Association Between Oxidative–Inflammation Biomarkers and Incident Chronic Kidney Disease in People with High Cardiovascular Risk: A Nested Case–Control Study
Aim: To assess oxidative–inflammatory biomarker prediction of incident CKD after 1-year follow-up in a population with overweight/obesity and metabolic syndrome. Methods: Prospective nested case–control study comprising 117 CKD incident cases and 117 matched controls free of CKD after 1-year follow-...
| Autores: | , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universidad de Sevilla (US) |
| Repositorio: | idUS. Depósito de Investigación de la Universidad de Sevilla |
| OAI Identifier: | oai:dnet:idus________::200f40e7e7bcc3e891119c40eb44435f |
| Acceso en línea: | https://hdl.handle.net/11441/184025 https://doi.org/10.3390/antiox14080975 |
| Access Level: | acceso abierto |
| Palabra clave: | Kidney dysfunction Inflammation Oxidative stress Metabolic syndrome Glomerular filtration |
| Sumario: | Aim: To assess oxidative–inflammatory biomarker prediction of incident CKD after 1-year follow-up in a population with overweight/obesity and metabolic syndrome. Methods: Prospective nested case–control study comprising 117 CKD incident cases and 117 matched controls free of CKD after 1-year follow-up conducted in 55–75-year-old participants. Controls were time-matched 1:1 to cases by intervention group, age (≤65 vs. >65 years), and sex. Serum creatinine (SCr), cystatin C (CyC), and urine albumin-to-creatinine ratio (UACR) were measured at baseline, and CKD Epidemiology Collaboration equations for Caucasians were used to assess SCr, CyC, and CyC-SCr-based estimated Glomerular Filtration Rate (eGFR). Baseline levels of malondialdehyde (MDA), carbonyls, tumour necrosis factor alpha (TNFα), interleukin (IL)-1β, IL-1ra, IL-6, monocyte chemoattractant protein 1 (MCP-1), and leptin were determined from fasting serum samples. An inflammatory-oxidative stress score based on these biomarkers was calculated. Incident CKD was defined by eGFR-SCr <60 mL/min/1.73 m2, and/or UACR ≥30 mg/g in the absence of CKD at baseline. Results: UACR positively correlated with pro-inflammatory markers (IL-1β; TNFα) and oxidative damage marker (MDA); eGFR-cyC showed negative correlations with IL-1β and IL-1ra, and eGFR-SCr with leptin. The odds ratios (OR; 95% CI) for incident CKD in the highest vs. the lowest tertile of IL-1ra IL-6 and TNFα were (2.22; 1.22–4.04), (7.03; 2.88–17.14), and (3.79; 1.79–8.02), respectively. The inflammatory–oxidative stress score was associated with incident CKD (OR per 1-SD increment: 2.06; 1.49–2.83). Conclusions: Inflammatory/oxidative stress is associated with CKD incidence in individuals with high cardiovascular risk, underscoring the importance in identify early inflammation to prevent this disease. |
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