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Signal peptide-CUB-EGF domain-containing protein 1 (SCUBE1) level in hemodialysis patients and parameters affecting
Sukru Ulusoy1, Gulsum Ozkan, Ahmet Menteşe
1Department of Nephrology, Karadeniz Technical University, School of Medicine, Turkey. sulusoy2002@yahoo.com
Insights
Signal peptide-CUB (SCUBE1) protein levels are elevated in hemodialysis patients, even without acute ischemia. Various factors related to dialysis and patient health influence these SCUBE1 levels.
Area of Science:
- Biochemistry
- Nephrology
- Hematology
Background:
- SCUBE1 is a cell surface protein associated with platelet activation in acute ischemic events.
- Hemodialysis patients exhibit impaired platelet function and activation.
- SCUBE1 levels have not been previously studied in hemodialysis patients.
Purpose of the Study:
- To investigate SCUBE1 levels in hemodialysis patients.
- To identify factors influencing SCUBE1 levels in this population.
Main Methods:
- Included 103 hemodialysis patients and 21 healthy controls.
- Measured SCUBE1 and sCD40L levels pre- and post-hemodialysis.
- Correlated SCUBE1 with sCD40L, demographics, dialysis parameters, and biochemical tests.
Main Results:
- SCUBE1 levels were significantly higher in hemodialysis patients versus controls (p=0.000).
- SCUBE1 levels increased significantly post-hemodialysis (p=0.000).
- Positive correlation found between SCUBE1 and sCD40L (p=0.016).
- Gender, blood pressure, BUN, creatinine, hsCRP, and dialysis parameters affected SCUBE1 levels.
Conclusions:
- SCUBE1 is elevated in hemodialysis patients without clinical ischemic events.
- This study is the first to report elevated SCUBE1 in hemodialysis patients.
- Various factors associated with hemodialysis and patient health influence SCUBE1 levels.
Background:
Signal peptide-CUB (complement C1r/C1s, Uegf, and Bmp1)-EGF (epidermal growth factor)-domain-containing protein 1 (SCUBE1) is a cell surface protein belonging to the SCUBE gene family. SCUBE1 has been shown to rise in parallel with platelet activation in acute ischemic events. However, there are no studies showing levels in the hemodialysis patient group, in which there is known to be an increase in platelet function impairment and activation. The purpose of this study was to investigate SCUBE1 levels in a hemodialysis patient group and the factors affecting those levels.
Materials And Methods:
One hundred three hemodialysis patients and 21 age-matched healthy controls were included. SCUBE1 and sCD40L levels were investigated from blood specimens collected on pre- and post-hemodialysis sessions. We investigated the correlation between SCUBE1 levels and sCD40L, patients' demographic data, parameters with hemodialysis treatment and routine biochemical tests.
Result:
SCUBE1 levels were significantly higher in the hemodialysis patient group compared with the controls (p=0.000). There was a significant rise in SCUBE1 levels in the post-hemodialysis session (p=0.000). We determined a positive correlation between SCUBE1 and sCD40L (p=0.016, r=0.215). Gender, blood pressure, BUN, creatinine, hematocrit and high-sensitivity C-reactive protein (hsCRP) levels, hemodialysis membrane surface area, amount of ultrafiltration, blood flow rate, dialysis flow rate and carnitine use significantly affected SCUBE1 levels.
Conclusion:
We have shown, for the first time in the literature, that SCUBE1 level, a potential acute ischemia marker, is elevated in hemodialysis patients with no clinical ischemic event, and that various factors affect this elevation.
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