Suleiman Bahga, El Imam Mohamed, Elsabigh Mohamed, Eltahir Khalid, Eltahir Ahmed, Miskeen Elhadi
Department of Biochemistry, Faculty of Applied Medical Sciences, University of Gezira, Sudan.
Saudi J Kidney Dis Transpl. 2009 Mar;20(2):312-7.
Lipid profile abnormality places kidney graft recipients at an increase risk for cardiovascular diseases.This study was undertaken to determine the impact of cyclosporine A (CsA) on lipid profile of transplant patients in Gezira Hospital for Renal Diseases, Medani, Sudan. We studied 78 renal transplant patients with mean age of 42.1 years and mean transplant duration of 3.8 years. Cyclosporine A (CsA), total cholesterol (Tch), triglyceride (TG), HDL cho-lesterol (HDLch), LDL cholesterol (LDLch), and VLDL cholesterol (VLDLch) were estimated. 62.8% of the patients showed significant lipoprotein abnormalities. Renal allograft recipients showed significantly high levels of TG (p< 0.002), Tch (p< 0.00), LDLch (p< 0.01), and VLDLch (p< 0.05) compared with age and sex matched normal subjects. Increased CsA was reported in females and hypertensive patients. A significant negative correlation was noted between post-transplant duration and VLDLch. The study confirms the existence of dyslipidemia in renal trans-plant patients in our patients.
脂质谱异常使肾移植受者患心血管疾病的风险增加。本研究旨在确定环孢素A(CsA)对苏丹迈达尼盖齐拉肾病医院移植患者脂质谱的影响。我们研究了78例肾移植患者,平均年龄42.1岁,平均移植时间3.8年。检测了环孢素A(CsA)、总胆固醇(Tch)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDLch)、低密度脂蛋白胆固醇(LDLch)和极低密度脂蛋白胆固醇(VLDLch)。62.8%的患者出现明显的脂蛋白异常。与年龄和性别匹配的正常受试者相比,肾移植受者的甘油三酯(p<0.002)、总胆固醇(p<0.00)、低密度脂蛋白胆固醇(p<0.01)和极低密度脂蛋白胆固醇(p<0.05)水平显著升高。女性和高血压患者的环孢素A水平升高。移植后时间与极低密度脂蛋白胆固醇之间存在显著的负相关。该研究证实了我们的患者中肾移植患者存在血脂异常。