Serum vasohibin-1 and suppression of tumorigenicity-2 levels in children with predialysis chronic kidney disease
Serum vasohibin-1 and suppression of tumorigenicity-2 levels in children with predialysis chronic kidney disease
Background/aim: Chronic kidney disease (CKD), which is one of the most important health problems worldwide, could be consideredas an immune inflammatory disease. A prognostic biomarker may be helpful in determining the progression of CKD in children.We aimed to investigate the serum vasohibin-1 and soluble suppression of tumorigenicity-2 (sST2) levels as potential biomarkers inchildren with predialysis CKD.Materials and methods: Forty-seven children with stage 2–4 CKD and 20 healthy controls were included in this cross-sectional study.Glomerular filtration rate (GFR) and urinary excretion of protein were measured in 24-h urine samples. Serum vasohibin-1 levels andsST2 were measured. The results were expressed as pg/mL and ng/mL, respectively.Results: Serum vasohibin-1 levels were similar between the patients and the control group (P > 0.05), but serum vasohibin-1 levels werehigher in patients with proteinuria than in nonproteinuric patients (2574.5 ± 701.60 vs. 1822.4 ± 300.32 pg/mL, P = 0.001). A positivecorrelation was found between serum vasohibin-1 levels and 24-h urine protein values in patients (P = 0.036). Serum sST2 levels werehigher in patients than the control group (P = 0.013). The patients with hypertension had higher sST2 levels than normotensive patients(P = 0.015). Serum vasohibin-1 and sST2 levels were not correlated with age, GFR, albumin, hemoglobin, or PTH levels.Conclusion: Serum vasohibin-1 and sST2 levels were not associated with decline in renal function. Elevated serum vasohibin levels maybe a compensatory response to proteinuria in patients with predialysis CKD. The measurement of serum sST2 levels might contributeto early detection of hypertension in patients.
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- Collins AJ, Foley RN, Chavers B, Gilbertson D, Herzog C,
Johansen K, Kasiske B, Kutner N, Liu J, St Peter W et al. United
States Renal Data System 2011 annual data report: Atlas of
chronic kidney disease & end-stage renal disease in the United
States. Am J Kidney Dis 2012; 59: e1-420.
- Fogo AB. Mechanisms of progression of chronic kidney
disease. Pediatr Nephrol 2007; 22: 2011-2022.
- Hung AM, Crawford DC, Griffin MR, Brown-Gentry K,
Lipkowitz MS, Siew ED, Cavanaugh K, Lewis JB, Ikizler TA.
CRP polymorphisms and progression of chronic kidney
disease in African Americans. Clin J Am Soc Nephrol 2010; 5:
24-33.
- Tonelli M, Sacks F, Pfeffer M, Jhangri GS, Curhan G. Biomarkers
of inflammation and progression of chronic kidney disease.
Kidney Int 2005; 68: 237-245.
- Lv W, Booz GW, Wang Y, Fan F, Roman RJ. Inflammation and
renal fibrosis: Recent developments on key signaling molecules
as potential therapeutic targets. Eur J Pharmacol 2018: 5; 820:
65-76.
- Kakkar R, Lee RT. The IL-33/ST2 pathway: therapeutic target
and novel biomarker. Nat Rev Drug Discov 2008; 7: 827-840.
- Schmitz J, Owyang A, Oldham E, Song Y, Murphy E,
McClanahan TK, Zurawski G, Moshrefi M, Qin J, Li X et
al. IL-33, an interleukin-1-like cytokine that signals via the
IL-1 receptor-related protein ST2 and induces T helper type
2-associated cytokines. Immunity 2005; 23: 479-490.
- Mildner M, Storka A, Lichtenauer M, Mlitz V, Ghannadan M,
Hoetzenecker K, Nickl S, Dome B, Tschachler E, Ankersmit
HJ. Primary sources and immunological prerequisites for sST2
secretion in humans. Cardiovasc Res 2010; 87: 769-777.
- Buckley JM, Liu JH, Li CH, Blankson S, Wu QD, Jiang Y,
Redmond HP, Wang JH. Increased susceptibility of ST2-
deficient mice to polymicrobial sepsis is associated with an
impaired bactericidal function. J Immunol 2011; 187: 4293-
4299.
- Griesenauer B, Paczesny S. The ST2/iL-33 Axis in immune cells
during inflammatory diseases. Front Immunol 2017; 8: 475.
- Liang H, Xu F, Wen XJ, Liu HZ, Wang HB, Zhong JY, Yang CX,
Zhang B. Interleukin-33 signaling contributes to renal fibrosis
following ischemia reperfusion. Eur J Pharmacol 2017; 812:
18-27.
- Folkman J. Angiogenesis in cancer, vascular, rheumatoid and
other disease. Nat Med 1995; 1: 27-31.
- Tufro A, Norwood VF, Carey RM, Gomez RA. Vascular
endothelial growth factor induces nephrogenesis and
vasculogenesis. J Am Soc Nephrol 1999; 10: 2125-2134.
- Sato Y. Novel link between inhibition of angiogenesis and
tolerance to vascular stress. J Atheroscler Thromb 2015; 22:
327-334.
- Nasu T, Maeshima Y, Kinomura M, Hirokoshi-Kawahara
K, Tanabe K, Sugiyama H, Sonoda H, Sato Y, Makino H.
Vasohibin-1, a negative feedback regulator of angiogenesis,
ameliorates renal alterations in a mouse model of diabetic
nephropathy. Diabetes 2009; 58: 2365-2375.
- Kang DH, Joly AH, Oh SW, Hugo C, Kerjaschki D, Gordon KL,
Mazzali M, Jefferson JA, Hughes J, Madsen KM et al. Impaired
angiogenesis in the remnant kidney model: I. Potential role of
vascular endothelial growth factor and thrombospondin-1. J
Am Soc Nephrol. 2001; 12: 1434-1447.
- Kidney Disease: Improving Global Outcomes (KDIGO) CKD
Work Group. KDIGO 2012 clinical practice guideline for the
evaluation and management of chronic kidney disease. Kidney
Int Suppl 2013; 3: 1-150.
- KDIGO Anemia Work Group. KDIGO Clinical Practice
Guideline for Anemia in Chronic Kidney Disease. Kidney Int
Suppl 2012; 2: 279-335.
- National Kidney Foundation K/DOQI Workgroup. K/DOQI
clinical practice guidelines for nutrition in children with
chronic kidney disease. Am J Kidney Dis 2009; 53: 1-123.
- International Study of Kidney Disease in Children. Nephrotic
syndrome in children: prediction of histopathology from
clinical and laboratory characteristics at time of diagnosis.
Kidney Int 1978; 13: 159-165.
- Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carroll AE,
Daniels SR, de Ferranti SD, Dionne JM, Falkner B, Flinn SK et
al. Clinical Practice Guideline for Screening and Management
of High Blood Pressure in Children and Adolescents. Pediatrics.
2017; 140: e20171904.
- Kopple JD, Greene T, Chumlea WC, Hollinger D, Maroni BJ,
Merrill D, Scherch LK, Schulman G, Wang SR, Zimmer GS.
Relationship between nutritional status and the glomerular
filtration rate: results from the MDRD study. Kidney Int 2000;
57: 1688-1703.
- Lowrie EG, Lew NL. Death risk in hemodialysis patients:
the predictive value of commonly measured variables and an
evaluation of death rate differences between facilities. Am J
Kidney Dis 1990; 15: 458-482.
- Kaysen GA, Chertow GM, Adhikarla R, Young B, Ronco
C, Levin NW. Inflammation and dietary protein intake
exert competing effects on serum albumin and creatinine in
hemodialysis patients. Kidney Int 2001; 60: 333-340.
- Shi LJ, Liu C, Li JH, Zhu XY, Li YN, Li JT. Elevated levels of
soluble ST2 were associated with rheumatoid arthritis disease
activity and ameliorated inflammation in synovial fibroblasts.
Chin Med J (Engl) 2018; 131: 316-322.
- Hur M, Kim H, Kim HJ, Yang HS, Magrini L, Marino R,
Cardelli P, Di Somma S; GREAT Network. Soluble ST2 has a
prognostic role in patients with suspected sepsis. Ann Lab Med
2015; 35: 570-577.
- Mok MY, Huang FP, Ip WK, Lo Y, Wong FY, Chan EY,
Lam KF, Xu D. Serum levels of IL-33 and soluble ST2 and
their association with disease activity in systemic lupus
erythematosus. Rheumatology (Oxford) 2010; 49: 520-527.
- Bao YS, Na SP, Zhang P, Jia XB, Liu RC, Yu CY, Mu SH, Xie RJ.
Characterization of interleukin-33 and soluble ST2 in serum
and their association with disease severity in patients with
chronic kidney disease. J Clin Immunol 2012; 32: 587-594.
- Dieplinger B, Januzzi JL Jr, Steinmair M, Gabriel C, Poelz W,
Haltmayer M, Mueller T. Analytical and clinical evaluation of
a novel high-sensitivity assay for measurement of soluble ST2
in human plasma-the Presage ST2 assay. Clin Chim Acta 2009;
409: 33-40.
- Gaggin HK, Szymonifka J, Bhardwaj A, Belcher A, De
Berardinis B, Motiwala S, Wang TJ, Januzzi JL Jr. Head-tohead
comparison of serial soluble ST2, growth differentiation
factor-15, and highly-sensitive troponin T measurements in
patients with chronic heart failure. JACC Heart Fail 2014; 2:
65-72.
- Coglianese EE, Larson MG, Vasan RS, Ho JE, Ghorbani A,
McCabe EL, Cheng S, Fradley MG, Kretschman D, Gao W
et al. Distribution and clinical correlates of the interleukin
receptor family member soluble ST2 in the Framingham Heart
Study. Clin Chem 2012; 58: 1673-1681.
- Bartunek J, Delrue L, Van Durme F, Muller O, Casselman F,
De Wiest B, Croes R, Verstreken S, Goethals M, de Raedt H
et al. Nonmyocardial production of ST2 protein in human
hypertrophy and failure is related to diastolic load. J Am Coll
Cardiol 2008; 52: 2166-2174.
- Harrison DG, Guzik TJ, Lob HE, Madhur MS, Marvar PJ,
Thabet SR, Vinh A, Weyand CM. Inflammation, immunity,
and hypertension. Hypertension 2011; 57: 132-140.
- Remuzzi G, Perico N, Macia M, Ruggenenti P. The role of
renin-angiotensin-aldosterone system in the progression of
chronic kidney disease. Kidney Int Suppl 2005; 99: 57-65.
- Molnar MZ, Kalantar-Zadeh K, Lott EH, Lu JL, Malakauskas
SM, Ma JZ, Quarles DL, Kovesdy CP. Angiotensin-converting
enzyme inhibitor, angiotensin receptor blocker use, and
mortality in patients with chronic kidney disease. J Am Coll
Cardiol 2014; 63: 650-658.
- Tucker PS, Scanlan AT, Dalbo VJ. Chronic kidney disease
influences multiple systems: describing the relationship
between oxidative stress, inflammation, kidney damage,
and concomitant disease Oxid Med Cell Longev 2015; 2015:
806358.
- Hara A, Wada T, Furuichi K, Sakai N, Kawachi H, Shimizu
F, Shibuya M, Matsushima K, Yokoyama H, Egashira K et
al. Blockade of VEGF accelerates proteinuria, via decrease
in nephrin expression in rat crescentic glomerulonephritis.
Kidney Int 2006; 69: 1986-1995.
- Saito D, Maeshima Y, Nasu T, Yamasaki H, Tanabe K,
Sugiyama H, Sonoda H, Sato Y, Makino H. Amelioration of
renal alterations in obese type 2 diabetic mice by vasohibin-1,
a negative feedback regulator of angiogenesis. Am J Physiol
Renal Physiol 2011; 300: F873-F886.
- Hinamoto N, Maeshima Y, Saito D, Yamasaki H, Tanabe K,
Nasu T, Watatani H, Ujike H, Kinomura M, Sugiyama H et
al. Renal distribution of vasohibin-1 in patients with chronic
kidney disease. Acta Med Okayama 2014; 68: 219-233.
- Watatani H, Maeshima Y, Hinamoto N, Yamasaki H, Ujike H,
Tanabe K, Sugiyama H, Otsuka F, Sato Y, Makino H. Vasohibin-1
deficiency enhances renal fibrosis and inflammation after.
Physiol Rep 2014; 2: e12054.
- Hinamoto N, Maeshima Y, Saito D, Yamasaki H, Tanabe K,
Nasu T, Watatani H, Ujike H, Kinomura M, Sugiyama H et
al. Urinary and plasma levels of vasohibin-1 can predict renal
functional deterioration in patients with renal disorders. PLoS
One 2014; 9: e96932.
- Tan X, Li Y, Liu Y. Paricalcitol attenuates renal interstitial
fibrosis in obstructive nephropathy J Am Soc Nephrol 2006;
17: 3382-3393.
- Molina P, Górriz JL, Molina MD, Peris A, Beltrán S,
Kanter J, Escudero V, Romero R, Pallardó LM. The effect of
cholecalciferol for lowering albuminuria in chronic kidney
disease: a prospective controlled study. Nephrol Dial Transplant
2014; 29: 97-109.