Renal Resistive Index Is Associated With Inactive Matrix Gla (γ-Carboxyglutamate) Protein in an Adult Population-Based Study

Autor: David A, Jaques, Edward, Pivin, Menno, Pruijm, Daniel, Ackermann, Idris, Guessous, Georg, Ehret, Fang-Fei, Wei, Jan A, Staessen, Antoinette, Pechère-Bertschi, Cees, Vermeer, Bruno, Vogt, Michel, Burnier, Pierre-Yves, Martin, Murielle, Bochud, Belen, Ponte
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of the American Heart Association, Vol. 8, No 18 (2019) P. e013558
Jaques, David A.; Pivin, Edward; Pruijm, Menno; Ackermann, Daniel; Guessous, Idris; Ehret, Georg; Wei, Fang-Fei; Staessen, Jan A.; Pechère-Bertschi, Antoinette; Vermeer, Cees; Vogt, Bruno; Burnier, Michel; Martin, Pierre-Yves; Bochud, Murielle; Ponte, Belen (2019). Renal Resistive Index Is Associated With Inactive Matrix Gla (γ-Carboxyglutamate) Protein in an Adult Population-Based Study. Journal of the American Heart Association, 8(18), pp. 1-15. American Heart Association 10.1161/JAHA.119.013558
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
ISSN: 2047-9980
DOI: 10.7892/boris.137899
Popis: Background Increased renal resistive index (RRI) has been associated with target organ damage as well as renal and cardiovascular outcomes. Matrix Gla (γ-carboxyglutamate) protein (MGP) is a strong inhibitor of soft tissue calcification. Its inactive form (dephospho-uncarboxylated MGP [dp-ucMGP]) has been associated with vascular stiffness, cardiovascular outcomes, and mortality. In this study, we hypothesized that high levels of dp-ucMGP were associated with increased RRI. Methods and Results We recruited participants via a multicenter family-based cross-sectional study in Switzerland. Levels of dp-ucMGP were measured in plasma by sandwich ELISA. RRI was measured by Doppler ultrasound in 3 segmental arteries in both kidneys. We used mixed regression models to assess the relationship between dp-ucMGP and RRI. We adjusted for common determinants of RRI as well as renal function and cardiovascular risk factors. We included 1006 participants in our analyses: 526 women and 480 men. Mean values were 0.44±0.20 nmol/L for dp-ucMGP and 64±5% for RRI. After multivariable adjustment, dp-ucMGP was positively associated with RRI (P=0.001). In subgroup analysis by age tertiles, this association was not significant in the youngest age group (55 years; P=0.016 and P
Databáze: OpenAIRE