Proenkephalin and risk of developing chronic kidney disease: the Prevention of Renal and Vascular End-stage Disease study

Proenkephalin and risk of developing chronic kidney disease: the Prevention of Renal and Vascular End-stage Disease study
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DOI:
10.1080/1354750x.2018.1443514
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发表时间:
2018-01-01
期刊:
影响因子:
2.6
通讯作者:
Bakker, Stephan J. L.
Bakker, Stephan J. L.
中科院分区:
医学4区
文献类型:
--
作者:
Kieneker, Lyanne M.;Hartmann, Oliver;Bakker, Stephan J. L.

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背景:最近发现脑啡肽原(pro-ENK)与低估计肾小球滤过率(eGFR)相关。pro-ENK与尿白蛋白排泄(UAE)(慢性肾脏疾病(CKD)的另一个标志物)的相关性尚未研究。我们研究了前ENK与eGFR和UAE作为CKD.Methods标志物的相关性:我们纳入了4375例肾脏和血管终末期疾病预防(PREVEND)研究。结果:基线时pro-ENK的中位数为52.2(IQR:44.9-60.5)pmol/L。中位随访8.4(IQR:7.9-8.9)年后,183例受试者发生CKDeGFR,371例发生CKDUAE。Pro-ENK与CKDeGFR的相关性受性别的影响(P-交互作用
Background: Proenkephalin (pro-ENK) was recently found to be associated with low estimated glomerular filtration rate (eGFR). The association of pro-ENK with urinary albumin excretion (UAE), another marker for chronic kidney disease (CKD), has not been investigated. We examined the association of pro-ENK with eGFR and UAE as markers of CKD.Methods: We included 4375 subjects of the Prevention of Renal and Vascular End-Stage Disease (PREVEND) study. CKDeGFR was defined as development of eGFR30mg/24h.Results: Baseline median pro-ENK was 52.2 (IQR: 44.9-60.5) pmol/L. After a median follow-up of 8.4 (IQR: 7.9-8.9) years, 183 subjects developed CKDeGFR and 371 developed CKDUAE. The association of pro-ENK with CKDeGFR was modified by sex (P-interaction