Apolipoprotein A-IV concentrations and cancer in a large cohort of chronic kidney disease patients : results from the GCKD study
© 2024. The Author(s)..
BACKGROUND: Chronic kidney disease (CKD) is highly connected to inflammation and oxidative stress. Both favour the development of cancer in CKD patients. Serum apolipoprotein A-IV (apoA-IV) concentrations are influenced by kidney function and are an early marker of kidney impairment. Besides others, it has antioxidant and anti-inflammatory properties. Proteomic studies and small case-control studies identified low apoA-IV as a biomarker for various forms of cancer; however, prospective studies are lacking. We therefore investigated whether serum apoA-IV is associated with cancer in the German Chronic Kidney Disease (GCKD) study.
METHODS: These analyses include 5039 Caucasian patients from the prospective GCKD cohort study followed for 6.5 years. Main inclusion criteria were an eGFR of 30-60 mL/min/1.73m2 or an eGFR > 60 mL/min/1.73m2 in the presence of overt proteinuria.
RESULTS: Mean apoA-IV concentrations of the entire cohort were 28.9 ± 9.8 mg/dL (median 27.6 mg/dL). 615 patients had a history of cancer before the enrolment into the study. ApoA-IV concentrations above the median were associated with a lower odds for a history of cancer (OR = 0.79, p = 0.02 when adjusted age, sex, smoking, diabetes, BMI, albuminuria, statin intake, and eGFRcreatinine). During follow-up 368 patients developed an incident cancer event and those with apoA-IV above the median had a lower risk (HR = 0.72, 95%CI 0.57-0.90, P = 0.004). Finally, 62 patients died from such an incident cancer event and each 10 mg/dL higher apoA-IV concentrations were associated with a lower risk for fatal cancer (HR = 0.62, 95%CI 0.44-0.88, P = 0.007).
CONCLUSIONS: Our data indicate an association of high apoA-IV concentrations with reduced frequencies of a history of cancer as well as incident fatal and non-fatal cancer events in a large cohort of patients with CKD.
Errataetall: |
ErratumIn: BMC Cancer. 2024 Mar 19;24(1):348. - PMID 38504160 |
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Medienart: |
E-Artikel |
Erscheinungsjahr: |
2024 |
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Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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Enthalten in: |
BMC cancer - 24(2024), 1 vom: 07. März, Seite 320 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Kollerits, Barbara [VerfasserIn] |
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Links: |
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Themen: |
Apolipoprotein A-IV |
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Anmerkungen: |
Date Completed 11.03.2024 Date Revised 20.03.2024 published: Electronic ErratumIn: BMC Cancer. 2024 Mar 19;24(1):348. - PMID 38504160 Citation Status MEDLINE |
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doi: |
10.1186/s12885-024-12053-8 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM369441583 |
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500 | |a ErratumIn: BMC Cancer. 2024 Mar 19;24(1):348. - PMID 38504160 | ||
500 | |a Citation Status MEDLINE | ||
520 | |a © 2024. The Author(s). | ||
520 | |a BACKGROUND: Chronic kidney disease (CKD) is highly connected to inflammation and oxidative stress. Both favour the development of cancer in CKD patients. Serum apolipoprotein A-IV (apoA-IV) concentrations are influenced by kidney function and are an early marker of kidney impairment. Besides others, it has antioxidant and anti-inflammatory properties. Proteomic studies and small case-control studies identified low apoA-IV as a biomarker for various forms of cancer; however, prospective studies are lacking. We therefore investigated whether serum apoA-IV is associated with cancer in the German Chronic Kidney Disease (GCKD) study | ||
520 | |a METHODS: These analyses include 5039 Caucasian patients from the prospective GCKD cohort study followed for 6.5 years. Main inclusion criteria were an eGFR of 30-60 mL/min/1.73m2 or an eGFR > 60 mL/min/1.73m2 in the presence of overt proteinuria | ||
520 | |a RESULTS: Mean apoA-IV concentrations of the entire cohort were 28.9 ± 9.8 mg/dL (median 27.6 mg/dL). 615 patients had a history of cancer before the enrolment into the study. ApoA-IV concentrations above the median were associated with a lower odds for a history of cancer (OR = 0.79, p = 0.02 when adjusted age, sex, smoking, diabetes, BMI, albuminuria, statin intake, and eGFRcreatinine). During follow-up 368 patients developed an incident cancer event and those with apoA-IV above the median had a lower risk (HR = 0.72, 95%CI 0.57-0.90, P = 0.004). Finally, 62 patients died from such an incident cancer event and each 10 mg/dL higher apoA-IV concentrations were associated with a lower risk for fatal cancer (HR = 0.62, 95%CI 0.44-0.88, P = 0.007) | ||
520 | |a CONCLUSIONS: Our data indicate an association of high apoA-IV concentrations with reduced frequencies of a history of cancer as well as incident fatal and non-fatal cancer events in a large cohort of patients with CKD | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Apolipoprotein A-IV | |
650 | 4 | |a Cancer | |
650 | 4 | |a Inflammation | |
650 | 4 | |a Kidney function | |
650 | 4 | |a Prospective study | |
650 | 7 | |a apolipoprotein A-IV |2 NLM | |
650 | 7 | |a Apolipoproteins A |2 NLM | |
700 | 1 | |a Gruber, Simon |e verfasserin |4 aut | |
700 | 1 | |a Steinbrenner, Inga |e verfasserin |4 aut | |
700 | 1 | |a Schwaiger, Johannes P |e verfasserin |4 aut | |
700 | 1 | |a Weissensteiner, Hansi |e verfasserin |4 aut | |
700 | 1 | |a Schönherr, Sebastian |e verfasserin |4 aut | |
700 | 1 | |a Forer, Lukas |e verfasserin |4 aut | |
700 | 1 | |a Kotsis, Fruzsina |e verfasserin |4 aut | |
700 | 1 | |a Schultheiss, Ulla T |e verfasserin |4 aut | |
700 | 1 | |a Meiselbach, Heike |e verfasserin |4 aut | |
700 | 1 | |a Wanner, Christoph |e verfasserin |4 aut | |
700 | 1 | |a Eckardt, Kai-Uwe |e verfasserin |4 aut | |
700 | 1 | |a Kronenberg, Florian |e verfasserin |4 aut | |
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700 | 1 | |a Reis, André |e investigator |4 oth | |
700 | 1 | |a Ekici, Arif B |e investigator |4 oth | |
700 | 1 | |a Becker, Susanne |e investigator |4 oth | |
700 | 1 | |a Alberth-Schmidt, Ulrike |e investigator |4 oth | |
700 | 1 | |a Weigel, Anke |e investigator |4 oth | |
700 | 1 | |a Marschall, Sabine |e investigator |4 oth | |
700 | 1 | |a Schefler, Eugenia |e investigator |4 oth | |
700 | 1 | |a Walz, Gerd |e investigator |4 oth | |
700 | 1 | |a Köttgen, Anna |e investigator |4 oth | |
700 | 1 | |a Schultheiß, Ulla T |e investigator |4 oth | |
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700 | 1 | |a Mitsch, Erna |e investigator |4 oth | |
700 | 1 | |a Reinhard, Ursula |e investigator |4 oth | |
700 | 1 | |a Floege, Jürgen |e investigator |4 oth | |
700 | 1 | |a Saritas, Turgay |e investigator |4 oth | |
700 | 1 | |a Gross, Alice |e investigator |4 oth | |
700 | 1 | |a Schaeffner, Elke |e investigator |4 oth | |
700 | 1 | |a Baid-Agrawal, Seema |e investigator |4 oth | |
700 | 1 | |a Theisen, Kerstin |e investigator |4 oth | |
700 | 1 | |a Haller, Hermann |e investigator |4 oth | |
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700 | 1 | |a Nadal, Jennifer |e investigator |4 oth | |
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