APOLIPOPROTEIN B/A1 IS INDEPENDENTLY ASSOCIATED WITH CAROTID INTIMAL-MEDIAL THICKNESS IN CHRONIC KIDNEY DISEASE PATIENTS.

• Main Authors: Il Young Ki (Author), m (Author), Soo Bong Lee (Author), Dong Won Lee (Author), In Hye Hwang (Author), Kyung Nam Lee (Author), Min Ji Shin (Author), Harin Rhee (Author), Sang Heon Song (Author), Eun Young Seong (Author), Ihm Soo Kwak (Author)
• Format: Book
• Published: The Korean Society of Nephrology, 2012-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Serum apolipoprotein B/A1 (apo B/A1) ratio has been known for strong predictor of cardiovascular disease (CVD). Measuring carotid artery intimal-medial thickness (CIMT) is non-invasive modality used to evaluate subclinical atherosclerosis and to predict future cardiovascular disease. The objective of this study is to evaluate the association between apo B/A1 and CIMT in chronic kidney disease (CKD).We retrospectively reviewed the 293 patients who had visited health promotion center in a single community. The patients were divided into 2 group which are CKD group (n=99, estimated glomerular filtration rate (eGFR): 15-59 mL/min) and non-CKD group (n=194, eGFR ≥ 60 mL/min). Age, sex, presence of diabetes mellitus (DM)/hypertension, smoking status, eGFR, body mass index, and various biochemical blood examinations (serum LDL/HDL cholesterol, serum homocystein, and serum apo B/A1 ratio) were evaluated in each patient. CIMT was measured by high-resolution B-mode ultrasonography. Multivariate linear regression analysis was performed to investigate which factors are associated with CIMT in each of 2 groups. In CKD group, age (β=0.163, p=0.024), presence of hypertension (β=0.208, p=0.006), and presence of DM (β=0.236, p=0.002) were independently associated with CIMT adjustment for other confounding factors. However, in CKD group, serum apo B/A1 (β=0.572, p<0.001), presence of HTN (β=0.360, p=0.001), and presence of DM (β=0.194 p=0.023) contributed to CIMT independently after adjustment for other confounding factors. In conclusion, this study showed serum apo B/A1 ratio was independently associated with CIMT only in CKD group, not in non-CKD group. Because CIMT is a strong predictor of CVD, the result of this study demonstrates serum apo B/A1 ratio could be included in cardiovascular risk stratification in CKD patients

Item Description

2211-9132
10.1016/j.krcp.2012.04.441