Autor: |
Jaques, David A, Pivin, Edward, Pruijm, Menno, Ackermann, Daniel, Guessous, Idris, Ehret, Georg, Wei, Fang-Fei, Staessen, Jan A, Pechere-Bertschi, Antoinette, Vermeer, Cees, Vogt, Bruno, Burnier, Michel, Martin, Pierre-Yves, Bochud, Murielle, Ponte, Belen |
Jazyk: |
angličtina |
Rok vydání: |
2019 |
Předmět: |
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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 |
Externí odkaz: |
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