Literature DB >> 23284073

Neutrophil gelatinase-associated lipocalin in peritoneal effluent: evaluation in peritoneal dialysis patients in basal condition.

Francesca Martino1, Ilenia Filippi, Davide Giavarina, Gianpaolo Amici, Massimo de Cal, Manish Kaushik, Maria Pia Rodighiero, Carlo Crepaldi, Claudio Ronco.   

Abstract

PURPOSE: In the present study, we assessed expression of neutrophil gelatinase-associated lipocalin (NGAL) in peritoneal effluent (pNGAL) from peritoneal dialysis (PD) patients, and we evaluated factors that might affect its level in basal conditions.
METHODS: Our cross-sectional study included all 69 patients on PD at our institution. We evaluated patient history, hydration status, residual renal function, indices of dialysis adequacy, peritoneal transport type, serum C-reactive protein, ferritin, serum NGAL (sNGAL) and pNGAL. Univariate and multivariate linear regression models were used to evaluate predictors of pNGAL.
RESULTS: Of the study patients, 39 (56.5%) were men, and 54 (78.3%) were on continuous ambulatory PD. Median age in the group was 61 years [interquartile range (IQR): 46.5 - 71 years]. Median sNGAL was 487 ng/mL (IQR: 407 - 586 ng/mL), and median pNGAL was 35 ng/mL (IQR: 21 - 46 ng/mL). dNGAL correlated directly with weekly dialytic clearance of creatinine (ρ = 0.291, p = 0.02) and with sNGAL (ρ = 0.269, p = 0.031). The same variables were also independent predictors of pNGAL (β = 0.30 and 0.29 respectively, both p < 0.05) in multivariate analysis.
CONCLUSIONS: In our analysis, basal levels of pNGAL were influenced by sNGAL and by dialytic clearance of creatinine.

Entities:  

Keywords:  NGAL; biomarkers; peritoneal effluent

Mesh:

Substances:

Year:  2013        PMID: 23284073      PMCID: PMC3707715          DOI: 10.3747/pdi.2011.00288

Source DB:  PubMed          Journal:  Perit Dial Int        ISSN: 0896-8608            Impact factor:   1.756


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