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Living kidney donation does not adversely affect serum calcification propensity and markers of vascular stiffness

Pasch, Andreas
Published in Transplant International. 2015, vol. 28, no. 9, p. 1074-1080
Abstract Living kidney donors (LKDs) experience a decline in glomerular filtration rate (GFR) after donation. Calcification propensity (T50 ) can be determined by a blood test predicting all-cause mortality in patients with chronic kidney disease. We studied the impact of kidney donation on T50 and markers of arterial stiffness. We analyzed T50 prospectively before and 1 year after kidney donation in 21 LKDs along with fetuin-A, mineral metabolism markers, kidney length, pulse wave velocity (PWV), augmentation index (AI), and renal resistive index (RRI) as markers of arterial stiffness. We studied the impact of kidney donation on these parameters. LKDs were 54 ± 10 years old and had a GFR of 101 ± 18 ml/min/1.73 m(2) before donation, decreasing to 67 ± 8 ml/min/1.73 m(2) after donation (P < 0.001). Despite this, T50 improved after donation (290 ± 53 to 312 ± 38 min, P = 0.049). This change was inversely related to plasma phosphate (P = 0.03), which declined after donation (P = 0.002). Fetuin-A levels increased after donation (P = 0.01). Upon donation, the length of the remaining kidney increased (P < 0.001) while PWV, AI, and RRI remained unchanged. Calcification propensity was not adversely affected by kidney donation. This indicates that T50 is independent from GFR in LKDs and that kidney donation does neither worsen calcification propensity nor markers of vascular stiffness at 1 year.
Keywords AdultAgedArteries/pathologyCalcinosis/bloodDisease ProgressionFemaleGlomerular Filtration RateHumansKidney/metabolism/pathologyKidney Failure, Chronic/blood/mortality/surgeryKidney Transplantation/methodsLiving DonorsMaleMiddle AgedNephrectomyPhosphates/chemistryProspective StudiesPulse Wave AnalysisTissue and Organ HarvestingVascular Stiffnessalpha-2-HS-Glycoprotein/metabolism
PMID: 25903063
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Research groups Groupe Pierre-Yves Martin (néphrologie) (30)
Insuffisance rénale chronique (941)
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DE SEIGNEUX MATTHEY, Sophie et al. Living kidney donation does not adversely affect serum calcification propensity and markers of vascular stiffness. In: Transplant International, 2015, vol. 28, n° 9, p. 1074-1080. doi: 10.1111/tri.12595 https://archive-ouverte.unige.ch/unige:89625

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Deposited on : 2016-11-30

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