Related Experiment Video
Updated: Aug 20, 2026

A Mouse 5/6th Nephrectomy Model That Induces Experimental Uremic Cardiomyopathy
Published on: November 7, 2017
[Serum cystatin C in haemodialysed patients]
P Pontuch1, A Lehotská, V Parrák
1IV. interná klinika Lekárskej fakulty UK, Nemocnica sv. Cyrila a Metoda, Bratislava, Slovenská republika.
Insights
Serum Cystatin C (CyC) increases after hemodialysis due to its non-dialyzability and hemoconcentration. Unlike creatinine, serum CyC reflects residual renal function post-hemodialysis.
Area of Science:
- Nephrology
- Biochemistry
- Clinical Chemistry
Context:
- Cystatin C (CyC) is a protein filtered by glomeruli and reabsorbed by tubules.
- Chronic kidney disease patients undergo hemodialysis, impacting various biomarkers.
- Low-flux membranes are commonly used in hemodialysis.
Purpose:
- To investigate serum CyC concentration changes during two low-flux hemodialysis sessions.
- To examine the relationship between serum CyC and creatinine levels before and after hemodialysis.
Summary:
- Serum CyC significantly correlated with creatinine before hemodialysis.
- Serum CyC levels increased post-hemodialysis (HD-I and HD-II), while creatinine decreased.
- The increase in serum CyC was linked to its non-dialyzability and hemoconcentration, with a correlation to albumin levels.
Impact:
- Serum CyC serves as a valuable marker for residual renal function, even after hemodialysis.
- Findings highlight the differential behavior of CyC and creatinine during hemodialysis.
- This study aids in understanding biomarker dynamics in patients undergoing renal replacement therapy.
Background:
Cystatin C (CyC) is protein (m. w. 13 300), which is produced by nucleated cells, filtered through glomeruli and subsequently reabsorbed and degraded in tubuli.
Objective:
To investigate changes in serum CyC concentration during two low-flux membrane haemodialyses (HD-I, HD-II) and relationship between serum CyC a creatinine concentrations.
Patients And Methods:
Serum CyC was determined in 17 patients on chronic haemodialysis during HD-I and HD-II by immunonephelometric method (Dade Behring, Austria).
Results:
Significant correlation between serum CyC and creatinine before HD-I and before/after HD-II was found (p < 0.001). Serum CyC before HD-I (median 6.3 mg/I, 95 % CI 5.5 - 6.7) increased after HD-I (7.1 mg/l, 6.1 - 8.9) (p < 0.001). Serum CyC before HD-II (6.4 mg/l, 5.8 - 7.2) increased after HD-II (8.0 mg/l, 7.3 - 9) (p < 0.001), while serum creatinine decreased after HD-I and HD-II (p < 0.001). There was correlation between the increase in serum CyC and albumin during HD-I (p < 0.001) and HD-II (p < 0.01).
Conclusion:
There was close correlation between serum CyC and creatinine before haemodialyses. Serum CyC increased after haemodialyses, due to CyC non-dialysability through low-flux membrane and haemoconcentration. Unlike creatininaemia, serum CyC reflects the residual renal function even after haemodialyses.
Related Concept Videos
Serum Studies: Renal Function Tests
Nephrotic Syndrome II : Assessment and Medical Management
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
Drug Dosing in Renal Diseases: Measurement of Serum Creatinine Concentration and Clearance
Continuous Renal Replacement Therapy
Renal Corpuscle
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous capillaries...
