Association of Urine α1-Microglobulin with Kidney Function Decline and Mortality in HIV-Infected Women

Association of Urine α1-Microglobulin with Kidney Function Decline and Mortality in HIV-Infected Women
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DOI:
10.2215/cjn.03220314
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发表时间:
2015-01-01
影响因子:
9.8
通讯作者:
Shlipak, Michael G.
Shlipak, Michael G.
中科院分区:
医学1区
文献类型:
--
作者:
Jotwani, Vasantha;Scherzer, Rebecca;Shlipak, Michael G.

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背景和目的尽管治疗取得了进展,但HIV感染者发生肾功能不全的风险仍然高于未感染者。据推测,尿中1-微球蛋白的水平,近端肾小管功能障碍的生物标志物,将预测肾功能下降和死亡风险在HIV感染和未感染的妇女。从1999年到2000年,使用储存的尿液测量了903名HIV感染和287名未感染妇女的尿1-微球蛋白和肌酐浓度,当替诺福韦的使用率
Background and objectivesDespite advances in therapy, HIV-infected individuals remain at higher risk for kidney dysfunction than uninfected individuals. It was hypothesized that urine levels of 1-microglobulin, a biomarker of proximal tubular dysfunction, would predict kidney function decline and mortality risk in HIV-infected and uninfected women.Design, setting, participants, & measurementsIn the Women's Interagency HIV Study, urine 1-microglobulin and creatinine concentrations were measured in 903 HIV-infected and 287 uninfected women using stored urine from 1999 to 2000, when prevalence of tenofovir use was