埃尔比勒市血液透析慢性肾脏病患者半乳糖凝集素-3等生化指标的评价

Zereen M. Abdullah, Kamaran Y. Mohammadamin
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摘要

背景和目的:慢性肾脏疾病是许多国家的主要死亡原因。终末期肾脏疾病是慢性肾脏疾病的最后阶段,此时肾脏功能不再良好,患者无法在没有肾脏替代治疗的情况下生存。半乳糖凝集素-3是一种可溶性β -半乳糖苷结合凝集素蛋白,参与许多实体器官的纤维化,包括心脏和肾脏。本研究旨在评价血液透析患者的半凝集素-3等生化指标。方法:设计为横断面研究,设对照组。研究对象为埃尔比勒市埃尔比勒透析中心定期血液透析的慢性肾病患者70例和健康受试者68例。采用酶联免疫吸附法测定血清半乳糖凝集素-3水平。结果:血透析患者血清半乳糖凝集素-3的平均水平较对照组无显著升高(P = 0.594)。而合并心血管疾病的血液透析患者血清半乳糖凝集素-3水平明显高于未合并心血管疾病的血液透析患者(P = 0.0220)。36 ~ 50岁、51 ~ 70岁血液透析患者血清半凝集素-3水平明显高于20 ~ 35岁血液透析患者(P = 0.013、P = 0.026)。结论:血清半乳糖凝集素-3可作为血液透析合并心血管疾病患者的生物标志物。
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Evaluation of galectin-3 and other biochemical parameters in chronic kidney disease patients on hemodialysis in Erbil city
Background and objective: Chronic kidney disease represents a leading cause of death in many countries. End-stage renal disease is the final stage of chronic kidney disease, in which the kidneys are no longer function well enough for the patient to live without renal replacement therapy. Galectin-3 is a soluble beta-galactoside-binding lectin protein involved in the fibrosis of many solid organs, including the heart and kidney. This study aimed to evaluate galectin-3 and other biochemical parameters in hemodialysis patients. Methods: The design is a cross-sectional study with a comparison group. A total of 70 chronic kidney disease patients on regular hemodialysis from Erbil Dialysis Center in Erbil City and 68 healthy subjects were enrolled. The serum levels of galectin-3 were determined by enzyme-linked immunosorbent assay method. Results: The mean level of serum galectin-3 was non-significantly higher in hemodialysis patients compared to the control group (P = 0.594). However, the serum level of galectin-3 was significantly higher in hemodialysis patients with cardiovascular disease compared to hemodialysis patients without cardiovascular disease (P = 0.0220). Serum galectin-3 level was significantly higher in hemodialysis patients aged 36-50 and 51-70 years old compared to hemodialysis patients aged 20-35 years old (P = 0.013, P = 0.026), respectively. Conclusion: Serum galectin-3 might be used as a biomarker for hemodialysis patients with cardiovascular disease.
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