Academic Journal
Osteoprotegerin and Inflammation in Incident Peritoneal Dialysis Patients
| العنوان: | Osteoprotegerin and Inflammation in Incident Peritoneal Dialysis Patients |
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| المؤلفون: | Michał Małecki, Patrycja Okulewicz, Marcin Lisak, Krzysztof Safranow, Leszek Domański, Kazimierz Ciechanowski, Edyta Gołembiewska |
| المصدر: | Journal of Clinical Medicine, Vol 13, Iss 8, p 2345 (2024) |
| بيانات النشر: | MDPI AG |
| سنة النشر: | 2024 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | chronic kidney disease, osteoprotegerin, peritoneal dialysis, inflammation, Medicine |
| الوصف: | Objectives : Osteoprotegerin (OPG) is a member of the tumor necrosis factor receptor family involved in processes in many inflammatory states. OPG concentration is enhanced in the majority of chronic kidney disease (CKD) patients and those undergoing renal replacement therapy. The aim of the study was to assess the relation of OPG and chronic inflammation in peritoneal dialysis (PD) patients and to evaluate whether OPG concentrations in plasma and dialysate were related to plasma and dialysate levels of proinflammatory mediators (interleukin 6 (IL-6), high-sensitivity C-reactive protein (hsCRP), interleukin 33 (IL-33) and interleukin 1 receptor-like 1IL-1RL1 (IL-1RL1, sST2)). Methods : The study included 37 patients of the Peritoneal Dialysis Center, Department of Nephrology, Transplantology and Internal Medicine, Szczecin, Poland, 4–6 weeks after the onset of peritoneal dialysis therapy. During a peritoneal equilibration test, plasma (at 2 h) and dialysate (at 4 h) OPG, IL-33, 1IL-1RL1 (sST2), IL-6 and hsCRP concentrations were determined. Results : Plasma concentration of OPG did not correlate with dialysate OPG level ( Rs = 0.04, p = 0.8). There was a strong positive correlation between plasma OPG concentrations and plasma IL-1RL1 (sST2) ( Rs = 0.41; p = 0.01), plasma IL-6 ( Rs = 0.38; p = 0.01) and plasma hsCRP ( Rs = 0.35; p = 0.02). Dialysate OPG concentrations were positively associated with dialysate IL-1RL1 (sST2) ( Rs = 0.37; p = 0.02) and dialysate IL-6 levels ( Rs = 0.44; p = 0.005). Multivariate analysis showed that higher IL-1RL1 (sST2) ( ß = +0.38, p = 0.006), higher plasma hsCRP ( ß = +0.32, p = 0.02) and older age ( ß = +0.35, p = 0.01) were independent determinants of higher plasma OPG concentration and that higher concentrations of dialysate IL-6 ( ß = +0.37, p = 0.02) were independent determinants of higher dialysate OPG concentration. Conclusions : Both plasma and dialysate OPG levels are associated with the severity of systemic and local inflammation illustrated by the plasma and dialysate ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2077-0383 |
| Relation: | https://www.mdpi.com/2077-0383/13/8/2345; https://doaj.org/toc/2077-0383; https://doaj.org/article/2c74fdc9eff24adda323a04b0e50943f |
| DOI: | 10.3390/jcm13082345 |
| الاتاحة: | https://doi.org/10.3390/jcm13082345 https://doaj.org/article/2c74fdc9eff24adda323a04b0e50943f |
| رقم الانضمام: | edsbas.1268B785 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 20770383 |
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| DOI: | 10.3390/jcm13082345 |