CD14(++)CD16+ monocytes but not total monocyte numbers predict cardiovascular events in dialysis patients.

Abstract:

:Migration of monocytes into the vessel wall contributes to the onset and progression of atherosclerosis. Because monocytes are a heterogeneous population, we determined potential associations between monocyte subsets and cardiovascular events in a prospective cohort of 94 dialysis patients followed for 35 months. The incidence of cardiovascular events and death measured by Kaplan-Meier plots and flow cytometric analysis of monocyte subsets showed that total leukocyte and monocyte numbers failed to predict event-free survival. Among monocyte subsets, a high CD14(++)CD16(+) monocyte number was associated with higher rates of cardiovascular events and death. In a multivariate proportional hazards model adjusted for classical cardiovascular risk factors, patients with CD14(++)CD16(+) monocyte numbers in the top quartile were at higher risk of cardiovascular events and death compared to patients in the lowest quartile. Our study suggests that the number of CD14(++)CD16(+) monocytes was independently associated with cardiovascular events and death in a high-risk population of dialysis patients.

journal_name

Kidney Int

journal_title

Kidney international

authors

Heine GH,Ulrich C,Seibert E,Seiler S,Marell J,Reichart B,Krause M,Schlitt A,Köhler H,Girndt M

doi

10.1038/sj.ki.5002744

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

622-9

issue

5

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)53045-7

journal_volume

73

pub_type

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