دورية أكاديمية

Increased neutrophil count Is associated with the development of chronic kidney disease in patients with diabetes.

التفاصيل البيبلوغرافية
العنوان: Increased neutrophil count Is associated with the development of chronic kidney disease in patients with diabetes.
المؤلفون: Zhang R; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China., Chen J; MaQiao Community Health Service Center, Shanghai, China., Xiong Y; Gumei Community Health Service Center, Shanghai, China., Wang L; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China., Huang X; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China., Sun T; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China., Zha B; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China., Wu Y; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China., Yan C; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China., Zang S; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China., Zhou Q; Kidney Disease Center, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.; Key Laboratory of Disease Prevention and Control Technology, Hangzhou, China.; National Key Clinical Department of Kidney Disease, Hangzhou, China.; Institute of Nephrology, Zhejiang University, Hangzhou, China.; The Third Grade Laboratory under the National State, Administration of Traditional Chinese Medicine, Hangzhou, China., Huang Z; Department of Genetics and Developmental Science, School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, China., Liu J; Department of Endocrinology, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
المصدر: Journal of diabetes [J Diabetes] 2022 Jul; Vol. 14 (7), pp. 442-454. Date of Electronic Publication: 2022 Jul 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Publishing Asia Country of Publication: Australia NLM ID: 101504326 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1753-0407 (Electronic) Linking ISSN: 17530407 NLM ISO Abbreviation: J Diabetes Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Richmond, Vic. : Blackwell Publishing Asia, 2009-
مواضيع طبية MeSH: Diabetes Mellitus* , Renal Insufficiency, Chronic*/complications , Renal Insufficiency, Chronic*/epidemiology, Cohort Studies ; Cross-Sectional Studies ; Disease Progression ; Humans ; Neutrophils ; Proportional Hazards Models ; Risk Factors
مستخلص: Background: This study aims to investigate the potential association of peripheral inflammatory blood cell parameters with the incidence and progression of chronic kidney disease (CKD) in patients with diabetes.
Methods: The cross-sectional study included 1192 subjects with diabetes derived from one center. The cohort study included 2060 subjects with diabetes derived from another two centers followed up for 4 years. Logistic regression and Cox proportional hazards models were used to evaluate the association of peripheral inflammatory blood cell with CKD.
Results: In the cross-sectional study, neutrophil count performed best as an independent risk factor for CKD (odds ratio 2.556 [95% confidence interval 1.111, 5.879]) even after 1:1 case-control matching for age, gender, history of high blood pressure and duration of diabetes. Spline regression revealed a significant linear association of CKD incidence with continuous neutrophil count in excess of 3.6 × 10 9 /L. In the cohort study, subjects were grouped based on tertile of neutrophil count and neutrophil-to-lymphocyte ratio. Cox regression analysis results showed that only neutrophil count was independently associated with CKD progression (the highest group vs. the lowest group, hazard ratio 2.293 [95% confidence interval 1.260, 4.171]) after fully adjusting for potential confounders. The cumulative incidence of CKD progression in patients with diabetes gradually increased with increasing neutrophil count (53 (7.7%) subjects in the lowest group vs. 60 (8.2%) in the middle group vs. 78 (12.2%) in the highest group).
Conclusions: This study suggested that neutrophil count is an independent risk factor for progression of CKD in patients with diabetes.
(© 2022 The Authors. Journal of Diabetes published by Ruijin Hospital, Shanghai JiaoTong University School of Medicine and John Wiley & Sons Australia, Ltd.)
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معلومات مُعتمدة: 201940295 Health Profession Clinical Research Funds of Shanghai Municipal Health Commission; ZK2019B15 Medical Key Faculty Foundation of Shanghai; 2020MW38 Minhang District Health Committee Project; 2019MHZ066 Natural Science Research Funds of Minhang District, Shanghai; 2018WYZD04 Scientific Research Project funded by Shanghai Fifth People's Hospital, Fudan University
فهرسة مساهمة: Keywords: chronic kidney disease; diabetes; inflammation; neutrophils; 中性粒细胞; 慢性肾脏疾病; 炎症; 糖尿病
Local Abstract: [Publisher, Chinese] 背景: 本研究旨在探讨糖尿病人中外周血炎性细胞参数与慢性肾脏疾病(CKD)的发生和发展之间的潜在相关性。 方法: 以1192名来自同一研究中心的受试者作为横断面研究。来自另外两个中心的2060名受试者随访4年,进入队列研究。采用Logistic回归和COX比例风险模型评价外周血炎性细胞与CKD的相关性。 结果: 在横断面研究中,即使在年龄、性别、高血压病史和糖尿病病程进行1:1病例对照匹配后,中性粒细胞计数仍然是CKD的最相关的独立危险因素(OR 2.556[95%CI 1.111,5.879])。样条回归显示CKD发病率与中性粒细胞计数持续超过3.6×10 9 /L呈显著线性相关。在队列研究中,受试者根据中性粒细胞计数和中性粒细胞/淋巴细胞比率的三分位进行分组。COX回归分析结果显示,在完全校正潜在混杂因素后,只有中性粒细胞计数与CKD进展独立相关(最高组vs.最低组,HR 2.293[95%CI 1.260,4.171])。随着中性粒细胞计数的增加,糖尿病患者CKD进展的累积发生率逐渐增加,最低组53例(7.7%),中间组60例(8.2%),最高组78例(12.2%)。 结论: 本研究提示中性粒细胞计数是糖尿病患者CKD进展的独立危险因素。.
تواريخ الأحداث: Date Created: 20220705 Date Completed: 20220726 Latest Revision: 20220727
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9310049
DOI: 10.1111/1753-0407.13292
PMID: 35789114
قاعدة البيانات: MEDLINE
الوصف
تدمد:1753-0407
DOI:10.1111/1753-0407.13292