Impaired renal function impacts negatively on vascular stiffness in patients with coronary artery disease.

Abstract:

BACKGROUND:Chronic kidney disease (CKD) and coronary artery disease (CAD) are independently associated with increased vascular stiffness. We examined whether renal function contributes to vascular stiffness independently of CAD status. METHODS:We studied 160 patients with CAD and 169 subjects without CAD. The 4-variable MDRD formula was used to estimate glomerular filtration rate (eGFR); impaired renal function was defined as eGFR <60 mL/min. Carotid-femoral pulse wave velocity (PWV) was measured with the SphygmoCor® device. Circulating biomarkers were assessed in plasma using xMAP® multiplexing technology. RESULTS:Patients with CAD and impaired renal function had greater PWV compared to those with CAD and normal renal function (10.2 [9.1;11.2] vs 7.3 [6.9;7.7] m/s; P < 0.001). In all patients, PWV was a function of eGFR (β = -0.293; P < 0.001) even after adjustment for age, sex, systolic blood pressure, body mass index and presence or absence of CAD. Patients with CAD and impaired renal function had higher levels of adhesion and inflammatory molecules including E-selectin and osteopontin (all P < 0.05) compared to those with CAD alone, but had similar levels of markers of oxidative stress. CONCLUSIONS:Renal function is a determinant of vascular stiffness even in patients with severe atherosclerotic disease. This was paralleled by differences in markers of cell adhesion and inflammation. Increased vascular stiffness may therefore be linked to inflammatory remodeling of the vasculature in people with impaired renal function, irrespective of concomitant atherosclerotic disease.

journal_name

BMC Nephrol

journal_title

BMC nephrology

authors

Rossi SH,McQuarrie EP,Miller WH,Mackenzie RM,Dymott JA,Moreno MU,Taurino C,Miller AM,Neisius U,Berg GA,Valuckiene Z,Hannay JA,Dominiczak AF,Delles C

doi

10.1186/1471-2369-14-173

subject

Has Abstract

pub_date

2013-08-13 00:00:00

pages

173

issn

1471-2369

pii

1471-2369-14-173

journal_volume

14

pub_type

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