Increased level of advanced glycation end-products in renal transplant patients is associated with decreased measured GFR and grafted kidney function

Background: Advanced glycation end-products (AGEs) cause proinflammatory responses and macromolecular damages. Advanced oxidation protein products (AOPPs) are protein biomarkers for oxidative stress. Levels of AGEs and AOPPs increase with the progression of chronic renal dysfunction. Objectives: In...

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Main Authors: Heshmatolah Shahbazian, Samaneh Salehipour Bavarsad, Hamid Yaghooti, Seyyed Mostafa Saadati, Samaneh Olapour
Format: Article
Language:English
Published: Society of Diabetic Nephropathy Prevention 2019-01-01
Series:Journal of Nephropathology
Subjects:
Online Access:https://nephropathol.com/PDF/jnp-8-03.pdf
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author Heshmatolah Shahbazian
Samaneh Salehipour Bavarsad
Hamid Yaghooti
Seyyed Mostafa Saadati
Samaneh Olapour
author_facet Heshmatolah Shahbazian
Samaneh Salehipour Bavarsad
Hamid Yaghooti
Seyyed Mostafa Saadati
Samaneh Olapour
author_sort Heshmatolah Shahbazian
collection DOAJ
description Background: Advanced glycation end-products (AGEs) cause proinflammatory responses and macromolecular damages. Advanced oxidation protein products (AOPPs) are protein biomarkers for oxidative stress. Levels of AGEs and AOPPs increase with the progression of chronic renal dysfunction. Objectives: In this study, we aimed to measure these species in patients with renal transplantation and to analyze their correlation with the measured glomerular filtration rate (GFR) and renal function parameters. Patients and Methods: Eighty renal transplant patients and normal subjects were recruited. GFR was measured by the two-sample plasma method with technetium-99m-labeled diethylenetriaminepentaacetic acid (TC99m-DTPA) clearance. Biochemical measurements included creatinine, cystatin C, urea, total protein, and pentosidine. Serum AGEs were determined using a fluorometric assay and AOPPs were estimated spectrophotometrically. Results: The measured GFR found to be significantly decreased in renal transplant patients compared to the control subjects (P< 0.001). Levels of AGEs, AOPPs, serum creatinine, and cystatin C were increased in renal transplant patients with lower values of measured GFR (mGFR). A significant association between the levels of AGEs species (serum fluorescence and pentosidine) and mGFR when adjusted for creatinine and other risk factors in multiple linear regression model analysis was found (P=0.05 and P=0.001, respectively). Conclusions: This study demonstrated increased levels of pentosidine and AGEs in transplant recipients were associated with decreased mGFR. Their accumulation can be predictive for the progression of chronic allograft loss of function.
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spelling doaj.art-3e2efa847a1b4737a7a2a48d37ec07182023-05-13T11:28:40ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192019-01-0181e03e0310.15171/jnp.2019.03jnp-20180109110136Increased level of advanced glycation end-products in renal transplant patients is associated with decreased measured GFR and grafted kidney functionHeshmatolah Shahbazian0Samaneh Salehipour Bavarsad1Hamid Yaghooti2Seyyed Mostafa Saadati3Samaneh Olapour4Department of Nephrology, Golestan General Hospital, Diabetes and CKD Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Biochemistry, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranHyperlipidemia Research Center, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranNuclear Medicine Department, Golestan General Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranStudent Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranBackground: Advanced glycation end-products (AGEs) cause proinflammatory responses and macromolecular damages. Advanced oxidation protein products (AOPPs) are protein biomarkers for oxidative stress. Levels of AGEs and AOPPs increase with the progression of chronic renal dysfunction. Objectives: In this study, we aimed to measure these species in patients with renal transplantation and to analyze their correlation with the measured glomerular filtration rate (GFR) and renal function parameters. Patients and Methods: Eighty renal transplant patients and normal subjects were recruited. GFR was measured by the two-sample plasma method with technetium-99m-labeled diethylenetriaminepentaacetic acid (TC99m-DTPA) clearance. Biochemical measurements included creatinine, cystatin C, urea, total protein, and pentosidine. Serum AGEs were determined using a fluorometric assay and AOPPs were estimated spectrophotometrically. Results: The measured GFR found to be significantly decreased in renal transplant patients compared to the control subjects (P< 0.001). Levels of AGEs, AOPPs, serum creatinine, and cystatin C were increased in renal transplant patients with lower values of measured GFR (mGFR). A significant association between the levels of AGEs species (serum fluorescence and pentosidine) and mGFR when adjusted for creatinine and other risk factors in multiple linear regression model analysis was found (P=0.05 and P=0.001, respectively). Conclusions: This study demonstrated increased levels of pentosidine and AGEs in transplant recipients were associated with decreased mGFR. Their accumulation can be predictive for the progression of chronic allograft loss of function.https://nephropathol.com/PDF/jnp-8-03.pdfrenal transplantationadvanced glycation end-productsallograft dysfunctionglomerular filtration rateend-stage renal diseaseoxidative stresschronic kidney disease
spellingShingle Heshmatolah Shahbazian
Samaneh Salehipour Bavarsad
Hamid Yaghooti
Seyyed Mostafa Saadati
Samaneh Olapour
Increased level of advanced glycation end-products in renal transplant patients is associated with decreased measured GFR and grafted kidney function
Journal of Nephropathology
renal transplantation
advanced glycation end-products
allograft dysfunction
glomerular filtration rate
end-stage renal disease
oxidative stress
chronic kidney disease
title Increased level of advanced glycation end-products in renal transplant patients is associated with decreased measured GFR and grafted kidney function
title_full Increased level of advanced glycation end-products in renal transplant patients is associated with decreased measured GFR and grafted kidney function
title_fullStr Increased level of advanced glycation end-products in renal transplant patients is associated with decreased measured GFR and grafted kidney function
title_full_unstemmed Increased level of advanced glycation end-products in renal transplant patients is associated with decreased measured GFR and grafted kidney function
title_short Increased level of advanced glycation end-products in renal transplant patients is associated with decreased measured GFR and grafted kidney function
title_sort increased level of advanced glycation end products in renal transplant patients is associated with decreased measured gfr and grafted kidney function
topic renal transplantation
advanced glycation end-products
allograft dysfunction
glomerular filtration rate
end-stage renal disease
oxidative stress
chronic kidney disease
url https://nephropathol.com/PDF/jnp-8-03.pdf
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AT seyyedmostafasaadati increasedlevelofadvancedglycationendproductsinrenaltransplantpatientsisassociatedwithdecreasedmeasuredgfrandgraftedkidneyfunction
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