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10.1016/j.ekir.2017.03.012

http://scihub22266oqcxt.onion/10.1016/j.ekir.2017.03.012
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C5589115!5589115!28920100
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suck abstract from ncbi


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pmid28920100      Kidney+Int+Rep 2017 ; 2 (5): 811-20
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  • A Urinary Fragment of Mucin-1 Subunit ? Is a Novel Biomarker Associated With Renal Dysfunction in the General Population #MMPMID28920100
  • Zhang ZY; Ravassa S; Pejchinovski M; Yang WY; Zürbig P; López B; Wei FF; Thijs L; Jacobs L; González A; Voigt JU; Verhamme P; Kuznetsova T; Díez J; Mischak H; Staessen JA
  • Kidney Int Rep 2017[Sep]; 2 (5): 811-20 PMID28920100show ga
  • Introduction: Sequencing peptides included in the urinary proteome identifies the parent proteins and may reveal mechanisms underlying the pathophysiology of chronic kidney disease. Methods: In 805 randomly recruited Flemish individuals (50.8% women; mean age, 51.1 years), we determined the estimated glomerular filtration rate (eGFR) from serum creatinine using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. We categorized eGFR according to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative guideline. We analyzed 74 sequenced urinary peptides with a detectable signal in more than 95% of participants. Follow-up measurements of eGFR were available in 597 participants. Results: In multivariable analyses, baseline eGFR decreased (P ? 0.022) with urinary fragments of mucin-1 (standardized association size expressed in ml/min/1.73 m2, ?4.48), collagen III (?2.84), and fibrinogen (?1.70) and was bi-directionally associated (P ? 0.0006) with 2 urinary collagen I fragments (+2.28 and ?3.20). The eGFR changes over 5 years (follow-up minus baseline) resulted in consistent estimates (P ? 0.025) for mucin-1 (?1.85), collagen (?1.37 to 1.43) and fibrinogen (?1.45) fragments. Relative risk of having or progressing to eGFR <60 ml/min/1.73 m2 was associated with mucin-1. Partial least-squares analysis confirmed mucin-1 as the strongest urinary marker associated with decreased eGFR, with a score of 2.47 compared with 1.80 for a collagen I fragment as the next contender. Mucin-1 predicted eGFR decline to <60 ml/min/1.73 m2 over and above microalbuminuria (P = 0.011) and retained borderline significance (P = 0.05) when baseline eGFR was accounted for. Discussion: In the general population, mucin-1 subunit ?, an extracellular protein that is shed from renal tubular epithelium, is a novel biomarker associated with renal dysfunction.
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