Division of Nephrology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 97004, Taiwan.
School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien 97004, Taiwan.
Medicina (Kaunas). 2023 Sep 13;59(9):1652. doi: 10.3390/medicina59091652.
: In the progression and development of atherosclerosis, resistin plays a significant role. Chronic kidney disease (CKD), frequently associated with atherosclerosis, exhibits a marked increase in morbidity and mortality rates. This study set out to explore the association between aortic stiffness and serum levels of resistin in non-dialysis-dependent CKD patients ranging from stages 3 to 5. : We collected fasting blood samples from 240 CKD patients across stages 3 to 5. The concentration of resistin in serum was determined using a commercially available enzyme immunoassay kit. Those patients who exhibited a carotid-femoral pulse wave velocity (cfPWV) greater than 10 m/s were identified as the aortic stiffness group. : Out of the 240 CKD patients, 88 (36.7%) were classified within the aortic stiffness group. This group demonstrated higher incidences of diabetes, advanced age, increased body weight, body mass index, body fat mass, systolic and diastolic blood pressure, fasting glucose, and serum resistin levels. Multivariate logistic regression analysis highlighted resistin, diabetes, and body weight as independent predictors of aortic stiffness. Additionally, body fat mass, logarithmically transformed cfPWV (log-cfPWV) values and log-triglyceride levels were independent predictors of log-resistin levels by multivariate stepwise linear regression analysis. : In CKD patients from stages 3 to 5, a positive correlation exists between elevated serum resistin levels and cfPWV values, identifying resistin as a potential predictor of aortic stiffness.
在动脉粥样硬化的发生和发展过程中,抵抗素起着重要作用。慢性肾脏病(CKD)常与动脉粥样硬化相关,其发病率和死亡率显著增加。本研究旨在探讨非透析依赖性 CKD 患者(3-5 期)主动脉僵硬与血清抵抗素水平之间的关系。
我们收集了 240 名 3-5 期 CKD 患者的空腹血样。使用商业上可获得的酶联免疫吸附试剂盒测定血清中抵抗素的浓度。颈动脉-股动脉脉搏波速度(cfPWV)大于 10 m/s 的患者被确定为主动脉僵硬组。
在 240 名 CKD 患者中,88 名(36.7%)被归入主动脉僵硬组。该组表现出更高的糖尿病发生率、更高的年龄、更高的体重、体重指数、体脂肪量、收缩压和舒张压、空腹血糖和血清抵抗素水平。多变量逻辑回归分析强调了抵抗素、糖尿病和体重是主动脉僵硬的独立预测因素。此外,通过多元逐步线性回归分析,体脂肪量、对数化 cfPWV(log-cfPWV)值和对数甘油三酯水平是 log 抵抗素水平的独立预测因素。
在 3-5 期 CKD 患者中,血清抵抗素水平与 cfPWV 值之间存在正相关,表明抵抗素是主动脉僵硬的潜在预测因子。