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A Semi-Automated and Reproducible Biological-Based Method to Quantify Calcium Deposition In Vitro
Published on: June 2, 2022
[Is there a correlation between C-reactive protein and calcification inhibitors with cardiovascular parameters and
G Schlieper1, V Brandenburg, Z Djuric
1Medizinische Klinik II, Nephrologie und Klinische Immunologie, Universitätsklinikum Aachen, Germany. gschlieper@ukaachen.de
Insights
Cardiovascular risk in hemodialysis patients is high. Calcification inhibitors fetuin-A and osteoprotegerin (OPG) did not correlate with vascular stiffness (PWV) or thickness (IMT).
Area of Science:
- Nephrology
- Cardiology
- Vascular Biology
Context:
- Patients on hemodialysis face significantly increased cardiovascular mortality.
- Uremia is linked to vascular calcification via inflammation, hyperphosphatemia, and reduced calcification inhibitors.
- Pulse wave velocity (PWV) and intima-media thickness (IMT) are key indicators of cardiovascular risk.
Purpose:
- To investigate the relationship between vascular parameters (PWV, IMT) and serum levels of calcification inhibitors (fetuin-A, osteoprotegerin [OPG]) in hemodialysis patients.
Summary:
- A cohort of 97 hemodialysis patients was studied. PWV and IMT correlated with age, blood pressure, and dialysis efficiency (Kt/V).
- Fetuin-A levels showed associations with inflammation (CRP), cholesterol, and triglycerides.
- Crucially, serum levels of fetuin-A and OPG were not correlated with PWV or IMT.
Impact:
- Findings suggest that functional and morphological vascular assessments cannot be substituted by measuring calcification inhibitor biomarkers alone.
- This highlights the complexity of vascular calcification in hemodialysis and the need for multifactorial risk assessment.
Background And Objective:
Patients on hemodialysis exhibit a drastically increased cardiovascular mortality. Inflammation, hyperphosphatemia and lack of calcification inhibitors are uremia-associated risk factors for vascular calcification. Functional and morphological vascular parameters are used to assess cardiovascular risk. The aim of our study was to analyse the relation between pulse wave velocity (PWV) and intima-media-thickness (IMT) with calcification inhibitors.
Methods:
A cohort of 97 hemodialysis patients was consecutively selected and investigated (age 56 +/- 9 years). Carotid-femoral PWV, carotid IMT, left ventricular ejection fraction and septum thickness were determined. These parameters were correlated with serum levels of CRP and calcification inhibitors (fetuin-A and osteoprotegerin [OPG]).
Results:
Both PWV and IMT showed a positive correlation with age and systolic blood pressure and a negative correlation with Kt/V (dialysis efficiency). Additionally, fetuin-A was negatively associated with CRP and positively with cholesterol and triglycerides. Serum levels of the calcification inhibitors fetuin-A and OPG were not correlated to PWV or IMT.
Conclusion:
The lack of correlation of calcification inhibitors with PWV and IMT means that functional and morphological measurements of vascular properties can not necessarily be replaced by analysing "biomarkers".
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