Cystatin C is a potential biomarker for predicting hyperhomocysteinemia associated with chronic kidney disease: A

Bing Luo1, Yun Wang2, Minjie Sun3

  • 1Department of medical laboratory center, Anhui No.2 Provincial People's Hospital, Hefei, Anhui, China.

Science Progress
|October 21, 2025
PubMed

Insights

Cystatin C (CYSC) levels are higher in chronic kidney disease (CKD) patients with hyperhomocysteinemia (HHCY). CYSC may serve as a biomarker for detecting HHCY in CKD patients, aiding cardiovascular risk assessment.

Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Biochemistry

Background:

  • Hyperhomocysteinemia (HHCY) is a significant risk factor for cardiovascular events in chronic kidney disease (CKD) patients.
  • Identifying reliable biomarkers for HHCY in CKD is crucial for risk stratification and management.

Purpose of the Study:

  • To investigate the association between cystatin C (CYSC) and HHCY in individuals with CKD.
  • To determine if CYSC can serve as a biomarker for elevated homocysteine levels in CKD patients.

Main Methods:

  • Retrospective cross-sectional study of 85 CKD patients, divided into normal and high HCY groups.
  • Correlation analysis between CYSC and HCY levels.
  • In vitro experiments involving CYSC overexpression and silencing in mesangial cells.

Main Results:

  • CYSC levels were significantly elevated in CKD patients with HHCY compared to those without.
  • A positive correlation was observed between CYSC and HCY levels (p < 0.05).
  • CYSC was identified as an independent risk factor for HHCY in CKD. In vitro studies confirmed HCY level changes with CYSC manipulation.

Conclusions:

  • CYSC may serve as a potential biomarker for detecting high HCY levels in CKD patients.
  • This finding could improve cardiovascular risk assessment in the CKD population.
  • Further research is warranted to validate CYSC as a clinical biomarker for HHCY in CKD.

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