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血浆胶原三螺旋重复蛋白 1(CTHRC1)水平升高与慢性肾脏病患者的 eGFR 和蛋白尿密切相关。

Elevated Levels of Plasma Collagen Triple Helix Repeat Containing 1 (CTHRC1) Are Strongly Associated with eGFR and Albuminuria in Chronic Kidney Disease.

机构信息

School of Engineering and Digital Sciences, Nazarbayev University, Astana 010000, Kazakhstan.

PI National Laboratory Astana, Nazarbayev University, Astana 010000, Kazakhstan.

出版信息

Medicina (Kaunas). 2023 Mar 24;59(4):651. doi: 10.3390/medicina59040651.

Abstract

: Chronic kidney disease (CKD) has various etiologies, making it impossible to fully understand its complex pathophysiology. Elevated levels of plasma creatinine, proteinuria, and albuminuria and declined eGFR are traits observed in CKD patients. The current study attempts to highlight the collagen triple helix repeat containing 1 (CTHRC1) protein as a putative blood biomarker for CKD in addition to existing recognized indicators of CKD progression. : A total of 26 CKD patients and 18 healthy controls were enrolled in this study. Clinical characteristics and complete blood and biochemical analyses were collected, and human ELISA kits were used to detect possible CKD biomarkers. : The study's findings showed that CTHRC1 correlates with key clinical markers of kidney function such as 24 h urine total protein, creatinine, urea, and uric acid. In addition, CTHRC1 demonstrated a strong significant difference ( ≤ 0.0001) between the CKD and control group. : Our research demonstrates that the plasma level of CTHRC1 can distinguish between those with CKD and healthy patients. Plasma CTHRC1 levels may aid in the diagnosis of CKD given the current state of knowledge, and these results call for further investigation in a wider, more diverse patient group.

摘要

慢性肾脏病(CKD)的病因多种多样,使其复杂的病理生理学无法被完全理解。CKD 患者通常表现为血浆肌酐升高、蛋白尿和白蛋白尿以及肾小球滤过率下降等特征。本研究试图除了现有的 CKD 进展的公认指标外,将富含三螺旋重复序列蛋白 1(CTHRC1)作为 CKD 的潜在血液生物标志物进行强调。

共有 26 名 CKD 患者和 18 名健康对照者纳入本研究。收集了临床特征和全血及生化分析数据,并使用人 ELISA 试剂盒检测了可能的 CKD 生物标志物。

研究结果表明,CTHRC1 与 24 小时尿总蛋白、肌酐、尿素和尿酸等关键肾功能临床标志物相关。此外,CTHRC1 在 CKD 组和对照组之间存在显著差异(≤0.0001)。

我们的研究表明,血浆 CTHRC1 水平可区分 CKD 患者和健康患者。鉴于目前的知识水平,血浆 CTHRC1 水平可能有助于 CKD 的诊断,这些结果需要在更广泛、更多样化的患者群体中进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4175/10146339/a1e4588078d8/medicina-59-00651-g001a.jpg

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