Plasma Urotensin II levels in children and adolescents with chronic kidney disease: a single-centre study

BMC Nephrology

Research Article

Constantinos J. Stefanidis¹  Andromachi J. Mitsioni¹  Maria Mila¹  Varvara Askiti¹  Dimitrios Gourgiotis²  Antonios Marmarinos²  Anastasia Garoufi³  Styliani Drapanioti³  Dimitrios Georgakopoulos⁴  Georgia Grigoriadou⁴ 

[1] Department of Nephrology, “P. & A. Kyriakou” Childrens’ Hospital, Thivon & Levadias str, 11527, Athens, Greece;Laboratory of Clinical Biochemistry - Molecular Diagnostic, Medical School, National and Kapodistrian University of Athens, “P. & A. Kyriakou” Childrens’ Hospital, Thivon & Levadias str, 11527, Athens, Greece;Second Department of Pediatrics, Medical School, National and Kapodistrian University of Athens,“P. & A. Kyriakou” Childrens’ Hospital, Thivon & Levadias str, 11527, Athens, Greece;Thivon & Levadias str, 11527, Athens, Greece;

关键词: Renal transplantation;    End-stage kidney disease;    Hemodialysis;    Renal failure;    Acidosis;   

DOI  :  10.1186/s12882-017-0530-9

 received in 2015-10-07, accepted in 2017-03-24,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundIncreased plasma Urotensin II (UII) levels have been found in adults with renal diseases. Studies in children are scarce. The objective of the study is to estimate plasma UII levels in subjects with chronic kidney disease (CKD) stages 3 to 5 and renal transplant recipients (RTR). In addition, the correlation of UII with anthropometric features and biochemical parameters was assessed.MethodsFifty-four subjects, aged 3 to 20 years old, 23 with CKD, 13 with end-stage kidney disease (ESKD) undergoing hemodialysis (HD) and 18 RTR were enrolled. A detailed clinical evaluation was performed. Biochemical parameters of renal and liver function were measured. Plasma UII levels were measured in all patients and in 117 healthy controls, using a high sensitive enzyme immunoassay (EIA) kit. All data were analyzed using STATA™ (Version 10.1).ResultsMedian UII and mean log-transformed UII levels were significantly higher in CKD and RTR patients compared to healthy subjects (p < 0.001). HD patients had higher but not statistically significant UII and log-UII levels than controls. UII levels increased significantly at the end of the HD session and were higher than controls and in line to those of other patients. The geometric scores of UII in HD (before dialysis), CKD and RTR patients increased respectively by 42, 136 and 164% in comparison with controls. Metabolic acidosis was associated with statistical significant change in log-UII levels (p = 0.001). Patients with metabolic acidosis had an increase in UII concentration by 76% compared to those without acidosis.ConclusionsChildren and adolescents with CKD, particularly those who are not on HD and RTR, have significantly higher levels of UII than healthy subjects. UII levels increase significantly at the end of the HD session. The presence of metabolic acidosis affects significantly plasma UII levels.

【 授权许可】

CC BY   
© The Author(s). 2017