Pregnancy-associated plasma protein A in dialysis patients
dc.contributor.author | Coşkun, Abdurrahman | |
dc.contributor.author | Bahçebaşı, Zerrin Bicik | |
dc.contributor.author | Duran, Sadık | |
dc.contributor.author | Alçelik, Aytekin | |
dc.contributor.author | Soypaçacı, Zeki | |
dc.contributor.author | Yavuz, Özlem | |
dc.contributor.author | Öksüz, Şükrü | |
dc.date.accessioned | 2020-04-30T23:21:27Z | |
dc.date.available | 2020-04-30T23:21:27Z | |
dc.date.issued | 2007 | |
dc.department | DÜ, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü | en_US |
dc.description | Coskun, Abdurrahman/0000-0002-1273-0604; Alcelik, Aytekin/0000-0002-3156-1076 | en_US |
dc.description | WOS: 000243978400012 | en_US |
dc.description | PubMed: 17243917 | en_US |
dc.description.abstract | Background: Pregnancy-associated plasma protein A (PAPP-A) was recently described as a new marker of cardiovascular events and of inflammation in uremic patients. The aim of this study was to determine levels of PAPP-A in chronic dialysis patients and its possible relationships with renal osteodystrophy. Methods: A total of 99 adult chronic hemodialysis patients, 14 peritoneal dialysis patients and 41 control subjects were included in the study. Serum PAPP-A, intact parathormone (iPTH), calcium, phosphorus and alkaline phosphatase (ALP) were measured. The correlations between PAPP-A and iPTH, calcium, phosphorus and ALP were determined. Results: PAPP-A levels were significantly higher in peritoneal dialysis [4.5 (3.2-6.7) mU/L, median (interquartile range)], and hemodialysis patients [4.7 (3.8-6.5) mU/L] in comparison to control subjects [3.4 (3.0-5-0) mU/L] (p < 0.05). In hemodialysis patients, post-dialysis PAPP-A levels [6.2 (4.7-9.4) mU/L] were significantly higher than pre-dialysis levels [4.7 (3.8-6.5) mU/L] (p < 0.05). There was a weak but statistically significant positive correlation between serum PAPP-A and iPTH (r=0.216; p=0.041) and ALP (r=0.205; p=0.044) in the hemodialysis group. Correlation between the duration of dialysis therapy and PAPP-A levels was also significant (r=0.267; p=0.008) in the hemodialysis group. Conclusions: PAPP-A levels are elevated in acute coronary syndromes and are closely related to inflammation and oxidative stress. We conclude that PAPP-A levels are increased in dialysis patients and may reflect a greater degree of chronic inflammation than osteodystrophy in uremic patients. | en_US |
dc.identifier.doi | 10.1515/CCLM.2007.007 | en_US |
dc.identifier.endpage | 66 | en_US |
dc.identifier.issn | 1434-6621 | |
dc.identifier.issue | 1 | en_US |
dc.identifier.scopusquality | Q1 | en_US |
dc.identifier.startpage | 63 | en_US |
dc.identifier.uri | https://doi.org/10.1515/CCLM.2007.007 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12684/4196 | |
dc.identifier.volume | 45 | en_US |
dc.identifier.wos | WOS:000243978400012 | en_US |
dc.identifier.wosquality | Q2 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.language.iso | en | en_US |
dc.publisher | Walter De Gruyter & Co | en_US |
dc.relation.ispartof | Clinical Chemistry And Laboratory Medicine | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | hemodialysis | en_US |
dc.subject | insulin-like growth factor | en_US |
dc.subject | insulin-like growth factor-binding protein | en_US |
dc.subject | osteodystrophy | en_US |
dc.subject | pregnancy-associated plasma protein A | en_US |
dc.subject | renal insufficiency | en_US |
dc.title | Pregnancy-associated plasma protein A in dialysis patients | en_US |
dc.type | Article | en_US |
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