4.5 Article

Osteoprotegerin, inflammation and dyslipidemia are associated with abdominal aortic calcification in non-diabetic patients on peritoneal dialysis

Journal

NUTRITION METABOLISM AND CARDIOVASCULAR DISEASES
Volume 24, Issue 3, Pages 236-242

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.numecd.2013.08.006

Keywords

Abdominal aortic calcification; Computed tomography; C-reactive protein; Fetuin-A; Osteoprotegerin; Peritoneal dialysis

Funding

  1. Min-Sheng General Hospital, Taoyuan, Taiwan - National Taiwan University Hospital Joint Research Program [99-MSN10]

Ask authors/readers for more resources

Background and aims: Abdominal aortic calcification (AC) has been reported to be associated with cardiovascular disease (CVD) in hemodialysis patients but is rarely discussed in peritoneal dialysis (PD) patients. We examined the independent predictors and predictive power for survival of AC in prevalent PD patients. Methods and Results: AC was detected by computed tomography (CT) and represented as the percentage of the total aortic cross-section area affected by AC (%AC). The predictors of %AC >= 15 were examined by multiple logistic regression analysis. Cox proportional hazard analysis was used to determine the hazard ratios associated with high %AC. A total of 183 PD patients were recruited to receive CT scans and divided into group 1 (%AC < 15, n = 97), group 2 (%AC >= 15, n = 41), and group 3 (diabetic patients, n = 45). Group 1 patients had lower osteoprotegerin (OPG) levels than group 2 patients (798 +/- 378 vs. 1308 +/- 1350 pg/mL, p < 0.05). The independent predictors for %AC >= 15 included the atherogenic index, OPG, and C-reactive protein (CRP). The age-adjusted hazard ratios associated with % AC >= 15 were 3.46 (p=0.043) for mortality and 1.90 (p = 0.007) for hospitalization. Conclusions: %AC can predict mortality and morbidity in non-diabetic PD patients, and 15% is a good cut-off value for such predictions. There are complex associations among mineral metabolism, inflammation, and dyslipidemia in the pathogenesis of AC. (C) 2013 Elsevier B.V. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Cell Biology

Deep Learning-Assisted Repurposing of Plant Compounds for Treating Vascular Calcification: An In Silico Study with Experimental Validation

Chia-Ter Chao, You-Tien Tsai, Wen-Ting Lee, Hsiang-Yuan Yeh, Chih-Kang Chiang

Summary: This study used a deep learning-based strategy to screen and identify plant compounds that could potentially be used for treating vascular calcification (VC). By integrating information from multiple databases and using a graph neural network architecture for prediction and validation, we successfully identified several potentially effective compounds.

OXIDATIVE MEDICINE AND CELLULAR LONGEVITY (2022)

Article Food Science & Technology

Uremic Toxins and Protein-Bound Therapeutics in AKI and CKD: Up-to-Date Evidence

Jia-Huang Chen, Chih-Kang Chiang

Summary: Uremic toxins are harmful metabolites that accumulate in the body of patients with declining renal function, particularly in chronic kidney disease (CKD) patients. Clearing uremic toxins has become a conventional treatment in the clinic, but the clearance of uremic toxins in the early stage of acute kidney injury (AKI) is rarely emphasized, despite increasing evidence showing its correlation with injury severity or mortality.

TOXINS (2022)

Article Biochemistry & Molecular Biology

Oxidative Stress-Induced Growth Inhibitor (OSGIN1), a Target of X-Box-Binding Protein 1, Protects Palmitic Acid-Induced Vascular Lipotoxicity through Maintaining Autophagy

Chong-Sun Khoi, Cai-Qin Xiao, Kuan-Yu Hung, Tzu-Yu Lin, Chih-Kang Chiang

Summary: This study investigated the mechanism of vascular dysfunction induced by palmitic acid, and revealed the crucial roles of XBP1s and OSGIN1 in maintaining endothelial cell migration and regulating autophagy.

BIOMEDICINES (2022)

Article Radiology, Nuclear Medicine & Medical Imaging

Pancreatic Cancer Detection on CT Scans with Deep Learning: A Nationwide Population-based Study

Po -Ting Chen, Tinghui Wu, Pochuan Wang, Dawei Chang, Kao-Lang Liu, Ming-Shiang Wu, Holger R. Roth, Po-Chang Lee, Wei-Chih Liao, Weichung Wang

Summary: A deep learning-based tool was developed to accurately detect pancreatic cancer on CT scans, with high sensitivity for tumors smaller than 2 cm.

RADIOLOGY (2023)

Article Peripheral Vascular Disease

New-onset diabetes mellitus risk associated with concurrent autonomous cortisol secretion in patients with primary aldosteronism

Vin-Cent Wu, Chieh-Kai Chan, Wan-Chen Wu, Kang-Yung Peng, Yuan-Shian Chang, Fang-Yu Yeh, Jiun-Yang Chiang, Yuan-Ju Lee, Kao-Lang Liu, Shuo-Meng Wang, Yen-Hung Lin, Jeff S. Chueh, TAIPAI Grp

Summary: This study aimed to investigate the effect of cortisol levels on incident new-onset type 2 diabetes mellitus in patients with primary aldosteronism. The results showed that a cortisol level ≥2.65μg/dL after 1-mg DST was a risk factor for developing new-onset type 2 diabetes mellitus. This risk was more pronounced in patients with other factors such as a higher BMI, lower estimated glomerular filtration rate, longer hypertension duration, and higher waist-to-hip ratio.

HYPERTENSION RESEARCH (2023)

Article Chemistry, Multidisciplinary

Delivery of nitric oxide with a pH-responsive nanocarrier for the treatment of renal fibrosis

Tsung-Ying Lee, Hung-Hsun Lu, Hui-Teng Cheng, Hsi-Chien Huang, Yun-Jen Tsai, I-Hsiang Chang, Chao-Peng Tu, Chieh-Wei Chung, Tsai-Te Lu, Chi-How Peng, Yunching Chen

Summary: A stimuli-responsive drug carrier was developed to deliver nitric oxide (NO) for the treatment of kidney fibrosis. The nanoparticles effectively inhibited the activation of myofibroblasts and collagen I synthesis, resulting in a significant reduction in fibrotic area in a mouse model. This strategy holds therapeutic potential for the treatment of renal fibrosis and requires further investigation.

JOURNAL OF CONTROLLED RELEASE (2023)

Article Medicine, General & Internal

Unilateral adrenalectomy in bilateral adrenal hyperplasia with primary aldosteronism

Yu-Cheng Lu, Kao-Lang Liu, Vin-Cent Wu, Shuo-Meng Wang, Yen -Hung Lin, Shih-Chieh Jeff Chueh, Kwan-Dun Wu, Yann-Rong Su, Kuo-How Huang

Summary: This study compared the outcomes of unilateral adrenalectomy in patients with bilateral adrenal hyperplasia (BAH) and aldosterone-producing adenoma (APA). It found that patients with BAH had a higher failure rate, while patients with APA showed better biochemical success. However, significant improvements in aldosterone-renin ratio (ARR) and hypokalemia were observed in patients with BAH after surgery. Therefore, unilateral adrenalectomy could be considered as a treatment option in selected patients.

JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION (2023)

Editorial Material Urology & Nephrology

Perirenal IgG4-related disease

Wei Wang, Chi-Ting Su, Wei -Chou Lin, Chun-kai Huang, Kao-Lang Liu

KIDNEY INTERNATIONAL (2023)

Article Biotechnology & Applied Microbiology

Therapeutic ultrasound treatment for the prevention of chronic kidney disease-associated muscle wasting in mice

Chen-Yu Lin, Te- Weng, Jui-Zhi Loh, Ding-Cheng Chan, Chih-Kang Chiang, Kuan-Yu Hung, Shing-Hwa Liu

Summary: Low-intensity pulsed ultrasound (LIPUS) is a therapeutic ultrasound that can aid in bone fracture repair and soft tissue healing. This study aimed to investigate the protective potential of LIPUS on CKD-associated muscle wasting. The results showed that LIPUS treatment effectively improved muscle strength, prevented muscle mass loss, and reduced muscle atrophy-related protein expression in CKD mice.

ARTIFICIAL CELLS NANOMEDICINE AND BIOTECHNOLOGY (2023)

Article Peripheral Vascular Disease

Kidney function predicts new-onset cardiorenal events and mortality in primary aldosteronism: approach of the 2021 race-free eGFR equation

Chun-Fu Lai, Yen-Hung Lin, Kuo-How Huang, Jeff S. Chueh, Vin-Cent Wu

Summary: Individuals with primary aldosteronism may have glomerular hyperfiltration, which may hide kidney damage. A cohort study found that baseline estimated glomerular filtration rate (eGFR) was independently associated with composite cardiovascular events, highlighting the importance of early detection of kidney impairment in hypertensive patients with PA.

HYPERTENSION RESEARCH (2023)

Article Urology & Nephrology

Implementation of artificial intelligence Chatbot in peritoneal dialysis nursing care: Experience from a Taiwan medical center

Ching- Cheng, Woan-Jean Lin, Hui-Ting Liu, Yi-Ting Chen, Chih-Kang Chiang, Kung-Yu Hung

Summary: The study aimed to improve the self-care ability of peritoneal dialysis patients using LINE Chatbot with artificial intelligence. The results showed that Chatbot could deliver remote information, increase patient satisfaction, and have a similar effect as face-to-face education in preventing infection and reducing peritonitis rate.

NEPHROLOGY (2023)

Article Biochemistry & Molecular Biology

Inhibition of Indoxyl Sulfate-Induced Reactive Oxygen Species-Related Ferroptosis Alleviates Renal Cell Injury In Vitro and Chronic Kidney Disease Progression In Vivo

Li-Ting Tsai, Te- Weng, Ting-Yu Chang, Kuo-Cheng Lan, Chih-Kang Chiang, Shing-Hwa Liu

Summary: The accumulation of the uremic toxin indoxyl sulfate (IS) is a key pathological feature of chronic kidney disease (CKD). Exposure to IS can induce ferroptosis, characterized by iron accumulation, impaired antioxidant system, elevated reactive oxygen species (ROS) levels, and lipid peroxidation. IS triggers intracellular iron accumulation and ROS generation, leading to the induction of ferroptosis, senescence, ER stress, and injury/fibrosis in CKD kidneys.

ANTIOXIDANTS (2023)

Article Urology & Nephrology

The Risk of Subsequent Malignancies in Patients with Renal Cell Carcinoma: A Nationwide, Population-Based Study

Yu-Cheng Lu, Yu-Chieh Tsai, Po-Ming Chow, Wen-Ching Weng, Wei-Yi Huang, Shih-Chieh Jeff Chueh, Kao-Lang Liu, Kuo-How Huang

Summary: This study investigated the risk of subsequent malignancies in RCC patients in Taiwan and found that this risk was significantly higher than in the general population. Liver, colon, lung, bladder, and prostate cancer were the most common subsequent malignancies.

UROLOGICAL SCIENCE (2022)

Article Cell Biology

The down-regulation of XBP1, an unfolded protein response effector, promotes acute kidney injury to chronic kidney disease transition

Jia-Huang Chen, Chia-Hsien Wu, Jia-Rong Jheng, Chia-Ter Chao, Jenq-Wen Huang, Kuan-Yu Hung, Shing-Hwa Liu, Chih-Kang Chiang

Summary: This study investigated the role of XBP1, a key regulator of the unfolded protein response (UPR), in the transition from acute kidney injury (AKI) to chronic kidney disease (CKD). The findings demonstrated that XBP1 expression was attenuated after AKI and inversely correlated with the severity of renal fibrosis. XBP1 deficiency in mice resulted in exacerbated renal fibrosis. Silencing XBP1 in human proximal tubular epithelial cells led to cell cycle arrest and increased TGF-beta 1 secretion. The study also identified TNF receptor associated protein 1 (Trap1) as a potential downstream target of XBP1, and showed that Trap1 overexpression alleviated the profibrotic effects of XBP1 deficiency.

JOURNAL OF BIOMEDICAL SCIENCE (2022)

No Data Available