| Literature DB >> 27557787 |
Felix Poppelaars1, Mariana Gaya da Costa2, Stefan P Berger2, Solmaz Assa3, Anita H Meter-Arkema2, Mohamed R Daha2,4, Willem J van Son2, Casper F M Franssen2, Marc A J Seelen2.
Abstract
Entities:
Year: 2016 PMID: 27557787 PMCID: PMC4997692 DOI: 10.1186/s12967-016-1004-8
Source DB: PubMed Journal: J Transl Med ISSN: 1479-5876 Impact factor: 5.531
Baseline characteristics of hemodialysis patients presented as groups according to MBL levels
| Patients | P* < 0.001 | R | P# | |||
|---|---|---|---|---|---|---|
| All (n = 107) | MBL low 319 < ng/mL (n = 26) | MBL high 319 ≥ ng/mL (n = 81) | ||||
| MBL range (ng/mL) | 821 [319–1477] | 98 [33–146] | 1290 [671–1848] | |||
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| Age, years | 62.5 ± 15.6 | 65.3 ± 12.1 | 61.56 ± 16.6 | 0.3 | −0.26 |
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| Male gender, n (%) | 71 (66) | 17 (65) | 54 (67) | 1.0 | ||
| Current diabetes, n (%) | 25 (24) | 9 (35) | 16 (20) | 0.2 | ||
| Hypertension, n (%) | 85 (84) | 22 (88) | 63 (83) | 0.8 | ||
| Cardiovascular history, n (%) | 26 (25) | 9 (35) | 15 (19) | 0.1 | ||
| BMI, kg/m2 | 25.8 ± 4.4 | 27.0 ± 4.5 | 25.4 ± 4.4 | 0.1 | −0.03 | 0.8 |
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| Dialysis vintage, months | 25.5 [8.5–52.3] | 18.2 [7.0–47.7] | 32.8 [9.1–53.3] | 0.2 | −0.01 | 0.9 |
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| Hypertension | 18 (17) | 4 (15) | 14 (17) | 1.0 | ||
| Diabetes | 14 (13) | 5 (19) | 9 (11) | 0.3 | ||
| ADPKD | 13 (12) | 3 (12) | 10 (12) | 1.0 | ||
| FSGS | 9 (8) | 4 (15) | 5 (6) | 0.2 | ||
| IgA nephropathy | 4 (4) | 0 (0) | 4 (5) | 0.6 | ||
| Chronic pyelonephritis | 3 (3) | 0 (0) | 3 (4) | 1.0 | ||
| Glomerulonephritis | 13 (12) | 2 (8) | 11 (14) | 0.7 | ||
| Other diagnoses | 16 (16) | 6 (23) | 10 (12) | 0.2 | ||
| Unknown | 17 (16) | 2 (8) | 15 (19) | 0.2 | ||
| Ultrafiltration volume, L | 2.55 ± 0.78 | 2.54 ± 0.82 | 2.56 ± 0.78 | 0.9 | −0.01 | 0.9 |
| Ultrafiltration rate, mL/kg/h | 8.56 ± 2.63 | 7.81 ± 2.39 | 8.80 ± 2.67 | 0.1 | 0.04 | 0.7 |
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| Predialysis, mmHg | 140.4 ± 25.1 | 144.7 ± 26.4 | 139.1 ± 24.7 | 0.3 | −0.17 | 0.08 |
| Postdialysis, mmHg | 131.8 ± 25.6 | 136 ± 24.3 | 130.4 ± 26.0 | 0.4 | −0.24 |
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| Predialysis, bpm | 73 [63–82] | 71 [62–82] | 74 [64–82] | 0.3 | 0.11 | 0.3 |
| Postdialysis, bpm | 79 [69–87] | 75 [65–86] | 79 [69–88] | 0.4 | 0.13 | 0.2 |
| Kidney transplant, n (%) | 21 (20) | 4 (15) | 17 (21) |
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| Hematocrit, % | 34.9 ± 3.8 | 34.5 ± 4.1 | 35.0 ± 3.7 | 0.6 | 0.04 | 0.7 |
| HbAlc, mmol/mol | 5.68 ± 0.98 | 5.80 ± 0.97 | 5.63 ± 0.98 | 0.5 | −0.15 | 0.2 |
| Albumin, g/L | 39 [37–42] | 39 [37–42] | 39 [37–42] | 0.9 | 0.01 | 0.9 |
| pH | 7.37 [7.34–7.39] | 7.37 [7.32–7.39] | 7.37 [7.34–7.39] | 0.7 | 0.05 | 0.6 |
| Calcium, mmol/L | 2.31 ± 0.16 | 2.31 ± 0.15 | 2.32 ± 0.16 | 0.9 | 0.03 | 0.7 |
| Phosphate, mmol/L | 1.67 ± 0.53 | 1.82 ± 0.47 | 1.65 ± 0.54 | 0.2 | −0.00 | 0.9 |
| hsCRP, mg/L | 6.7 [2.8–10.9] | 6.1 [1.4–12.0] | 6.7 [3.0–10.9] | 0.7 | 0.10 | 0.3 |
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| Aspirin, n (%) | 57 (54) | 11 (42) | 46 (64) | 0.3 | ||
| Calcium channel blockers, n (%) | 14 (13) | 3 (12) | 11 (14) | 1.0 | ||
| β-Blocker, n (%) | 61 (57) | 18 (69) | 43 (53) | 0.2 | ||
| ACE inhibitor, n (%) | 10 (10) | 3 (12) | 7 (9) | 0.7 | ||
| AT2-receptor antagonists, n (%) | 14 (13) | 2 (8) | 12 (15) | 0.5 | ||
| Statin, n (%) | 20 (19) | 5 (19) | 15 (19) | 1.0 | ||
| Diuretics, n (%) | 8 (8) | 3 (12) | 5 (6) | 0.4 | ||
Italic values used to show which statistical testing was significant (below 0.05)
Data are presented as mean ± SD or median [IQR]
BMI body mass index, ADPKD autosomal dominant polycystic kidney disease, FSGS focal segmental glomerulosclerosis, HDA1c hemoglobin A1c, pH potential hydrogen, hsCRP high sensitive C-relative protein, ACE inhibitor angiotensin-converting-enzyme inhibitor, AT2 receptor antagonists Angiotensin II receptor antagonists
P* indicates P value for the difference in baseline characteristics between the MBL groups, tested by Student’s t test or Mann–Whitney U test for continuous variables and with χ2 test for categorical variables; R indicates Spearman correlation coefficient between MBL levels and the baseline characteristic; P# indicates the corresponding P value
Associations of MBL levels with cardiovascular events and cardiac events in 107 chronic hemodialysis patients
| Low MBL | Log MBL continuous | |||||
|---|---|---|---|---|---|---|
| HR | 95 % CI |
| HR (per SD) | 95 % CI |
| |
| Cardiovascular events | ||||||
| Model 1 | 2.64 | 1.36–5.13 |
| 0.64 | 0.46–0.90 |
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| Model 2 | 2.75 | 1.39–5.44 |
| 0.61 | 0.43–0.88 |
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| Model 3 | 2.94 | 1.45–5.94 |
| 0.61 | 0.42–0.89 |
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| Model 4 | 3.55 | 1.70–7.40 |
| 0.58 | 0.40–0.84 |
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| Model 5 | 3.98 | 1.88–8.42 | < | 0.56 | 0.38–0.81 |
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| Cardiac events | ||||||
| Model 1 | 2.60 | 1.10–6.18 |
| 0.71 | 0.46–1.10 | 0.1 |
| Model 2 | 2.49 | 1.04–5.96 |
| 0.73 | 0.46–1.16 | 0.2 |
| Model 3 | 2.65 | 1.08–6.55 |
| 0.74 | 0.47–1.18 | 0.2 |
| Model 4 | 3.82 | 1.48–9.87 |
| 0.62 | 0.38–1.01 | 0.06 |
| Model 5 | 3.96 | 1.49–10.54 |
| 0.59 | 0.35–0.98 |
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Model 1: crude
Model 2: adjusted for age and gender
Model 3: adjusted for model 2 plus ultrafiltration volume and dialysis vintage
Model 4: adjusted for model 3 plus cardiovascular history, diabetes and post-HD systolic blood pressure
Model 5: adjusted for model 4 plus hsCRP
Data are presented as hazard ratio (HR) plus 95 % confidence interval (CI) according to the cut-off of MBL and per standard deviation (SD) MBL increase
Italic values used to show which statistical testing was significant (below 0.05)
MBL mannose-binding lectin, HD hemodialysis, hsCRP high sensitive C-reactive protein