TY - JOUR T1 - Effects of GDF-15 Level in Patients with Membranous Nephropathy AU - Adıkozalova, Aıda AU - Usta Akgül, Sebahat AU - Demir, Erol AU - Şentürk Çiftçi, Hayriye AU - Oğuz, Fatma Savran AU - Yazıcı, Halil AU - Kekik Çınar, Çiğdem PY - 2024 DA - April Y2 - 2024 DO - 10.26650/experimed.1403563 JF - Experimed PB - Istanbul University WT - DergiPark SN - 2667-5846 SP - 40 EP - 45 VL - 14 IS - 1 LA - en AB - Objective: Nephrotic syndrome is the most frequent cause of membranous nephropathy (MN) in adults. Growth differentiation factor (GDF)-15 is a cytokine released under stress and associated with increased incidence of chronic kidney disease and/or decreased renal function in conditions such as diabetic nephropathy, IgA nephropathy, lupus nephritis, and primary MN. The diagnosis of MN is made by biopsy, which is an invasive procedure. A non-invasive biomarker is needed for timely and risk-free diagnosis. This study aimed to estimate the GDF-15 level in patients with MN to determine if it can be used as a noninvasive biomarker for the diagnosis of MN.Materials and Methods: The study included 88 patients with MN. Sera were obtained from peripheral blood collected from the patients. GDF-15 levels were analyzed using enzyme-linked immunosorbent assay (ELISA).Results: GDF-15 level was high in older patients that in younger patients. The glomerular filtration rate was low in patients with increased GDF-15 levels. Furthermore, a decrease in GDF-15 levels was observed in patients in remission.Conclusion: GDF-15 level may be used as a biomarker to predict the progression of MN rather than a diagnostic biomarker. KW - Membranous nephropathy KW - GDF-15 KW - ELISA CR - Stanescu HC, Arcos-Burgos M, Medlar A, Bockenhauer D, Kottgen A, Dragomirescu L, et al. Risk HLA-DQA1 and PLA2R1 alleles in idiopathic membranous nephropathy. N Engl J Med 2011; 364: 616-26. google scholar CR - Lai WL, Yeh TH, Chen PM, Chan CK, Chiang WC, Chen YM, et al. Membranous nephropathy: a review on the pathogenesis, diagnosis, and treatment. J Formos Med Assoc 2015; 114: 102-11. google scholar CR - Ham YR, Song CH, Bae HJ, Jeong JY, Yeo MK, Choi DE, et al. Growth differentiation factor-15 as a predictor of idiopathic membranous nephropathy progression: a retrospective study. Dis Markers 2018: 1463940. google scholar CR - Wu L, Luo L, Zhou L, Li N, Qin, X. GDF-15 and sST-2 act as biomarkers of disease severity but not independent predictors in idiopathic membranous nephropathy. Int Immunopharmacol 2022; 111: 109150. google scholar CR - Lajer M, Jorsal A, Tarnow L, Parving HH, Rossing P. Plasma growth differentiation factor- 15 independently predicts all-cause and cardiovascular mortality as well as deterioration of kidney function in type 1 diabetic patients with nephropathy. Diabetes Care 2010; 33: 1567- 72. google scholar CR - Ho JE, Hwang SJ, Wollert KC, Larson MG, Cheng S, Kempf T, et al. Biomarkers of cardiovascular stress and incident chronic kidney disease. Clin Chem 2013; 59: 1613-20. google scholar CR - Krintus M, Braga F, Kozinski M, Borille S, Kubica J, Sypniewska G, et al. A study of biological and lifestyle factors, including within-subject variation, affecting concentrations of growth differentiation factor 15 in serum. Clin Chem Lab Med 2019; 57(7): 1035-43. google scholar CR - Hamon S M, Griffin T P, Islam M N, Wall D, Griffin MD, O’Shea PM. Defining reference intervals for a serum growth differentiation factor-15 (GDF-15) assay in a Caucasian population and its potential utility in diabetic kidney disease (DKD). Clin Chem Lab Med 2019; 57(4): 510-20. google scholar CR - Zhu H, Han Q, Zhang D, Wang Y, Gao J, Yang X, et al. The clinicopathological features of patients with membranous nephropathy. Int J Nephrol Renovasc Dis 2018; 11: 33. google scholar CR - Breit SN, Johnen H, Cook AD, Mohammad MG, Kuffner T, Zhanget HP, et al. The TGF-0 superfamily cytokine, MIC-1/GDF15: a pleotrophic cytokine with roles in inflammation, cancer and metabolism. Growth Factors 2011; 29: 187-95. google scholar CR - Lankeit M, Kempf T, Dellas C, Cuny M, Tapken H, Peter T, et al. Growth differentiation factor-15 for prognostic assessment of patients with acute pulmonary embolism. Am J Respir Crit Care Med 2018; 177: 1018-25. google scholar CR - Ferrari N, Pfeffer U, Dell’Eva R, Ambrosini C, Noonan DM, Albini A. The transforming growth factor-0 family members bone morphogenetic protein-2 and macrophage inhibitory cytokine-1 as mediators of the antiangiogenic activity of N-(4-hydroxyphenyl) retinamide. Clin Cancer Res 2005; 11: 4610-19. google scholar CR - Kahli A, Guenancia C, Zeller M, Grosjean S, Stamboul K, Rochette L, et al. Growth differentiation factor-15 (GDF-15) levels are associated with cardiac and renal injury in patients undergoing coronary artery bypass grafting with cardiopulmonary bypass. PloS One 2014; 9(8): e105759. google scholar CR - Frimodt-M0ller M, von Scholten BJ, Reinhard H, Jacobsen PK, Hansen TW, Persson FI, et al. Growth differentiation factor-15 and fibroblast growth factor-23 are associated with mortality in type 2 diabetes-an observational follow-up study. PloS One 2018; 13(4): e0196634. google scholar CR - Kim JS, Kim S, Won CW, Jeong KH. Association between plasma levels of growth differentiation factor-15 and renal function in the elderly: Korean frailty and aging cohort study. Kidney Blood Press Res 2019; 44: 405-14. google scholar CR - Tuegel C, Katz R, Alam M, Bhat Z, Bellovich K, Boer L, et al. GDF-15, galectin 3, soluble ST2, and risk of mortality and cardiovascular events in CKD. Am J Kidney Dis 2018; 72: 519-28. google scholar CR - Breit SN, Carrero JJ, Tsai VWW, Yagoutifam N, Luo W, Kuffner T, et al. Macrophage inhibitory cytokine-1 (MIC-1/GDF15) and mortality in end-stage renal disease. Nephrol Dial Transplant 2012; 27: 70-5. google scholar CR - Zhang W, Chu HC, Xue F. Assessing preoperative plasma growth-differentiation factor- 15 for prediction of acute kidney injury in patients undergoing cardiac surgery. Critical Care 2017; 21: 53. google scholar CR - Short CD, Feehally J, Gokal R, Mallick NP. Familial membranous nephropathy. Br Med J 1984; 289: 1500. google scholar CR - World Health Organization: Nutritional anemias: Report of a WHO Scientific Group. World Health Organ Tech Rep Ser 1968; 405: 5-37. google scholar UR - https://doi.org/10.26650/experimed.1403563 L1 - https://dergipark.org.tr/en/download/article-file/3593765 ER -