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dc.contributor.authorPatidar, Ashish
dc.contributor.authorSingh, Dhruv
dc.contributor.authorWinocour, Peter
dc.contributor.authorFarrington, Ken
dc.contributor.authorBaydoun, A. R.
dc.date.accessioned2013-07-16T10:02:28Z
dc.date.available2013-07-16T10:02:28Z
dc.date.issued2013-03
dc.identifier.citationPatidar , A , Singh , D , Winocour , P , Farrington , K & Baydoun , A R 2013 , ' Human uraemic serum displays calcific potential in vitro that increases with advancing chronic kidney disease ' , Clinical Science , vol. 125 , pp. 237-245 . https://doi.org/10.1042/CS20120638
dc.identifier.issn0143-5221
dc.identifier.otherPURE: 1396453
dc.identifier.otherPURE UUID: 6a945fc0-c167-4739-889a-5f5ba162b66e
dc.identifier.otherScopus: 84878601281
dc.identifier.urihttp://hdl.handle.net/2299/11088
dc.description.abstractVascular calcification strongly correlates with declining renal function and contributes to the high morbidity and mortality of patients with chronic kidney disease (CKD). It is closely regulated by circulating factors but little is known about the potential of serum from patients to induce calcification outside the disease setting – the calcific potential of serum. We have therefore examined the ability of serum from age- and sex-matched subjects with and without advancing CKD to induce calcification of cultured smooth muscle cells. Samples from patients with CKD induced significant calcification compared with controls. More importantly, samples from patients on haemodialysis induced significantly higher calcification than those with moderate or advanced CKD. The calcification induced by the latter two but not those on haemodialysis could be enhanced with calcium chloride and β-glycerophosphate. A positive correlation was evident between measured serum creatinine, phosphate, parathyroid hormone, osteoprotegerin and the degree of calcification in vitro. Estimated glomerular filtration rate, diastolic blood pressure, haemoglobin and serum albumin correlated negatively. Stepwise multivariate analysis of log-transformed calcific potential data highlighted serum creatinine, albumin and osteoprotegerin as significant predictors, explaining around 50% of the variation. Thus, other regulators either not investigated or as yet unidentified, may contribute to the calcification potential of serum in vitro. Furthermore, uremic serum can induce graded calcification outside of the disease milieu that reflects the degree of kidney impairment in vivo. These findings could have important clinical relevance in terms of developing novel diagnostic and/or therapeutic strategies for subjects with CKD.en
dc.language.isoeng
dc.relation.ispartofClinical Science
dc.rightsEmbargoed
dc.titleHuman uraemic serum displays calcific potential in vitro that increases with advancing chronic kidney diseaseen
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionCentre for Postgraduate Medicine
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionPostgraduate Medicine
dc.contributor.institutionHealth Services and Medicine
dc.contributor.institutionPharmacology and Clinical Science Research
dc.contributor.institutionDepartment of Human and Environmental Sciences
dc.contributor.institutionAgriculture, Food and Veterinary Sciences
dc.contributor.institutionCardiovascular Pathologies
dc.contributor.institutionDiabetic neuropathies
dc.contributor.institutionBiochemistry and Bioinformatics
dc.description.statusPeer reviewed
dc.date.embargoedUntil2013-09-01
dc.relation.schoolSchool of Life and Medical Sciences
dc.description.versiontypeFinal Accepted Version
dcterms.dateAccepted2013-03
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1042/CS20120638
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeEmbargoed


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