Serum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients
Background Fatty acid binding protein 4 (FABP4) is an adipokine that was mainly derived from adipocytes and macrophages. Vascular calcification (VC) is highly prevalent in peritoneal dialysis (PD) patients and could predict their cardiovascular mortality. The pathogenesis of VC is complex, and adipo...
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2021
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oai:doaj.org-article:d874a7f3aafa469e864c0a8367ab29702021-11-26T11:19:46ZSerum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients0886-022X1525-604910.1080/0886022X.2021.2003205https://doaj.org/article/d874a7f3aafa469e864c0a8367ab29702021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/0886022X.2021.2003205https://doaj.org/toc/0886-022Xhttps://doaj.org/toc/1525-6049Background Fatty acid binding protein 4 (FABP4) is an adipokine that was mainly derived from adipocytes and macrophages. Vascular calcification (VC) is highly prevalent in peritoneal dialysis (PD) patients and could predict their cardiovascular mortality. The pathogenesis of VC is complex, and adipokines may play an important role in it. This study aimed to examine the relationship between serum FABP4 and VC in PD patients. Methods Serum FABP4 was measured by enzyme-linked immunosorbent assay. According to the median value of serum FABP4, the participants were divided into the low FABP4 group and the high FABP4 group. Lateral plain X-ray films of abdomen were used to evaluate the abdominal aortic calcification (AAC) score. The participants were divided into the high AAC score group (AAC score ≥4, indicating moderate or heavy VC) and the low AAC score group (AAC score <4, indicating no or mild VC). Results 116 PD patients were involved in the study. The AAC score and the proportion of patients with an AAC score ≥4 of the high FABP4 group were significantly higher than those of the low FABP4 group. Serum FABP4 of the high AAC score group was significantly higher than that of the low AAC score group [164.5 (138.4, 362.8) ng/mL versus 144.7 (123.8, 170.1) ng/mL, p = 0.002]. Serum FABP4 was positively associated with the AAC score according to the multivariate linear regression analysis. In the multivariate logistic regression analysis, serum FABP4 was the independent influencer of an AAC score ≥4. Conclusions Serum FABP4 is positively associated with the AAC score and is an independent marker of AAC in PD patients.Sijia ZhouXiaoxiao WangJunbao ShiQingfeng HanLian HeWen TangAihua ZhangTaylor & Francis Grouparticleadipokinefabp4peritoneal dialysisvascular calcificationckd-mbdDiseases of the genitourinary system. UrologyRC870-923ENRenal Failure, Vol 43, Iss 1, Pp 1539-1548 (2021) |
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adipokine fabp4 peritoneal dialysis vascular calcification ckd-mbd Diseases of the genitourinary system. Urology RC870-923 |
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adipokine fabp4 peritoneal dialysis vascular calcification ckd-mbd Diseases of the genitourinary system. Urology RC870-923 Sijia Zhou Xiaoxiao Wang Junbao Shi Qingfeng Han Lian He Wen Tang Aihua Zhang Serum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients |
description |
Background Fatty acid binding protein 4 (FABP4) is an adipokine that was mainly derived from adipocytes and macrophages. Vascular calcification (VC) is highly prevalent in peritoneal dialysis (PD) patients and could predict their cardiovascular mortality. The pathogenesis of VC is complex, and adipokines may play an important role in it. This study aimed to examine the relationship between serum FABP4 and VC in PD patients. Methods Serum FABP4 was measured by enzyme-linked immunosorbent assay. According to the median value of serum FABP4, the participants were divided into the low FABP4 group and the high FABP4 group. Lateral plain X-ray films of abdomen were used to evaluate the abdominal aortic calcification (AAC) score. The participants were divided into the high AAC score group (AAC score ≥4, indicating moderate or heavy VC) and the low AAC score group (AAC score <4, indicating no or mild VC). Results 116 PD patients were involved in the study. The AAC score and the proportion of patients with an AAC score ≥4 of the high FABP4 group were significantly higher than those of the low FABP4 group. Serum FABP4 of the high AAC score group was significantly higher than that of the low AAC score group [164.5 (138.4, 362.8) ng/mL versus 144.7 (123.8, 170.1) ng/mL, p = 0.002]. Serum FABP4 was positively associated with the AAC score according to the multivariate linear regression analysis. In the multivariate logistic regression analysis, serum FABP4 was the independent influencer of an AAC score ≥4. Conclusions Serum FABP4 is positively associated with the AAC score and is an independent marker of AAC in PD patients. |
format |
article |
author |
Sijia Zhou Xiaoxiao Wang Junbao Shi Qingfeng Han Lian He Wen Tang Aihua Zhang |
author_facet |
Sijia Zhou Xiaoxiao Wang Junbao Shi Qingfeng Han Lian He Wen Tang Aihua Zhang |
author_sort |
Sijia Zhou |
title |
Serum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients |
title_short |
Serum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients |
title_full |
Serum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients |
title_fullStr |
Serum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients |
title_full_unstemmed |
Serum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients |
title_sort |
serum fatty acid binding protein 4 levels are associated with abdominal aortic calcification in peritoneal dialysis patients |
publisher |
Taylor & Francis Group |
publishDate |
2021 |
url |
https://doaj.org/article/d874a7f3aafa469e864c0a8367ab2970 |
work_keys_str_mv |
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