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2018 ; 8
(1
): 7378
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Synergistic effect of renalase and chronic kidney disease on endothelin-1 in
patients with coronary artery disease ? a cross-sectional study
#MMPMID29743680
Li YH
; Sheu WH
; Lee WJ
; Wang J-
; Fu CP
; Liang KW
; Lee IT
Sci Rep
2018[May]; 8
(1
): 7378
PMID29743680
show ga
Endothelin-1 (ET-1) is associated with endothelial dysfunction and
vasoconstriction. Increased circulating ET-1 levels are associated with long-term
cardiovascular mortality. Renalase, released from kidney, metabolizes
catecholamines and regulates blood pressure. An increase in circulating renalase
levels has been reported in patients with chronic kidney disease (CKD) and is
associated with coronary artery disease (CAD). We hypothesized the existence of a
synergistic effect of serum renalase levels and CKD on ET-1 levels in patients
with CAD. We evaluated 342 non-diabetic patients with established CAD. ET-1 and
renalase levels were measured in all patients after an overnight fast. Patients
with CKD had higher ET-1 (1.95?±?0.77 vs. 1.62?±?0.76?pg/ml, P?0.001) and
renalase levels (46.8?±?17.1 vs. 33.9?±?9.9?ng/ml, P?0.001) than patients
without CKD. Patients with both CKD and high renalase levels (>the median of
36.2?ng/ml) exhibited the highest serum ET-1 (P value for the trend <0.001).
According to multivariate linear regression analysis, the combination of high
serum renalase levels with CKD was a significant risk factor for increased serum
ET-1 levels (regression coefficient?=?0.297, 95% confidence
interval?=?0.063?0.531, P?=?0.013). In conclusion, our data suggest a synergistic
effect of high serum renalase levels and CKD on increases in ET-1 levels in
patients with established CAD.