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The Association between Serum Retinol-Binding Protein 4 Levels and Cardiovascular Events in Patients with Chronic Kidney Disease

Abstract Objective The study aimed to assess whether serum retinol-binding protein 4 (RBP4) is associated with a risk of cardiovascular (CV) events in chronic kidney disease (CKD) patients. Methods One hundred sixty-nine patients with CKD were followed for a mean of 36 months (range, 5–39 months). S...

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Published in:Laboratory medicine 2020-09, Vol.51 (5), p.491-497
Main Authors: Su, Yuhao, Huang, Ying, Jiang, Ying, Zhu, Meilan
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container_title Laboratory medicine
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creator Su, Yuhao
Huang, Ying
Jiang, Ying
Zhu, Meilan
description Abstract Objective The study aimed to assess whether serum retinol-binding protein 4 (RBP4) is associated with a risk of cardiovascular (CV) events in chronic kidney disease (CKD) patients. Methods One hundred sixty-nine patients with CKD were followed for a mean of 36 months (range, 5–39 months). Serum RBP4 and other laboratory indicators were measured at baseline. The relationship between RBP4 and the risk of CV events was evaluated by using Cox regression analysis. Results Patients with higher serum RBP4 levels had a higher rate of CV events and a higher mortality in a univariate analysis (P 33.86 mg/L) had a higher rate of CV events than did patients with RBP4 at or below the median value (≤33.86 mg/L; P 
doi_str_mv 10.1093/labmed/lmz104
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Methods One hundred sixty-nine patients with CKD were followed for a mean of 36 months (range, 5–39 months). Serum RBP4 and other laboratory indicators were measured at baseline. The relationship between RBP4 and the risk of CV events was evaluated by using Cox regression analysis. Results Patients with higher serum RBP4 levels had a higher rate of CV events and a higher mortality in a univariate analysis (P &lt; 0.001). The multivariate Cox proportional hazard analysis revealed that RBP4 (hazard ratio, 2.259; 95% confidence interval, 2.067–5.489; P = 0.002) is an independent prognostic factor for CV events in patients with CKD. Kaplan-Meier analysis demonstrated that patients with RBP4 above the median value (&gt;33.86 mg/L) had a higher rate of CV events than did patients with RBP4 at or below the median value (≤33.86 mg/L; P &lt; 0.001). Conclusion RBP4 levels are associated with CV events in patients with CKD. Elevated serum RBP4 levels may indicate an increased risk of CV complications in CKD patients.</description><identifier>ISSN: 0007-5027</identifier><identifier>EISSN: 1943-7730</identifier><identifier>DOI: 10.1093/labmed/lmz104</identifier><identifier>PMID: 31999339</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Aged ; Analysis ; Cardiac patients ; Cardiovascular Diseases - blood ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - mortality ; Care and treatment ; China - epidemiology ; Chronic kidney failure ; Female ; Health aspects ; Humans ; Kidney diseases ; Male ; Medical prognosis ; Middle Aged ; Mortality ; Proportional Hazards Models ; Prospective Studies ; Protein binding ; Renal Insufficiency, Chronic - blood ; Renal Insufficiency, Chronic - complications ; Retinoids ; Retinol-Binding Proteins, Plasma - metabolism ; Type 2 diabetes</subject><ispartof>Laboratory medicine, 2020-09, Vol.51 (5), p.491-497</ispartof><rights>Crown copyright 2020. 2020</rights><rights>Crown copyright 2020.</rights><rights>COPYRIGHT 2020 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-5a1e07994122adbbb4fcdd8e108c57dd195bbb84ff871cd2f13fa742042b5a003</citedby><cites>FETCH-LOGICAL-c460t-5a1e07994122adbbb4fcdd8e108c57dd195bbb84ff871cd2f13fa742042b5a003</cites><orcidid>0000-0002-4501-5447</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31999339$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Su, Yuhao</creatorcontrib><creatorcontrib>Huang, Ying</creatorcontrib><creatorcontrib>Jiang, Ying</creatorcontrib><creatorcontrib>Zhu, Meilan</creatorcontrib><title>The Association between Serum Retinol-Binding Protein 4 Levels and Cardiovascular Events in Patients with Chronic Kidney Disease</title><title>Laboratory medicine</title><addtitle>Lab Med</addtitle><description>Abstract Objective The study aimed to assess whether serum retinol-binding protein 4 (RBP4) is associated with a risk of cardiovascular (CV) events in chronic kidney disease (CKD) patients. Methods One hundred sixty-nine patients with CKD were followed for a mean of 36 months (range, 5–39 months). Serum RBP4 and other laboratory indicators were measured at baseline. The relationship between RBP4 and the risk of CV events was evaluated by using Cox regression analysis. Results Patients with higher serum RBP4 levels had a higher rate of CV events and a higher mortality in a univariate analysis (P &lt; 0.001). The multivariate Cox proportional hazard analysis revealed that RBP4 (hazard ratio, 2.259; 95% confidence interval, 2.067–5.489; P = 0.002) is an independent prognostic factor for CV events in patients with CKD. Kaplan-Meier analysis demonstrated that patients with RBP4 above the median value (&gt;33.86 mg/L) had a higher rate of CV events than did patients with RBP4 at or below the median value (≤33.86 mg/L; P &lt; 0.001). Conclusion RBP4 levels are associated with CV events in patients with CKD. Elevated serum RBP4 levels may indicate an increased risk of CV complications in CKD patients.</description><subject>Aged</subject><subject>Analysis</subject><subject>Cardiac patients</subject><subject>Cardiovascular Diseases - blood</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - mortality</subject><subject>Care and treatment</subject><subject>China - epidemiology</subject><subject>Chronic kidney failure</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Protein binding</subject><subject>Renal Insufficiency, Chronic - blood</subject><subject>Renal Insufficiency, Chronic - complications</subject><subject>Retinoids</subject><subject>Retinol-Binding Proteins, Plasma - metabolism</subject><subject>Type 2 diabetes</subject><issn>0007-5027</issn><issn>1943-7730</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqFkc1v1DAQxS1ERZfCkSuyxIVLWn8ljo_LUj7UlaignC3HnnRdJfZiJ1uVE386brdVBUJCPozn6TdPM3oIvaLkmBLFTwbTjeBOhvEnJeIJWlAleCUlJ0_RghAiq5oweYie53xVWqEa9gwdcqqU4lwt0K-LDeBlztF6M_kYcAfTNUDA3yDNI_4Kkw9xqN754Hy4xOcpTuADFngNOxgyNsHhlUnOx53Jdh5Mwqc7CFPGhTovlnf_az9t8GqTYvAWn3kX4Aa_9xlMhhfooDdDhpf39Qh9_3B6sfpUrb98_LxarisrGjJVtaFApFKCMmZc13Wit861QElra-kcVXURW9H3raTWsZ7y3kjBiGBdbQjhR-jt3neb4o8Z8qRHny0MgwkQ56wZF21LOBW8oG_-Qq_inELZTjMhuWxqWdNH6tIMoH3o45SMvTXVy0bJhgoqRaGO_0GV52D0NgbofdH_GKj2AzbFnBP0epv8aNKNpkTfJq73iet94oV_fb_sfCc_0A8RPx4e5-1_vH4DalW18A</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Su, Yuhao</creator><creator>Huang, Ying</creator><creator>Jiang, Ying</creator><creator>Zhu, Meilan</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4501-5447</orcidid></search><sort><creationdate>20200901</creationdate><title>The Association between Serum Retinol-Binding Protein 4 Levels and Cardiovascular Events in Patients with Chronic Kidney Disease</title><author>Su, Yuhao ; Huang, Ying ; Jiang, Ying ; Zhu, Meilan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-5a1e07994122adbbb4fcdd8e108c57dd195bbb84ff871cd2f13fa742042b5a003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Analysis</topic><topic>Cardiac patients</topic><topic>Cardiovascular Diseases - blood</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - mortality</topic><topic>Care and treatment</topic><topic>China - epidemiology</topic><topic>Chronic kidney failure</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Protein binding</topic><topic>Renal Insufficiency, Chronic - blood</topic><topic>Renal Insufficiency, Chronic - complications</topic><topic>Retinoids</topic><topic>Retinol-Binding Proteins, Plasma - metabolism</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Su, Yuhao</creatorcontrib><creatorcontrib>Huang, Ying</creatorcontrib><creatorcontrib>Jiang, Ying</creatorcontrib><creatorcontrib>Zhu, Meilan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Laboratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Su, Yuhao</au><au>Huang, Ying</au><au>Jiang, Ying</au><au>Zhu, Meilan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Association between Serum Retinol-Binding Protein 4 Levels and Cardiovascular Events in Patients with Chronic Kidney Disease</atitle><jtitle>Laboratory medicine</jtitle><addtitle>Lab Med</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>51</volume><issue>5</issue><spage>491</spage><epage>497</epage><pages>491-497</pages><issn>0007-5027</issn><eissn>1943-7730</eissn><abstract>Abstract Objective The study aimed to assess whether serum retinol-binding protein 4 (RBP4) is associated with a risk of cardiovascular (CV) events in chronic kidney disease (CKD) patients. Methods One hundred sixty-nine patients with CKD were followed for a mean of 36 months (range, 5–39 months). Serum RBP4 and other laboratory indicators were measured at baseline. The relationship between RBP4 and the risk of CV events was evaluated by using Cox regression analysis. Results Patients with higher serum RBP4 levels had a higher rate of CV events and a higher mortality in a univariate analysis (P &lt; 0.001). The multivariate Cox proportional hazard analysis revealed that RBP4 (hazard ratio, 2.259; 95% confidence interval, 2.067–5.489; P = 0.002) is an independent prognostic factor for CV events in patients with CKD. Kaplan-Meier analysis demonstrated that patients with RBP4 above the median value (&gt;33.86 mg/L) had a higher rate of CV events than did patients with RBP4 at or below the median value (≤33.86 mg/L; P &lt; 0.001). Conclusion RBP4 levels are associated with CV events in patients with CKD. Elevated serum RBP4 levels may indicate an increased risk of CV complications in CKD patients.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>31999339</pmid><doi>10.1093/labmed/lmz104</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4501-5447</orcidid><oa>free_for_read</oa></addata></record>
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source Oxford Journals Online
subjects Aged
Analysis
Cardiac patients
Cardiovascular Diseases - blood
Cardiovascular Diseases - etiology
Cardiovascular Diseases - mortality
Care and treatment
China - epidemiology
Chronic kidney failure
Female
Health aspects
Humans
Kidney diseases
Male
Medical prognosis
Middle Aged
Mortality
Proportional Hazards Models
Prospective Studies
Protein binding
Renal Insufficiency, Chronic - blood
Renal Insufficiency, Chronic - complications
Retinoids
Retinol-Binding Proteins, Plasma - metabolism
Type 2 diabetes
title The Association between Serum Retinol-Binding Protein 4 Levels and Cardiovascular Events in Patients with Chronic Kidney Disease
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