腹膜透析液中的自体表皮生长因子浓度反映了腹膜功能。

Keisuke Horikoshi, Norihiko Sakai, Megumi Oshima, Hiroyuki Yamauchi, Megumi Ikeda, Kaho Hayashi, Hiroyoshi Yanagisawa, Fumitaka Yamamori, Sho Kajikawa, Daiki Hayashi, Akihiko Koshino, Keisuke Sako, Takahiro Yuasa, Akira Tamai, Taichiro Minami, Shiori Nakagawa, Shinji Kitajima, Tadashi Toyama, Akinori Hara, Miho Shimizu, Satoshi Oota, Yoichi Ishida, Takashi Wada, Yasunori Iwata
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摘要

简介腹膜平衡试验(PET)一直用于监测腹膜功能。在包括家庭医疗护理在内的临床情况下,一种更方便的标记物将非常有用。众所周知,在组织纤维化过程中,血管通透性增加,自体表皮生长因子会渗漏到间质中。因此,我们假设腹膜透析(PD)流出液中的自体表皮生长因子浓度可反映腹膜功能:本研究在 2016 年至 2021 年间招募了 45 名接受腹膜透析的患者。对腹膜透析液中测得的自体表皮生长因子浓度与正电子发射计算机断层扫描(PET)获得的标记物之间的关联进行了评估:平均年龄为 69 岁,33 名患者为男性。单变量和多变量分析显示,自体表皮生长因子浓度与基线时的透析液/血浆肌酐比值、终点/起始透析液葡萄糖比值以及透析液钠浓度(超滤能力的标志物)的下降有关(均为 p 结论:自体表皮生长因子浓度与透析液/血浆肌酐比值、终点/起始透析液葡萄糖比值以及透析液钠浓度(超滤能力的标志物)的下降有关:腹膜透析液中的自体表皮生长因子浓度可能是反映腹膜功能的辅助指标。
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Autotaxin concentrations in peritoneal dialysis effluent reflect peritoneal function.

Introduction: Peritoneal equilibration test (PET) has been used to monitor peritoneal function. A more convenient marker would be useful in clinical situations including home medical care. Autotaxin is known to leak into the interstitium as vascular permeability increases during the progression of tissue fibrosis. Therefore, we hypothesized that autotaxin concentrations in peritoneal dialysis (PD) effluent might reflect peritoneal function.

Methods: This study enrolled 45 patients undergoing PD from 2016 to 2021. Autotaxin concentrations measured in PD effluent were evaluated for their associations with markers obtained from PET.

Results: Mean age was 69 years, and 33 patients were men. Univariate and multivariate analyses revealed that autotaxin concentrations are associated with dialysate/plasma creatinine ratio, end/start dialysate glucose ratio, and the dip in the dialysate sodium concentration, a marker of ultrafiltration capacity, at baseline (all p < 0.05).

Conclusions: Autotaxin concentrations in PD effluent might be an adjunct marker that reflects peritoneal function.

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