[Clinical significance of uremic toxin indoxyl sulfate and inflammation in the development of vascular calcification and cardiovascular complications in stage C3-C5D chronic kidney disease].

F U Dzgoeva, O V Remizov, V G Goloeva, Z R Ikoeva
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Abstract

Aim: To clarify the role of the uremic toxin indoxyl sulfate (IS) and inflammation in the development of vascular calcification and cardiovascular complications in chronic kidney disease (CKD).

Materials and methods: One hundred fifteen patients aged 25 to 68 years with CKD stage C3-C5D were examined. Serum concentrations of IS, interleukin 6 (IL-6), tumor necrosis factor (TNF-α), troponin I, parathyroid hormone were determined by enzyme immunoassay using kits from BluGene biotech (Shanghai, China), Cloud-Clone Corp. (USA), ELISA Kit (Biomedica, Austria).

Results: An increase in the serum concentration of IS, IL-6, TNF-α was revealed, which was significantly associated with a deterioration in renal function and changes in the morphological and functional parameters of the heart and aorta.

Conclusion: High concentrations of IS, IL-6, TNF-α, which are closely associated with an increase in renal failure and cardiovascular complications, indicate their significant role in vascular calcification, which underlies the damage to the cardiovascular system in CKD.

[尿毒症毒素硫酸吲哚苷和炎症在 C3-C5D 期慢性肾脏病血管钙化和心血管并发症发展中的临床意义]。
目的:阐明尿毒症毒素硫酸吲哚酯(IS)和炎症在慢性肾脏病(CKD)血管钙化和心血管并发症的发生中的作用:研究对象: 15 名年龄在 25 至 68 岁之间的 CKD C3-C5D 期患者。血清中 IS、白细胞介素 6 (IL-6)、肿瘤坏死因子 (TNF-α)、肌钙蛋白 I 和甲状旁腺激素的浓度通过酶联免疫测定法进行测定,所用试剂盒分别来自 BluGene 生物技术公司(中国上海)、Cloud-Clone 公司(美国)和 ELISA 试剂盒(奥地利 Biomedica 公司):结果:发现血清中 IS、IL-6、TNF-α 的浓度增加,这与肾功能恶化以及心脏和主动脉形态和功能参数的变化有显著相关性:结论:高浓度的IS、IL-6和TNF-α与肾功能衰竭和心血管并发症的增加密切相关,这表明它们在血管钙化中起着重要作用,而血管钙化是慢性肾脏病对心血管系统造成损害的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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