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A Prospective Study of the Association Between Plasma Calprotectin Levels and New-Onset CKD in the General Population.

作者信息

Bourgonje Arno R, Bourgonje Martin F, la Bastide-van Gemert Sacha, Nilsen Tom, Hidden Clara, Gansevoort Ron T, Mulder Douwe J, Hillebrands Jan-Luuk, Bakker Stephan J L, Dullaart Robin P F, van Goor Harry, Abdulle Amaal E

机构信息

Department of Gastroenterology and Hepatology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

The Henry D. Janowitz Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

出版信息

Kidney Int Rep. 2024 Feb 16;9(5):1265-1275. doi: 10.1016/j.ekir.2024.02.1392. eCollection 2024 May.


DOI:10.1016/j.ekir.2024.02.1392
PMID:38707832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11068960/
Abstract

INTRODUCTION: Systemic inflammation has been associated with chronic kidney disease (CKD). In this study, we aimed to investigate a potential association between the plasma biomarker of inflammation calprotectin and new-onset CKD in a population-based cohort study. METHODS: Individuals without CKD at baseline ( = 4662) who participated in the Prevention of REnal and Vascular ENd-stage Disease (PREVEND) prospective population-based cohort study in the Netherlands were included. Baseline plasma calprotectin levels were assessed in samples that had been stored at -80 °C. Occurrence of new-onset CKD was defined as a composite outcome of an estimated glomerular filtration rate (eGFR) <60 ml/min per 1.73 m, urinary albumin excretion (UAE) >30 mg/24h, or both. RESULTS: Baseline median (interquartile range) plasma calprotectin levels were 0.49 (0.35-0.68) mg/l and baseline median eGFR was 95.9 (interquartile range: 85.0-105.7) ml/min per 1.73 m. After median follow-up of 8.3 (7.8-8.9) years, 467 participants developed new-onset CKD. Baseline plasma calprotectin levels were significantly associated with an increased risk of new-onset CKD (hazard ratio [HR] per doubling 1.28 [95% confidence interval, CI: 1.14-1.44],  < 0.001), independent of potentially confounding factors (HR 1.14 [95% CI: 1.01-1.29],  = 0.034), except for baseline high-sensitive C-reactive protein (hs-CRP) (HR 1.05 [0.91-1.21],  = 0.494). In secondary analyses, the association between plasma calprotectin and occurrence of UAE >30 mg/24h remained significant (HR 1.17 [1.02-1.34],  = 0.027), but not significantly so for the incidence of eGFR <60 ml/min per 1.73 m as individual outcome (HR 1.15 [0.92-1.43],  = 0.218). CONCLUSION: Higher plasma calprotectin levels are associated with an increased risk of developing CKD in the general population. This association is mitigated after adjustment for hs-CRP, and more pronounced with new-onset CKD defined by UAE.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9657/11068960/072f4e992daf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9657/11068960/6cd5816a57a7/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9657/11068960/072f4e992daf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9657/11068960/6cd5816a57a7/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9657/11068960/072f4e992daf/gr1.jpg

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A Prospective Study of the Association Between Plasma Calprotectin Levels and New-Onset CKD in the General Population.

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引用本文的文献

[1]
New and Emerging Biomarkers in Chronic Kidney Disease.

Biomedicines. 2025-6-10

[2]
Application of biomarkers in the diagnosis of kidney disease.

Front Med (Lausanne). 2025-4-30

[3]
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[4]
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Redox Biol. 2024-11

本文引用的文献

[1]
Plasma Calprotectin Levels Associate With New-Onset Hypertension in the General Population: A Prospective Cohort Study.

J Am Heart Assoc. 2024-1-2

[2]
Calprotectin is a contributor to and potential therapeutic target for vascular calcification in chronic kidney disease.

Sci Transl Med. 2023-9-6

[3]
Calprotectin and CRP as biomarkers of cardiovascular disease risk in patients with chronic kidney disease: a follow-up study at 5 and 10 years.

Scand J Clin Lab Invest. 2023-7

[4]
Systemic oxidative stress associates with new-onset hypertension in the general population.

Free Radic Biol Med. 2022-7

[5]
Plasma creatine concentration is associated with incident hypertension in a cohort enriched for the presence of high urinary albumin concentration: the Prevention of Renal and Vascular Endstage Disease study.

J Hypertens. 2022-2-1

[6]
Mired in the glomeruli: witnessing live neutrophil recruitment in the kidney.

Am J Physiol Cell Physiol. 2021-8-1

[7]
Circulating calprotectin as biomarker in neutrophil-related inflammation: Pre-analytical recommendations and reference values according to sample type.

Clin Chim Acta. 2021-6

[8]
Microheterogeneity and preanalytical stability of protein biomarkers of inflammation and renal function.

Talanta. 2021-2-1

[9]
Determinants of Increased Serum Calprotectin in Patients with Type 2 Diabetes Mellitus.

Int J Mol Sci. 2020-10-29

[10]
Inflammation and Oxidative Stress in Chronic Kidney Disease-Potential Therapeutic Role of Minerals, Vitamins and Plant-Derived Metabolites.

Int J Mol Sci. 2019-12-30

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