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Licensed Unlicensed Requires Authentication Published by De Gruyter December 13, 2007

Changes in serum fetuin-A and inflammatory markers levels in end-stage renal disease (ESRD): effect of a single session haemodialysis

  • Marcello Ciaccio , Giulia Bivona , Riccardo Di Sciacca , Rossella Iatrino , Epifanio Di Natale , Maurizio Li Vecchi and Chiara Bellia

Abstract

Background: The aim of the present study was to evaluate the effect of a single haemodialysis (HD) session on serum fetuin-A levels, considered a negative acute phase response marker; moreover, we evaluated the behaviour of fibrinogen and high sensitivity C-reactive protein (hsCRP) as acute phase response and chronic/subclinical inflammation markers, respectively, after a single HD session.

Methods: Serum fetuin-A, albumin, hsCRP and fibrinogen were measured in 72 patients before and after a single HD session.

Results: After a single HD session, we observed a significant increase in fibrinogen levels, while fetuin-A levels decreased (p<0.05). Also, hsCRP levels were significantly increased.

Conclusions: The significant decrease of fetuin-A levels after a single HD session is consistent with the hypothesis of HD-induced inflammation; activated acute phase response and fetuin-A deficiency might account for increased cardiovascular risk and accelerated atherogenesis in dialysis patients.

Clin Chem Lab Med 2008;46:212–4.


Corresponding author: Prof. Marcello Ciaccio, MD, Chair of Clinical Biochemistry, Faculty of Medicine, University of Palermo, Policlinico Universitario – Via del Vespro, 129 – 90127 Palermo, Italy Phone: +39-091-6553296, Fax: +39-091-6553275,

Received: 2007-8-22
Accepted: 2007-10-5
Published Online: 2007-12-13
Published in Print: 2008-02-01

©2008 by Walter de Gruyter Berlin New York

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