICRIS
To gradivo vam je dostopno v celotnem besedilu. Če kljub temu želite naročiti gradivo, kliknite gumb Nadaljuj.