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Published on: July 19, 2018
Fibroblast growth factor-23 and interleukin-6 are risk factors for left ventricular hypertrophy in peritoneal
Wei-hua Liu1, Qiao-ling Zhou, Xiang Ao
1Department of Nephrology, Fujian Provincial Hospital, Fuzhou, China.
Insights
Fibroblast growth factor-23 (FGF-23) and interleukin-6 (IL-6) are linked to left ventricular hypertrophy (LVH) in continuous ambulatory peritoneal dialysis (CAPD) patients. These factors are independent risks and collaborate in causing LVH.
Area of Science:
- Nephrology
- Cardiology
- Biochemistry
Background:
- Left ventricular hypertrophy (LVH) is a significant predictor of cardiovascular mortality in dialysis patients.
- Fibroblast growth factor-23 (FGF-23) and interleukin-6 (IL-6) are implicated in cardiovascular diseases (CVDs) among dialysis populations.
Purpose of the Study:
- To investigate the association between FGF-23, IL-6, and LVH in continuous ambulatory peritoneal dialysis (CAPD) patients.
- To determine if FGF-23 and IL-6 are independent risk factors for LVH in this cohort.
Main Methods:
- Serum FGF-23 and IL-6 levels were measured in 62 CAPD patients and 30 healthy controls.
- Standard laboratory parameters and LVH, assessed by echocardiography, were evaluated in CAPD patients.
Main Results:
- CAPD patients exhibited higher serum FGF-23 and IL-6 levels compared to controls.
- Elevated FGF-23 and IL-6 levels were observed in CAPD patients with LVH.
- FGF-23 correlated positively with left ventricle mass index (LVMI) and phosphate; IL-6 correlated positively with LVMI and negatively with albumin and hemoglobin. FGF-23 and IL-6 levels were positively correlated.
Conclusions:
- FGF-23 and IL-6 are independent risk factors contributing to LVH in CAPD patients.
- Both FGF-23 and IL-6 play a collaborative role in the development of LVH in CAPD patients.
Background:
Left ventricular hypertrophy (LVH) is a major risk factor for cardiovascular death in dialysis patients. Fibroblast growth factor-23 (FGF-23) and interleukin-6 (IL-6) were thought to be related to cardiovascular diseases (CVDs) in dialysis.
Methods:
To determine the relationship between FGF-23, IL-6 and LVH in continuous ambulatory peritoneal dialysis (CAPD) patients, serum FGF-23 and IL-6 levels as well as standard laboratory parameters were assessed in 62 CAPD patients and 30 healthy controls. LVH was determined by echocardiography in dialysis patients.
Results:
Serum FGF-23 and IL-6 levels were significantly higher in CAPD patients than in healthy controls, whereas both were higher in patients with LVH than in patients without LVH. FGF-23 was found to be positively associated with left ventricle mass index (LVMI) and serum phosphate. IL-6 level was positively associated with LVMI and negatively correlated with serum albumin and hemoglobin. Serum FGF-23 level was positively correlated with IL-6 level.
Conclusion:
FGF-23 and IL-6 are independent risk factors for LVH in CAPD patients and both collaborated in causing LVH in CAPD.
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