Serum vascular adhesion protein-1 is higher in subjects with early stages of chronic kidney disease.

Abstract:

OBJECTIVES:An increased level of serum vascular adhesion protein-1 (VAP-1) has been found in patients with diabetes mellitus and vascular disorders. This study examined whether serum VAP-1 levels are associated with chronic kidney disease (CKD). DESIGN AND METHODS:We included 262 subjects aged 30 and above with fasting plasma glucose level <7 mmol/L checked within 1 year. First morning urine specimens were collected. Microalbuminuria was defined if urinary albumin-to-creatinine ratio > or =30 microg/mg creatinine. The glomerular filtration rate (GFR) was estimated. CKD stages were defined according to the suggestions of the National Kidney Foundation. Serum VAP-1 levels were analyzed by immunofluorometric assay. RESULTS:Serum VAP-1 levels were positively associated with the urinary albumin-to-creatinine ratio (r=0.29, p<0.0001) and negatively associated with estimated GFR (r=-0.24, p=0.0001). Subjects with CKD stage 2 (N=51) and stage 3 (N=91) had significantly higher levels of serum VAP-1 than those without CKD (p=0.0003 and p=0.035, adjusted for age and gender, respectively). A high serum VAP-1 level was associated with the presence of CKD (OR 1.63 for 1 SD increase of VAP-1, p=0.018), adjusting for age, sex, and smoking. Ordered logit models revealed that high serum VAP-1 levels correlated with advanced stages of CKD. CONCLUSIONS:Serum levels of VAP-1 are associated with the severity of kidney damage or stages of kidney disease. The true mechanism which links the serum VAP-1 and CKD remains to be elucidated in further studies.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Lin MS,Li HY,Wei JN,Lin CH,Smith DJ,Vainio J,Shih SR,Chen YH,Lin LC,Kao HL,Chuang LM,Chen MF

doi

10.1016/j.clinbiochem.2008.06.019

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1362-7

issue

16-17

eissn

0009-9120

issn

1873-2933

pii

S0009-9120(08)00260-9

journal_volume

41

pub_type

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