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Assessment of Mitochondrial Functions and Cell Viability in Renal Cells Overexpressing Protein Kinase C Isozymes
Published on: January 7, 2013
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.
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.
Abstract:
Background and objectiveHyperhomocysteinemia (HHCY) is regarded as a significant risk factor for both fatal and non-fatal cardiovascular incidents in chronic kidney disease (CKD) patients. The objective of this research was to investigate the association between cystatin C (CYSC) and HHCY in individuals diagnosed with CKD.MethodsRetrospective cross-sectional study was conducted on clinical data and laboratory data of 85 individuals with CKD. The patients were divided into two distinct groups according to a threshold homocysteine (HCY) level of 15 µmol·L-1: the normal HCY group consisting of 40 cases, and the high HCY group (HHCY) comprising 45 cases. Moreover, the correlation between CYSC and HCY was examined. The correlation between CYSC and HCY was assessed. To further validate this relationship, HCY levels were measured in the culture medium following CYSC overexpression and silencing in vitro.ResultsOur study found that CYSC levels were significantly elevated in CKD-associated HHCY patients compared to CKD patients without concurrent HHCY (p < 0.05). CYSC and HCY showed a positive correlation (p < 0.05). CYSC was determined to be an Independent risk factor for CKD-associated HHCY. In vitro experiments have demonstrated that elevated levels of HCY were observed in the culture supernatants from OE-CYSC mesangial cells compared with the control and OE-negative control groups (p < 0.05). Conversely, the opposite trend occurs.ConclusionsIn conclusion, the findings suggest that CYSC may be the potential to serve as a biomarker to detect high HCY levels associated with CKD.
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