Serum Cystatin C in Patients with Delayed Graft Function

Despite recent studies showing that serum Cystatin C (CysC) is a better marker for glomerular filtration rate (GFR) than the ubiquitously used creatinine, the clinical utility of these findings remains to be evaluated. This marker is very sensitive for allograft function after renal transplantation....

Full description

Bibliographic Details
Main Authors: Boncheva M., Gruev T., Nikolov G.
Format: Article
Language:English
Published: Sciendo 2016-03-01
Series:Acta Medica Bulgarica
Subjects:
Online Access:https://doi.org/10.1515/amb-2016-0002
_version_ 1818401303334748160
author Boncheva M.
Gruev T.
Nikolov G.
author_facet Boncheva M.
Gruev T.
Nikolov G.
author_sort Boncheva M.
collection DOAJ
description Despite recent studies showing that serum Cystatin C (CysC) is a better marker for glomerular filtration rate (GFR) than the ubiquitously used creatinine, the clinical utility of these findings remains to be evaluated. This marker is very sensitive for allograft function after renal transplantation. The concentration of CysC was compared with that of the creatinine. Decreased renal function was followed in 64 transplanted patients. Serum CysC significantly correlated with creatinine in healthy controls (r = 0.625, p < 0.0001), whereas in the transplanted patients the mean serum creatinine and CysC concentrations were: 81 ± 13 mmol/L and 0.90 ± 0.22 mg/L, respectively. Serum CysC and creatinine significantly correlated throughout the post transplantation period (r = 0.686, p < 0.001), but we confirmed differences between kinetics of these parameters. In the first four days after transplantation the CysC concentration was normalized faster than the creatinine concentration. Development of acute rejection episode (between 5 and 7 days) showed high sensitivity and specificity of the changes of CysC compared with those of creatinine.
first_indexed 2024-12-14T07:50:19Z
format Article
id doaj.art-a3fe18d0903b4baf989b5cd0e5dc6aef
institution Directory Open Access Journal
issn 0324-1750
language English
last_indexed 2024-12-14T07:50:19Z
publishDate 2016-03-01
publisher Sciendo
record_format Article
series Acta Medica Bulgarica
spelling doaj.art-a3fe18d0903b4baf989b5cd0e5dc6aef2022-12-21T23:10:44ZengSciendoActa Medica Bulgarica0324-17502016-03-01431142210.1515/amb-2016-0002amb-2016-0002Serum Cystatin C in Patients with Delayed Graft FunctionBoncheva M.0Gruev T.1Nikolov G.2Medical University of Varna, BulgariaDepartment of Nephrology, Institute of Clinical Biochemistry, University Clinical Center, Skopje, Macedonia, Vodnjanska str.17 1000 Skopje, Macedonia tel. ++389 2 119 080++ 389 2 112 539Medical University of Varna, BulgariaDespite recent studies showing that serum Cystatin C (CysC) is a better marker for glomerular filtration rate (GFR) than the ubiquitously used creatinine, the clinical utility of these findings remains to be evaluated. This marker is very sensitive for allograft function after renal transplantation. The concentration of CysC was compared with that of the creatinine. Decreased renal function was followed in 64 transplanted patients. Serum CysC significantly correlated with creatinine in healthy controls (r = 0.625, p < 0.0001), whereas in the transplanted patients the mean serum creatinine and CysC concentrations were: 81 ± 13 mmol/L and 0.90 ± 0.22 mg/L, respectively. Serum CysC and creatinine significantly correlated throughout the post transplantation period (r = 0.686, p < 0.001), but we confirmed differences between kinetics of these parameters. In the first four days after transplantation the CysC concentration was normalized faster than the creatinine concentration. Development of acute rejection episode (between 5 and 7 days) showed high sensitivity and specificity of the changes of CysC compared with those of creatinine.https://doi.org/10.1515/amb-2016-0002renal transplantationdelayed graft functioncystatin c
spellingShingle Boncheva M.
Gruev T.
Nikolov G.
Serum Cystatin C in Patients with Delayed Graft Function
Acta Medica Bulgarica
renal transplantation
delayed graft function
cystatin c
title Serum Cystatin C in Patients with Delayed Graft Function
title_full Serum Cystatin C in Patients with Delayed Graft Function
title_fullStr Serum Cystatin C in Patients with Delayed Graft Function
title_full_unstemmed Serum Cystatin C in Patients with Delayed Graft Function
title_short Serum Cystatin C in Patients with Delayed Graft Function
title_sort serum cystatin c in patients with delayed graft function
topic renal transplantation
delayed graft function
cystatin c
url https://doi.org/10.1515/amb-2016-0002
work_keys_str_mv AT bonchevam serumcystatincinpatientswithdelayedgraftfunction
AT gruevt serumcystatincinpatientswithdelayedgraftfunction
AT nikolovg serumcystatincinpatientswithdelayedgraftfunction