cross-talk between endothelin-1 and mineral metabolism in hemodialysis patients: a cross-sectional study

نویسندگان

jamal halaj zadeh biotechnology research center, tabriz university of medical sciences, tabriz, ir iran

amir ghorbanihaghjo urology and nephrology research center, shahid beheshti university of medical sciences, tehran, ir iran; urology and nephrology research center, shahid beheshti university of medical sciences, tehran, ir iran

nadereh rashtchizadeh drug applied research center, tabriz university of medical sciences, tabriz, ir iran

hassan argani urology and nephrology research center, shahid beheshti university of medical sciences, tehran, ir iran

چکیده

conclusions serum p and ipth levels were independently associated with et-1 and those may play a role in development of endothelial dysfunction in chronic kidney disease. patients and methods in this cross-sectional study, 46 chronic stable hd patients were selected from nephrology departments of tabriz university of medical sciences affiliated hospitals and classified based on phosphorus (p), ca-p product (ca × p) and intact parathyroid hormone (ipth) levels. we evaluated fasting serum et-1and hs-crp levels by the standard methods and compared with 46 healthy control subjects. results the levels of serum hs-crp and et-1 were significantly higher in the patient’s group compared with controls (4.40 ± 1.26 vs. 1.38 ± 1.61, p ˂ 0.0001, and 2.31 ± 0.87 vs. 0.75 ± 0.48, p ˂ 0.0001, respectively) and with regard to ca × p product cut-off point (3.99 ± 0.78 vs. 5.33 ± 1.64, p ˂ 0.0001, and 2 ± 0.73 vs. 3.04 ± 0.73, p ˂ 0.0001 respectively). et-1 was correlated significantly with hs-crp level (r = 0.776, p ˂ 0.0001). serum p, ca × p and ipth levels directly and ca indirectly were correlated with serum et-1 in hd patients (r = 0.932, p < 0.0001, r = 0.766, p ˂ 0.0001, r = 0.514, p ˂ 0.0001, r = -0.538, p ˂ 0.0001 respectively). multiple regression analysis demonstrated that serum p were independently associated with et-1 levels (β = 0.932, p ˂ 0.0001). background endotheline-1 (et-1), an endothelial mediator, influences on mineral metabolism; especially vascular calcification in uremic patients. objectives the aim of the present study was to evaluate of et-1, high-sensitivity c-reactive protein (hs-crp) and mineral metabolites as the main factors for vascular calcification and inflammation in hemodialysis (hd) patients.

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عنوان ژورنال:
iranian red crescent medical journal

جلد ۱۶، شماره ۶، صفحات ۰-۰

کلمات کلیدی
[ ' h e m o d i a l y s i s ' , ' p a r a t h y r o i d h o r m o n e ' , ' e n d o t h e l i n ' , 1 ]

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