Circulating 20S proteasome is independently associated with abdominal muscle mass in hemodialysis patients.

Protein-energy wasting is highly prevalent in hemodialysis patients, and it contributes to patient morbidity and mortality. The ubiquitin-proteasome system is the major pathway for intracellular protein degradation and it is involved in the regulation of basic cellular processes. However, the role o...

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Main Authors: Hirotaka Fukasawa, Mai Kaneko, Hiroki Niwa, Takashi Matsuyama, Hideo Yasuda, Hiromichi Kumagai, Ryuichi Furuya
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4372611?pdf=render
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author Hirotaka Fukasawa
Mai Kaneko
Hiroki Niwa
Takashi Matsuyama
Hideo Yasuda
Hiromichi Kumagai
Ryuichi Furuya
author_facet Hirotaka Fukasawa
Mai Kaneko
Hiroki Niwa
Takashi Matsuyama
Hideo Yasuda
Hiromichi Kumagai
Ryuichi Furuya
author_sort Hirotaka Fukasawa
collection DOAJ
description Protein-energy wasting is highly prevalent in hemodialysis patients, and it contributes to patient morbidity and mortality. The ubiquitin-proteasome system is the major pathway for intracellular protein degradation and it is involved in the regulation of basic cellular processes. However, the role of this system in the determination of nutritional status is largely unknown. To examine a relationship between protein-energy wasting and the ubiquitin-proteasome system, a cross-sectional study of 76 hemodialysis patients was performed. Plasma concentrations of 20S proteasome were studied to evaluate its association with muscle and fat mass, which were investigated by abdominal muscle and fat areas measured using computed tomography and by creatinine production estimated using the creatinine kinetic model. Plasma 20S proteasome concentrations significantly and negatively correlated with abdominal muscle areas and creatinine production (rho = -0.263, P < 0.05 and rho = -0.241, P < 0.05, respectively), but not abdominal subcutaneous and visceral fat areas. Multiple regression analyses showed that 20S proteasome was a significant independent predictor of abdominal muscle area (P < 0.05). In conclusion, plasma 20S proteasome concentrations were independently associated with abdominal muscle mass in hemodialysis patients. Our findings indicate a relationship between circulating 20S proteasomes and muscle metabolism in these patients.UMIN Clinical Trials Registry UMIN000012341.
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spelling doaj.art-700b153a51e54155b92cbe4ea2bbdf172022-12-21T19:05:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01103e012135210.1371/journal.pone.0121352Circulating 20S proteasome is independently associated with abdominal muscle mass in hemodialysis patients.Hirotaka FukasawaMai KanekoHiroki NiwaTakashi MatsuyamaHideo YasudaHiromichi KumagaiRyuichi FuruyaProtein-energy wasting is highly prevalent in hemodialysis patients, and it contributes to patient morbidity and mortality. The ubiquitin-proteasome system is the major pathway for intracellular protein degradation and it is involved in the regulation of basic cellular processes. However, the role of this system in the determination of nutritional status is largely unknown. To examine a relationship between protein-energy wasting and the ubiquitin-proteasome system, a cross-sectional study of 76 hemodialysis patients was performed. Plasma concentrations of 20S proteasome were studied to evaluate its association with muscle and fat mass, which were investigated by abdominal muscle and fat areas measured using computed tomography and by creatinine production estimated using the creatinine kinetic model. Plasma 20S proteasome concentrations significantly and negatively correlated with abdominal muscle areas and creatinine production (rho = -0.263, P < 0.05 and rho = -0.241, P < 0.05, respectively), but not abdominal subcutaneous and visceral fat areas. Multiple regression analyses showed that 20S proteasome was a significant independent predictor of abdominal muscle area (P < 0.05). In conclusion, plasma 20S proteasome concentrations were independently associated with abdominal muscle mass in hemodialysis patients. Our findings indicate a relationship between circulating 20S proteasomes and muscle metabolism in these patients.UMIN Clinical Trials Registry UMIN000012341.http://europepmc.org/articles/PMC4372611?pdf=render
spellingShingle Hirotaka Fukasawa
Mai Kaneko
Hiroki Niwa
Takashi Matsuyama
Hideo Yasuda
Hiromichi Kumagai
Ryuichi Furuya
Circulating 20S proteasome is independently associated with abdominal muscle mass in hemodialysis patients.
PLoS ONE
title Circulating 20S proteasome is independently associated with abdominal muscle mass in hemodialysis patients.
title_full Circulating 20S proteasome is independently associated with abdominal muscle mass in hemodialysis patients.
title_fullStr Circulating 20S proteasome is independently associated with abdominal muscle mass in hemodialysis patients.
title_full_unstemmed Circulating 20S proteasome is independently associated with abdominal muscle mass in hemodialysis patients.
title_short Circulating 20S proteasome is independently associated with abdominal muscle mass in hemodialysis patients.
title_sort circulating 20s proteasome is independently associated with abdominal muscle mass in hemodialysis patients
url http://europepmc.org/articles/PMC4372611?pdf=render
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