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血清半乳糖凝集素-3与腹膜透析患者主动脉僵硬度发展的正相关关系。

Positive Association of Serum Galectin-3 with the Development of Aortic Stiffness of Patients on Peritoneal Dialysis.

作者信息

Huang Po-Yu, Huang Chen-Sen, Lin Yu-Li, Chen Yi-Hsin, Hung Szu-Chun, Tsai Jen-Pi, Hsu Bang-Gee

机构信息

Division of Nephrology, Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi 62247, Taiwan.

School of Medicine, Tzu Chi University, Hualien 97004, Taiwan.

出版信息

J Clin Med. 2023 May 17;12(10):3519. doi: 10.3390/jcm12103519.

Abstract

A novel cardiovascular stress biomarker known as galectin-3 might be useful for anticipating adverse cardiovascular outcomes. The objective of the current investigation was to assess the association between serum galectin-3 levels and aortic stiffness (AS) in 196 patients on peritoneal dialysis. An enzyme-linked immunosorbent examination and a cuff-based volumetric displacement were employed to determine the levels of serum galectin-3 and the carotid-femoral pulse wave velocity (cfPWV), respectively. The AS group had 48 patients in total (24.5%) with cfPWV greater than 10 m/s. The AS group, when compared with the group without AS, had a significantly higher prevalence of diabetes mellitus and hypertension in addition to greater fasting glucose levels, waist circumference, systolic blood pressure, and serum galectin-3 levels. Multivariate logistic and linear regression analysis demonstrated that serum glactin-3 levels, in addition to gender and age, were significantly and independently associated with cfPWV and AS. Serum galectin-3 levels were linked with AS, according to a receiver operating characteristic curve analysis, with an area under the curve of 0.648 (95% confidence interval, 0.576-0.714; = 0.0018). In summary, there was a significant correlation between serum galectin-3 levels and cfPWV in patients undergoing peritoneal dialysis therapy for end-stage kidney disease.

摘要

一种名为半乳糖凝集素-3的新型心血管应激生物标志物可能有助于预测不良心血管结局。本研究的目的是评估196例腹膜透析患者血清半乳糖凝集素-3水平与主动脉僵硬度(AS)之间的关联。分别采用酶联免疫吸附检测和基于袖带的容积位移法来测定血清半乳糖凝集素-3水平和颈股脉搏波速度(cfPWV)。AS组共有48例患者(24.5%),其cfPWV大于10米/秒。与无AS组相比,AS组除空腹血糖水平、腰围、收缩压和血清半乳糖凝集素-3水平更高外,糖尿病和高血压的患病率也显著更高。多因素逻辑回归和线性回归分析表明,除性别和年龄外,血清半乳糖凝集素-3水平与cfPWV和AS显著且独立相关。根据受试者工作特征曲线分析,血清半乳糖凝集素-3水平与AS相关,曲线下面积为0.648(95%置信区间,0.576 - 0.714;P = 0.0018)。总之,在接受终末期肾病腹膜透析治疗的患者中,血清半乳糖凝集素-3水平与cfPWV之间存在显著相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7df7/10218976/886743155d38/jcm-12-03519-g001.jpg

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