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2017 ; 12
(6
): e0178939
Nephropedia Template TP
gab.com Text
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English Wikipedia
IL-33 and ST2 levels in chronic kidney disease: Associations with inflammation,
vascular abnormalities, cardiovascular events, and survival
#MMPMID28614418
Gungor O
; Unal HU
; Guclu A
; Gezer M
; Eyileten T
; Guzel FB
; Altunoren O
; Erken E
; Oguz Y
; Kocyigit I
; Yilmaz MI
PLoS One
2017[]; 12
(6
): e0178939
PMID28614418
show ga
OBJECTIVE: Increased inflammation, associated with the increase in chronic kidney
disease (CKD) stage, has a very important influence in vascular injury and
cardiovascular diseases. In this study, we aimed to investigate the levels of
IL-33 and ST2 in the different stages of CKD and to determine their effect on
vascular damage and cardiovascular events (CVE). METHODS: This was an
observational cohort study in which serum IL-33 and ST2 were obtained from 238
CKD (stages 1-5) patients. We examined the changes in IL-33/ST2 levels in CKD
patients, as well as the association with a surrogate of endothelial dysfunction.
Fatal and non-fatal CVE were recorded for a mean of 24 months. We also performed
a COX regression analysis to determine the association of IL-33/ST2 levels with
CVE and survival. RESULTS: IL-33 and ST2 levels were significantly increased and
estimated glomerular filtration rates (eGFR) were decreased. Flow-mediated
dilatation (FMD) was significantly decreased from stage 1 to stage 5 CKD. IL-33
and ST2 levels were associated with FMD, and ST2 was a predictor. Multivariate
Cox analysis showed that the presence of diabetes mellitus, smoking, and
proteinuria and haemoglobin, Hs-CRP, IL-33, and ST2 were associated with the risk
of CVE. Kaplan-Meier survival curves showed that patients with IL-33 and ST2
levels below the median value (IL-33 = 132.6 ng/L, ST2 = 382.9 pg/mL) had a
higher cumulative survival compared with patients who had IL-33 and ST2 levels
above the median value (log-rank test, p = 0.000). CONCLUSION: This is the first
study that demonstrates that serum IL-33 and ST2 are associated with vascular
injury, cardiovascular events, and survival in CKD patients.