Urine Epidermal Growth Factor and Kidney Function Decline in Middle-Aged Adults

Autor: Merve Postalcioglu, Rebecca Scherzer, Joachim H. Ix, David R. Jacobs, Jr, Cora E. Lewis, Sucheta Vaigankar, Michelle M. Estrella, Orlando M. Gutierrez, Michael G. Shlipak
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Kidney Medicine, Vol 6, Iss 7, Pp 100846- (2024)
Druh dokumentu: article
ISSN: 2590-0595
DOI: 10.1016/j.xkme.2024.100846
Popis: Rationale & Objective: The diagnosis and prognostication of chronic kidney disease (CKD) largely rely on glomerular measures that may not reflect tubular damage. We investigated the associations of urine kidney tubule biomarkers with estimated glomerular filtration rate (eGFR) change among middle-aged adults, when chronic diseases typically emerge. Study Design: An observational cohort study. Setting & Participants: A total of 1,145 participants of the Coronary Artery Risk Development in Young Adults (CARDIA) study without CKD, hypertension, or cardiovascular disease at the year 20 visit. Exposures: Seven different biomarkers of tubular health: urine epidermal growth factor (EGF), alpha-1-microglobulin (α1m), interleukin-18, kidney injury molecule-1, monocyte chemoattractant protein-1, uromodulin, and chitinase-3-like protein 1. Outcomes: Ten-year eGFR change and incident reduced eGFR (new onset of eGFR
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