Jeena Jaya, Manhas Sunita, Prasad Rajendra, Prasad Suvarna, Gupta Rajendra
Department of Biochemistry, MMIMSR, Mullana, Ambala, Haryana India.
Department of Medicine, MMIMSR, Mullana, Ambala, Haryana India.
Indian J Clin Biochem. 2022 Jul;37(3):365-369. doi: 10.1007/s12291-020-00942-1. Epub 2021 Jan 20.
Chronic Kidney disease (CKD) is a serious life threatening disease associated with morbidity and mortality in India. Hypothetical relationship between serum uric acid and C-Reactive protein (CRP) levels has been demonstrated in the pathophysiology of CKD. Fifty chronic kidney disease patients before dialysis and fifty controls were executed for measurement of serum uric acid and C-Reactive protein as well as other biochemical parameters analysis. Serum C-Reactive protein was measured by quantitative turbidimetric immunoassay. In this study, serum uric acid, creatinine, urea and C-Reactive protein levels were significant raised in CKD group to that of controls. Notably serum C-Reactive protein levels were significantly higher in the CKD patients associated with non-diabetic factors in comparison to diabetic associated CKD patients. A receiver operating characteristic curve (ROC) exhibited a strong association between uric acid and C-Reactive protein levels. A strong direct relationship between serum uric acid and C-Reactive protein in CKD patients are plausibly culprits in the progression of diseases.
慢性肾脏病(CKD)是一种严重威胁生命的疾病,在印度与发病率和死亡率相关。血清尿酸与C反应蛋白(CRP)水平之间的假设关系已在CKD的病理生理学中得到证实。对50名透析前慢性肾脏病患者和50名对照者进行血清尿酸、C反应蛋白测定以及其他生化参数分析。血清C反应蛋白采用定量比浊免疫测定法测定。本研究中,CKD组血清尿酸、肌酐、尿素和C反应蛋白水平较对照组显著升高。值得注意的是,与糖尿病相关的CKD患者相比,非糖尿病因素相关的CKD患者血清C反应蛋白水平显著更高。受试者工作特征曲线(ROC)显示尿酸与C反应蛋白水平之间存在强关联。CKD患者血清尿酸与C反应蛋白之间的强直接关系可能是疾病进展的罪魁祸首。