Distinct associations between plasma osteoprotegerin, homoarginine and asymmetric dimethylarginine in chronic kidney disease male patients with coronary artery disease

被引:6
作者
Wieczorek-Surdacka, Ewa [1 ]
Hanff, Erik [2 ]
Chyrchel, Bernadeta [3 ]
Kuzniewski, Marek [1 ]
Surdacki, Andrzej [3 ]
Tsikas, Dimitrios [2 ]
机构
[1] Jagiellonian Univ, Dept Nephrol, Med Coll, 15C Kopernika St, PL-31501 Krakow, Poland
[2] Hannover Med Sch, Inst Toxicol, Core Unit Prote, D-30623 Hannover, Germany
[3] Jagiellonian Univ, Dept Cardiol 2, Med Coll, PL-31501 Krakow, Poland
关键词
ADMA; CAD; CKD; Homoarginine; Kidney; Osteoprotegerin; ALL-CAUSE MORTALITY; CARDIOVASCULAR MORTALITY; RISK-FACTOR; POPULATION; ATHEROSCLEROSIS; PROGRESSION; RATES; MS;
D O I
10.1007/s00726-019-02738-x
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
High plasma osteoprotegerin (OPG) and asymmetric dimethylarginine (ADMA) and low homoarginine (hArg) predict adverse renal and cardiovascular (CV) outcomes. In patients with chronic kidney disease and stable coronary artery disease, plasma OPG correlated with hArg (r=-0.37, P=0.03) and the hArg/ADMA molar ratio (r=-0.46, P=0.009), which was maintained upon adjustment for renal function. Elevated OPG levels and decreased hArg/ADMA ratios independently predicted 4-year composite CV and renal endpoints (CV death or progression to dialysis). Thus, high OPG and low hArg/ADMA ratio, albeit interrelated, appear to independently contribute to adverse clinical outcome.
引用
收藏
页码:977 / 982
页数:6
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