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10.1111/petr.12682

http://scihub22266oqcxt.onion/10.1111/petr.12682
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C4818682!4818682 !26880121
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suck abstract from ncbi


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pmid26880121
      Pediatr+Transplant 2016 ; 20 (3 ): 378-87
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  • Fibroblast growth factor-23 and chronic allograft injury in pediatric renal transplant recipients: a Midwest Pediatric Nephrology Consortium study #MMPMID26880121
  • Seifert ME ; Ashoor IF ; Chiang ML ; Chishti AS ; Dietzen DJ ; Gipson DS ; Janjua HS ; Selewski DT ; Hruska KA
  • Pediatr Transplant 2016[May]; 20 (3 ): 378-87 PMID26880121 show ga
  • The chronic kidney disease-mineral bone disorder (CKD-MBD) produces fibroblast growth factor-23 (FGF-23) and related circulating pathogenic factors that are strongly associated with vascular injury and declining kidney function in native CKD. Similarly, chronic renal allograft injury (CRAI) is characterized by vascular injury and declining allograft function in transplant CKD. We hypothesized that circulating CKD-MBD factors could serve as non-invasive biomarkers of CRAI. We conducted a cross-sectional, multicenter case-control study. Cases (n = 31) had transplant function >20 mL/min/1.73 m(2) and biopsy-proven CRAI. Controls (n = 31) had transplant function >90 mL/min/1.73 m(2) and/or a biopsy with no detectable abnormality in the previous six months. We measured plasma CKD-MBD factors at a single time point using ELISA. Median (range) FGF23 levels were over twofold higher in CRAI vs. controls [106 (10-475) pg/mL vs. 45 (8-91) pg/mL; p < 0.001]. FGF23 levels were inversely correlated with transplant function (r(2) = -0.617, p < 0.001). Higher FGF23 levels were associated with increased odds of biopsy-proven CRAI after adjusting for transplant function, clinical, and demographic factors [OR (95% CI) 1.43 (1.23, 1.67)]. Relationships between additional CKD-MBD factors and CRAI were attenuated in multivariable models. Higher FGF23 levels were independently associated with biopsy-proven CRAI in children.
  • |Adolescent [MESH]
  • |Allografts [MESH]
  • |Biomarkers/blood [MESH]
  • |Biopsy [MESH]
  • |Case-Control Studies [MESH]
  • |Cross-Sectional Studies [MESH]
  • |Enzyme-Linked Immunosorbent Assay [MESH]
  • |Female [MESH]
  • |Fibroblast Growth Factor-23 [MESH]
  • |Fibroblast Growth Factors/*blood [MESH]
  • |Glomerular Filtration Rate [MESH]
  • |Humans [MESH]
  • |Kidney Failure, Chronic/*surgery [MESH]
  • |Kidney Transplantation/*adverse effects/*methods [MESH]
  • |Male [MESH]
  • |Multivariate Analysis [MESH]
  • |Nephrology/*methods [MESH]
  • |Regression Analysis [MESH]
  • |Sensitivity and Specificity [MESH]
  • |Treatment Outcome [MESH]


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