The Role of Cystatin C and Galectin-3 in Cardiorenal Syndrome

Nazar Ahemd Naji, Nagham Qasim Kazim
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Abstract

Acute heart disease patients often go on to develop worsening renal function,  termed as cardiorenal syndrome. The growing breadth of studies has shown the implications of combining multiple biomarkers to better chart outcomes between heart and kidneys, and produce desirable results in such patients,  as cystatin C and galectin-3 The aim: To estimate the levels of cystatin C and galectin-3,  and their relationship with cardiorenal syndrome. Methods: Cystatin C and galectin-3 were obtained from 144 samples: 50 sample with cardiorenal syndrome, 25 sample with heart disease, 25 sample with kidney disease and 44 normal healthy . Results: A highly significant increase (p<0.0001) in the levels of cystatin C in serum  of  patients with cardirenal syndrome, heart disease and kidney disease compared with normal individuals. A  highly significant (p<0.0001) increase in the serum levels of  galectin-3 in patients with cardirenal syndrome and patients with heart disease, significant increase in the serum levels of  galectin-3 and  in patients with kidney disease when compared with control group Conclusions: Cystatin C and galectin-3 have higher diagnostic validity values in the current study, which may be useful as a diagnostic tool to identify  recurrence of  the cardiorenal syndromes
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半胱抑素C和半乳糖凝集素-3在心肾综合征中的作用
急性心脏病患者通常会发展为肾功能恶化,称为心肾综合征。越来越多的研究表明,结合多种生物标志物可以更好地显示心脏和肾脏之间的结果,并在这类患者中产生理想的结果,如半胱抑素C和半乳糖凝集素-3。目的:估计半胱抑素C和半乳糖凝集素-3的水平及其与心肾综合征的关系。方法:144例心肾综合征患者50例,心脏病患者25例,肾病患者25例,正常健康人44例,检测半胱抑素C和半乳糖凝集素-3。结果:心肾综合征、心脏病、肾病患者血清胱抑素C水平较正常人显著升高(p<0.0001)。心肾综合征和心脏病患者血清半乳糖凝集素-3水平较对照组显著升高(p<0.0001),肾病患者血清半乳糖凝集素-3水平较对照组显著升高。结论:胱抑素C和半乳糖凝集素-3在本研究中具有较高的诊断效值,可作为鉴别心肾综合征复发的诊断工具
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