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10.1016/j.ebiom.2016.01.011

http://scihub22266oqcxt.onion/10.1016/j.ebiom.2016.01.011
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suck abstract from ncbi


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pmid26981580      EBioMedicine 2016 ; 4 (ä): 162-9
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  • Vitamin K Dependent Protection of Renal Function in Multi-ethnic Population Studies #MMPMID26981580
  • Wei FF; Drummen NE; Schutte AE; Thijs L; Jacobs L; Petit T; Yang WY; Smith W; Zhang ZY; Gu YM; Kuznetsova T; Verhamme P; Allegaert K; Schutte R; Lerut E; Evenepoel P; Vermeer C; Staessen JA
  • EBioMedicine 2016[Feb]; 4 (ä): 162-9 PMID26981580show ga
  • Background: Following activation by vitamin K (VK), matrix Gla protein (MGP) inhibits arterial calcification, but its role in preserving renal function remains unknown. Methods: In 1166 white Flemish (mean age, 38.2 years) and 714 South Africans (49.2% black; 40.6 years), we correlated estimated glomerular filtration (eGFR [CKD-EPI formula]) and stage of chronic kidney disease (CKD [KDOQI stages 2?3]) with inactive desphospho-uncarboxylated MGP (dp-ucMGP), using multivariable linear and logistic regression. Results: Among Flemish and white and black Africans, between-group differences in eGFR (90, 100 and 122 mL/min/1.73 m2), dp-ucMGP (3.7, 6.5 and 3.2 ?g/L), and CKD prevalence (53.5, 28.7 and 10.5%) were significant, but associations of eGFR with dp-ucMGP did not differ among ethnicities (P ? 0.075). For a doubling of dp-ucMGP, eGFR decreased by 1.5 (P = 0.023), 1.0 (P = 0.56), 2.8 (P = 0.0012) and 2.1 (P < 0.0001) mL/min/1.73 m2 in Flemish, white Africans, black Africans and all participants combined; the odds ratios for moving up one CKD stage were 1.17 (P = 0.033), 1.03 (P = 0.87), 1.29 (P = 0.12) and 1.17 (P = 0.011), respectively. Interpretation: In the general population, eGFR decreases and CKD risk increases with higher dp-ucMGP, a marker of VK deficiency. These findings highlight the possibility that VK supplementation might promote renal health.
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