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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Arterioscler+Thromb+Vasc+Biol
2014 ; 34
(1
): 231-6
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Role of soluble endothelial cell-selective adhesion molecule biomarker in
albuminuria and kidney function changes in patients with coronary artery disease:
the Heart and Soul Study
#MMPMID24177327
Park M
; Vittinghoff E
; Ganz P
; Peralta CA
; Whooley M
; Shlipak MG
Arterioscler Thromb Vasc Biol
2014[Jan]; 34
(1
): 231-6
PMID24177327
show ga
OBJECTIVE: Endothelial dysfunction is a possible mechanism to explain the
association between atherosclerosis and kidney disease. This study evaluated
circulating soluble endothelial cell-selective adhesion molecule (sESAM), a
marker of endothelial dysfunction, as a risk factor for kidney function decline
and albuminuria. APPROACH AND RESULTS: In the Heart and Soul Study, we measured
sESAM from baseline serum samples and defined elevated levels of sESAM by the
highest quartile (quartile 4 [Q4]: >65.4 ng/mL). We evaluated the associations of
high sESAM with baseline estimated glomerular filtration rate (eGFR) and ratio of
urine albumin to creatinine (ACR), and with longitudinal changes in eGFR and ACR.
Among 990 participants with sESAM measurements, median sESAM was 54.5 ng/mL
(interquartile range, 45.3-65.8). After multivariable adjustment, elevated levels
of sESAM were strongly and independently associated with baseline reduced eGFR
<60 mL/min per 1.73 m(2) (odds ratio [OR], 11.44; P<0.0001) and ACR ?30 mg/g (OR,
5.23; P<0.0001). Associations of sESAM (Q4 versus quartile 1 [Q1]) with change in
ACR (?=54.47; P<0.0001) were also significant after full adjustment. The
association with change in eGFR (1.56%; P=0.0049) was not statistically
significant after application of the Bonferroni correction for multiple markers.
In unadjusted models, sESAM was associated with rapid kidney function loss,
defined as 3% annual eGFR decline (OR, 2.28; P=0.0003), although this was
attenuated by adjustment (OR, 2.11; P=0.0095). CONCLUSIONS: sESAM is associated
with albuminuria and reduced kidney function in both cross-sectional and
longitudinal analyses. These findings implicate endothelial dysfunction as a
potential contributor to the elevated kidney disease risk in persons with
cardiovascular disease.