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Article

Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease

  • Authors:
    • Honghao Zhang
    • Xiujiang Li
    • Yanhong Kan
    • Fan Yang
    • Yue Hou
    • Yujun Du
  • View Affiliations / Copyright

    Affiliations: Department of Nephrology, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China, Intensive Care Unit, Tumor Hospital of Jilin, Changchun, Jilin 130012, P.R. China
  • Pages: 1925-1930
    |
    Published online on: September 23, 2015
       https://doi.org/10.3892/etm.2015.2772
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Abstract

Chronic kidney disease (CKD) is commonly accompanied by inflammation and anemia; however, the pathogenesis of CKD is unclear. Expression of resistin, a cysteine-rich secretory plasma protein, is correlated with the expression of tumor necrosis factor (TNF)-α, interleukin (IL)-6 and lipoprotein-associated phospholipase A2, indicating that resistin may be involved in inflammatory events. In addition, inflammation inhibits the activity of erythropoietin (EPO) and, thus, erythropoiesis. The aim of the present study was to analyze the correlation between serum resistin and the variability of EPO responsiveness in CKD patients. The levels of serum creatinine (SCr), C-reactive protein (CRP), total cholesterol, triglycerides, IL‑6 and serum resistin were measured in the samples obtained from 138 CKD patients and healthy control subjects. The levels of serum resistin in the CKD groups with and without hemodialysis were significantly higher than those observed in the normal control group (P<0.01) and the levels of serum resistin in the hemodialysis CKD group were higher than those observed in the CKD group without dialysis (P<0.01). The levels of serum resistin in patients in the randomly selected CKD group (with hemodialysis) were positively correlated with the duration of dialysis and the levels of SCr and CRP (P<0.05), however, were negatively correlated with the estimated glomerular filtration rate. The EPO resistance index (ERI) was identified to be associated with body mass index and the levels of CRP and resistin; furthermore, EPO reactivity was correlated with the level of resistin and ERI. The levels of serum resistin were correlated with the variability in EPO responsiveness that was observed in the CKD patients. Therefore, the measurement of serum resistin may aid with understanding the mechanisms, clinical diagnosis and treatment of CKD.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang H, Li X, Kan Y, Yang F, Hou Y and Du Y: Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease. Exp Ther Med 10: 1925-1930, 2015.
APA
Zhang, H., Li, X., Kan, Y., Yang, F., Hou, Y., & Du, Y. (2015). Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease. Experimental and Therapeutic Medicine, 10, 1925-1930. https://doi.org/10.3892/etm.2015.2772
MLA
Zhang, H., Li, X., Kan, Y., Yang, F., Hou, Y., Du, Y."Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease". Experimental and Therapeutic Medicine 10.5 (2015): 1925-1930.
Chicago
Zhang, H., Li, X., Kan, Y., Yang, F., Hou, Y., Du, Y."Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease". Experimental and Therapeutic Medicine 10, no. 5 (2015): 1925-1930. https://doi.org/10.3892/etm.2015.2772
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang H, Li X, Kan Y, Yang F, Hou Y and Du Y: Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease. Exp Ther Med 10: 1925-1930, 2015.
APA
Zhang, H., Li, X., Kan, Y., Yang, F., Hou, Y., & Du, Y. (2015). Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease. Experimental and Therapeutic Medicine, 10, 1925-1930. https://doi.org/10.3892/etm.2015.2772
MLA
Zhang, H., Li, X., Kan, Y., Yang, F., Hou, Y., Du, Y."Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease". Experimental and Therapeutic Medicine 10.5 (2015): 1925-1930.
Chicago
Zhang, H., Li, X., Kan, Y., Yang, F., Hou, Y., Du, Y."Analysis of the correlation between serum resistin and the variability of erythropoietin responsiveness in patients with chronic kidney disease". Experimental and Therapeutic Medicine 10, no. 5 (2015): 1925-1930. https://doi.org/10.3892/etm.2015.2772
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