Cystatin C is associated with risk of venous thromboembolism in subjects with normal kidney function--the Tromsø

Ellen E Brodin1, Sigrid K Brækkan, Anders Vik

  • 1Hematological Research Group (HERG), Department of Clinical Medicine, University of Tromsø, N-9037 Tromsø, Norway. ellen.brodin@uit.no

Haematologica
|February 9, 2012
PubMed

Insights

Serum cystatin C levels predict venous thromboembolism risk, even in individuals with normal kidney function. Higher cystatin C indicates a significantly increased risk of developing blood clots.

Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Thrombosis Research

Background:

  • Previous research linked impaired kidney function (eGFR) to venous thromboembolism (VTE).
  • Serum cystatin C is a marker for kidney function, but its independent association with VTE is less understood.

Purpose of the Study:

  • To investigate the association between serum cystatin C and VTE risk in individuals with normal kidney function.
  • To determine if cystatin C predicts VTE independently of kidney function.

Main Methods:

  • Prospective population-based study of 3251 adults (25-84 years) with normal kidney function (eGFR > 90 mL/min/1.73 m²).
  • Serum cystatin C levels measured; VTE events prospectively registered until September 1, 2007.
  • Cox-regression models used to calculate hazard ratios (HR) and 95% confidence intervals (CI).

Main Results:

  • A 1 SD increase in serum cystatin C correlated with a 43% increased VTE risk (HR 1.43; 95% CI 1.17-1.72).
  • Top quartile of cystatin C showed a 2.5-fold higher VTE risk (HR 2.51; 95% CI 1.27-4.96) versus the bottom quartile.
  • Risk was notably higher for provoked VTE (HR 3.11; 95% CI 1.23-7.86).

Conclusions:

  • Elevated serum cystatin C is associated with increased VTE risk in individuals with normal kidney function.
  • Findings suggest cystatin C may be a direct risk factor for venous thrombosis, not solely a marker of kidney impairment.
Abstract

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