Research Article

Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis

Volume: 47 Number: 1 March 17, 2020
  • Melahat Coban *
  • Ustun Yilmaz
  • Suleyman Dolu
  • Emre Asilturk
  • Yıldızkilar Sozer
  • Bekir Erol
  • Hamit Yasar Ellidag

Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis

Abstract

Objective: Peripheral vascular complications frequently seen in hemodialysis patients are associated with mortality. Fibroblast growth factor 23 (FGF23) is thought to be a phosphaturic hormone that causes mortality in hemodialysis patients. The purpose of our study was to determine the association of intact FGF23 (I-FGF23) with atherosclerotic peripheral vascular complications in patients on hemodialysis. Methods: This cross-sectional study was performed with 50 [28 (56%) male, 22 (44%) female] hemodialysis patients. Patient characteristics were compared with an age +- and sex-matched control group of 40 healthy volunteers. Atherosclerosis development was measured by carotid intima media thickness (CIMT) and arterial stiffness development was measured by brachial ankle pulse wave velocity (PWV) device. Results: Increased atherosclerosis and arterial stiffness were observed in patients with high I-FGF23 and low alpha klotho (α-KL) levels compared to healthy subjects. I-FGF23 showed an inverse and independent relationship between lipid profile. There was no relationship between I-FGF23 and atherosclerosis and arterial stiffness. Conclusion: There was no association between serum I-FGF23 and atherosclerotic peripheral vascular complications. The association between I-FGF23 and mortality may be due to cardiovascular events other than peripheral vascular complications in patients on hemodialysis.

Keywords

References

  1. 1. Liu S, Gupta A, Quarles LD. Emerging role of fibroblast growth factor 23 in a bone-kidney axis regulating systemic phosphate homeostasis and extracellular matrix mineralization. CurrOpinNephrolHypertens 2007; 16: 329-35.
  2. 2. O'Leary DH, Polak JF. Intima-media thickness: a tool for atherosclerosis imaging and event prediction. Am J Cardiol 2002; 90: 18L-21L.
  3. 3. Lindner A, Charra B, Sherrard DJ, Scribner BH. Accelerated atherosclerosis in prolonged maintenance hemodialysis. N Engl J Med 1974; 290: 697–701.
  4. 4. Balci M, Kirkpantur A, Gulbay M, Gurbuz A. Plasma fibroblast growth factor-23 levels are independently associated with carotid artery atherosclerosis in maintenance hemodialysis patients. HemodialInt 2010; 14: 425–32.
  5. 5. Turan MN, Kircelli F, Yaprak M, et al. FGF-23 levels are associated with vascular calcification, but not with atherosclerosis, in hemodialysis patients. IntUrolNephrol. 2016; 48: 609-17.
  6. 6. Mirza MA, Larsson A, Lind L, Larsson TE. Circulating fibroblast growth factor-23 is associated with vascular dysfunction in the community. Atherosclerosis 2009; 205: 385-90.
  7. 7. Desjardins L, Liabeuf S, Renard C, et al. FGF23 is independently associated with vascular calcification but not bone mineral density in patients at various CKD stages. OsteoporosInt 2012; 23: 2017-25.
  8. 8. Scialla JJ, Lau WL, Reilly MP, et al. Fibroblast growth factor 23 is not associated with and does not induce arterial calcification. Kidney Int 2013; 83: 1159-68.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Melahat Coban * This is me
Türkiye

Ustun Yilmaz This is me
Türkiye

Suleyman Dolu This is me
Türkiye

Emre Asilturk This is me
Türkiye

Yıldızkilar Sozer This is me
Türkiye

Bekir Erol This is me
Türkiye

Hamit Yasar Ellidag This is me
Türkiye

Publication Date

March 17, 2020

Submission Date

October 22, 2019

Acceptance Date

January 7, 2020

Published in Issue

Year 2020 Volume: 47 Number: 1

APA
Coban, M., Yilmaz, U., Dolu, S., Asilturk, E., Sozer, Y., Erol, B., & Ellidag, H. Y. (2020). Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis. Dicle Medical Journal, 47(1), 66-73. https://doi.org/10.5798/dicletip.706013
AMA
1.Coban M, Yilmaz U, Dolu S, et al. Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis. Dicle Medical Journal. 2020;47(1):66-73. doi:10.5798/dicletip.706013
Chicago
Coban, Melahat, Ustun Yilmaz, Suleyman Dolu, et al. 2020. “Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis”. Dicle Medical Journal 47 (1): 66-73. https://doi.org/10.5798/dicletip.706013.
EndNote
Coban M, Yilmaz U, Dolu S, Asilturk E, Sozer Y, Erol B, Ellidag HY (March 1, 2020) Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis. Dicle Medical Journal 47 1 66–73.
IEEE
[1]M. Coban et al., “Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis”, Dicle Medical Journal, vol. 47, no. 1, pp. 66–73, Mar. 2020, doi: 10.5798/dicletip.706013.
ISNAD
Coban, Melahat - Yilmaz, Ustun - Dolu, Suleyman - Asilturk, Emre - Sozer, Yıldızkilar - Erol, Bekir - Ellidag, Hamit Yasar. “Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis”. Dicle Medical Journal 47/1 (March 1, 2020): 66-73. https://doi.org/10.5798/dicletip.706013.
JAMA
1.Coban M, Yilmaz U, Dolu S, Asilturk E, Sozer Y, Erol B, Ellidag HY. Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis. Dicle Medical Journal. 2020;47:66–73.
MLA
Coban, Melahat, et al. “Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis”. Dicle Medical Journal, vol. 47, no. 1, Mar. 2020, pp. 66-73, doi:10.5798/dicletip.706013.
Vancouver
1.Melahat Coban, Ustun Yilmaz, Suleyman Dolu, Emre Asilturk, Yıldızkilar Sozer, Bekir Erol, Hamit Yasar Ellidag. Intact Fibroblast Growth Factor 23 and Peripheral Vascular Complications in Patients on Hemodialysis. Dicle Medical Journal. 2020 Mar. 1;47(1):66-73. doi:10.5798/dicletip.706013

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