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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2009-10-21
pubmed:abstractText
We prospectively assessed the evolution of coronary artery calcification (CAC) and osteoprotegerin (OPG) levels after renal transplantation (RT). Eighty-three recipients were followed-up prospectively during 1 year. Blood was collected before (baseline) and after RT for determination of mineral metabolism parameters including OPG. CAC was measured by multidetector computed tomography at transplantation (baseline) and 1 year later. Progression of CAC was defined as a difference between the follow-up square-root transformed volume (SRV) and the baseline SRV >or= 2.5. By multivariate analysis, baseline OPG level, age and low LDL levels were significantly associated with baseline CAC. RT was accompanied by mineral metabolism improvement with a decrease of OPG from 955 [395-5652] to 527 [217-1818] pg/mL and parathyroid hormone from 94 [1-550] to 62 [16-410] pg/mL. Thirty-one percent of patients did not exhibit CAC at baseline. CAC diminished in 14.5%, stabilized in 59.2% and progressed in 26.3% of patients. Baseline CAC was associated with progression (OR 2.92 [1.02-8.36]). No significant association was found between OPG and CAC progression despite a higher baseline OPG level in progressors (1046 [456-3285]) vs. non-progressors (899 [396-5952] pg/mL). CAC at baseline, but not 1 year after RT, is independently associated with baseline OPG; posttransplant CAC progression is predicted by baseline CAC score.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1600-6143
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2571-9
pubmed:meshHeading
pubmed-meshheading:19775319-Adult, pubmed-meshheading:19775319-Aged, pubmed-meshheading:19775319-Calcinosis, pubmed-meshheading:19775319-Coronary Artery Disease, pubmed-meshheading:19775319-Disease Progression, pubmed-meshheading:19775319-Female, pubmed-meshheading:19775319-Follow-Up Studies, pubmed-meshheading:19775319-Humans, pubmed-meshheading:19775319-Kidney Failure, Chronic, pubmed-meshheading:19775319-Kidney Transplantation, pubmed-meshheading:19775319-Logistic Models, pubmed-meshheading:19775319-Male, pubmed-meshheading:19775319-Middle Aged, pubmed-meshheading:19775319-Multivariate Analysis, pubmed-meshheading:19775319-Osteoprotegerin, pubmed-meshheading:19775319-Parathyroid Hormone, pubmed-meshheading:19775319-Predictive Value of Tests, pubmed-meshheading:19775319-Prospective Studies, pubmed-meshheading:19775319-ROC Curve, pubmed-meshheading:19775319-Risk Factors, pubmed-meshheading:19775319-Young Adult
pubmed:year
2009
pubmed:articleTitle
Evolution of coronary artery calcifications following kidney transplantation: relationship with osteoprotegerin levels.
pubmed:affiliation
Department of Biochemistry, University of Montpellier, Montpellier, France.
pubmed:publicationType
Journal Article