Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25015912
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Clin+Infect+Dis
2014 ; 59
(8
): 1148-56
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Rosuvastatin preserves renal function and lowers cystatin C in HIV-infected
subjects on antiretroviral therapy: the SATURN-HIV trial
#MMPMID25015912
Longenecker CT
; Hileman CO
; Funderburg NT
; McComsey GA
Clin Infect Dis
2014[Oct]; 59
(8
): 1148-56
PMID25015912
show ga
BACKGROUND: In chronic human immunodeficiency virus (HIV) infection, plasma
cystatin C may be influenced by factors other than glomerular filtration rate
such as inflammation. Statins may improve cystatin C by improving glomerular
function or by decreasing inflammation. METHODS: The Stopping Atherosclerosis and
Treating Unhealthy Bone With Rosuvastatin in HIV (SATURN-HIV) trial randomized
147 patients on stable antiretroviral therapy (ART) with low-density lipoprotein
cholesterol ?130 mg/dL to blinded 10 mg daily rosuvastatin or placebo. We
analyzed relationships of baseline and 0- to 24-week changes in plasma cystatin C
concentration with measures of vascular disease, inflammation, and immune
activation. RESULTS: Median age was 46 (interquartile range, 40-53) years; 78%
were male, 68% African American. Tenofovir and protease inhibitors were used in
88% and 49% of subjects, respectively. Baseline cystatin C was associated with
higher carotid intima-media thickness and epicardial adipose tissue independent
of age, sex, and race. Biomarkers of endothelial activation and inflammation were
associated with cystatin C in a multivariable model independent of
creatinine-based estimated glomerular filtration rate (eGFRcr). After 24 weeks,
statin use slowed mean eGFRcr decline (1.61 vs -3.08 mL/minute/1.73 m(2) for
statin vs placebo; P = .033) and decreased mean cystatin C (-0.034 mg/L vs 0.010
mg/L; P = .008). Within the statin group, changes in cystatin C correlated with
changes in endothelial activation, inflammation, and T-cell activation.
CONCLUSIONS: Rosuvastatin 10 mg daily reduces plasma cystatin C and slows kidney
function decline in HIV-infected patients on ART. Reductions in cystatin C with
statin therapy correlate with reductions in inflammatory biomarkers.
Relationships between cystatin C, kidney function, and cardiovascular risk in HIV
may be mediated in part by inflammation. Clinical Trials Registration.
NCT01218802.
|AIDS-Associated Nephropathy/*prevention & control
[MESH]