Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2010-7-8
pubmed:abstractText
The aim of this study was to investigate the relationship between serum apolipoprotein (apo) A-IV levels and markers for atherosclerosis, including carotid intima-media thickness (CIMT) and the ankle-brachial index (ABI), in hemodialysis patients. We performed a cross-sectional study involving 116 maintenance hemodialysis patients (70 males; median age, 64 years), measuring CIMT, ABI, the usual laboratory examinations, and serum apo A-IV before the dialysis session. The apo A-IV concentration was measured by a noncompetitive ELISA. Serum apo A-IV concentrations were significantly lower in hemodialysis patients with cardiovascular disease and plaque in the carotid artery. The apo A-IV level was positively associated with urea nitrogen and creatinine, and negatively associated with age, interleukin-6, the neutrophil/lymphocyte ratio, and maximum CIMT. Moreover, serum apo A-IV concentrations were significantly lower in the low ABI group. On logistic analysis, patients with high apo A-IV levels had a lower odds ratio for atherosclerosis (maximum CIMT > 1.0) and cardiovascular disease compared to patients with low apo A-IV levels. On stepwise multivariate regression analysis, the serum apo A-IV level was independently associated with creatinine, the neutrophil/lymphocyte ratio, and the maximum CIMT. Serum apo A-IV is associated with atherosclerotic lesions in hemodialysis patients. Apo A-IV levels may be useful for estimating the risk of cardiovascular disease in dialysis patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1744-9987
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
341-8
pubmed:meshHeading
pubmed-meshheading:20609189-Adult, pubmed-meshheading:20609189-Aged, pubmed-meshheading:20609189-Apolipoproteins A, pubmed-meshheading:20609189-Atherosclerosis, pubmed-meshheading:20609189-Biological Markers, pubmed-meshheading:20609189-Cardiovascular Diseases, pubmed-meshheading:20609189-Carotid Arteries, pubmed-meshheading:20609189-Cross-Sectional Studies, pubmed-meshheading:20609189-Enzyme-Linked Immunosorbent Assay, pubmed-meshheading:20609189-Female, pubmed-meshheading:20609189-Humans, pubmed-meshheading:20609189-Male, pubmed-meshheading:20609189-Middle Aged, pubmed-meshheading:20609189-Multivariate Analysis, pubmed-meshheading:20609189-Regression Analysis, pubmed-meshheading:20609189-Renal Dialysis, pubmed-meshheading:20609189-Risk Factors, pubmed-meshheading:20609189-Tunica Intima, pubmed-meshheading:20609189-Tunica Media
pubmed:year
2010
pubmed:articleTitle
Impact of serum apolipoprotein A-IV as a marker of cardiovascular disease in maintenance hemodialysis patients.
pubmed:affiliation
Department of Nephrology, Gyoutoku Sougou Hospital, Chiba, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't