Document Detail


Endothelial progenitor cells in kidney transplant recipients.
MedLine Citation:
PMID:  16495809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Lower concentrations of endothelial progenitor cells (EPCs) may be associated with increased cardiovascular risk. EPC counts and their correlates have not yet been studied in kidney transplant recipients (KTR). METHODS: We cross-sectionally studied EPC counts in 105 middle-aged KTR (mean estimated glomerular filtration rate 45.2 ml/min/1.73 m; range: 5.4 to 117.5). Using univariate and multivariate linear regression assuming a gamma distribution of the outcome, we examined the associations between counts of cultured EPCs and traditional cardiovascular disease risk factors (hypertension, diabetes, hyperlipidemia, smoking), kidney function, and immunosuppressive agents, amongst others. RESULTS: The median count of cultured EPCs was 34 cells per high-power field (interquartile range: 19 to 64), comparable to healthy individuals. From multivariate analyses, we found independent inverse associations between counts of cultured EPCs and body mass index, mean arterial pressure, and history of cardiovascular disease. Statin use was associated with greater EPC counts, whereas patients receiving azathioprine or angiotensin II receptor treatment had lower EPC counts (all P<0.01). CONCLUSIONS: This study suggests negative associations in KTR between EPC counts and body mass index, and blood pressure, whereas statin use was associated with greater EPC counts. These findings raise the hypothesis whether EPCs are responsible, at least in part, for the well established associations between these factors and cardiovascular outcomes in KTR.
Authors:
Sabine Steiner; Wolfgang C Winkelmayer; Julia Kleinert; Johannes Grisar; Daniela Seidinger; Christoph W Kopp; Bruno Watschinger; Erich Minar; Walter H Hörl; Manuela Födinger; Gere Sunder-Plassmann
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Transplantation     Volume:  81     ISSN:  0041-1337     ISO Abbreviation:  Transplantation     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-23     Completed Date:  2006-04-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0132144     Medline TA:  Transplantation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  599-606     Citation Subset:  IM    
Affiliation:
Division of Angiology, Department of Medicine II, Medical University Vienna, Vienna, Austria.
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MeSH Terms
Descriptor/Qualifier:
Antigens, CD / blood
Cell Culture Techniques
Creatinine / blood
Cross-Sectional Studies
Endothelium, Vascular / cytology*
Female
Graft Survival / physiology
Hematopoietic Stem Cells / cytology*
Humans
Kidney Transplantation / immunology,  physiology*
Male
Middle Aged
Chemical
Reg. No./Substance:
0/Antigens, CD; 60-27-5/Creatinine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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