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

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC cancer - 24(2024), 1 vom: 07. März, Seite 320

Sprache:

Englisch

Beteiligte Personen:

Kollerits, Barbara [VerfasserIn]
Gruber, Simon [VerfasserIn]
Steinbrenner, Inga [VerfasserIn]
Schwaiger, Johannes P [VerfasserIn]
Weissensteiner, Hansi [VerfasserIn]
Schönherr, Sebastian [VerfasserIn]
Forer, Lukas [VerfasserIn]
Kotsis, Fruzsina [VerfasserIn]
Schultheiss, Ulla T [VerfasserIn]
Meiselbach, Heike [VerfasserIn]
Wanner, Christoph [VerfasserIn]
Eckardt, Kai-Uwe [VerfasserIn]
Kronenberg, Florian [VerfasserIn]
GCKD Investigators [VerfasserIn]
Schneider, Markus P [Sonstige Person]
Schiffer, Mario [Sonstige Person]
Prokosch, Hans-Ulrich [Sonstige Person]
Bärthlein, Barbara [Sonstige Person]
Beck, Andreas [Sonstige Person]
Reis, André [Sonstige Person]
Ekici, Arif B [Sonstige Person]
Becker, Susanne [Sonstige Person]
Alberth-Schmidt, Ulrike [Sonstige Person]
Weigel, Anke [Sonstige Person]
Marschall, Sabine [Sonstige Person]
Schefler, Eugenia [Sonstige Person]
Walz, Gerd [Sonstige Person]
Köttgen, Anna [Sonstige Person]
Schultheiß, Ulla T [Sonstige Person]
Meder, Simone [Sonstige Person]
Mitsch, Erna [Sonstige Person]
Reinhard, Ursula [Sonstige Person]
Floege, Jürgen [Sonstige Person]
Saritas, Turgay [Sonstige Person]
Gross, Alice [Sonstige Person]
Schaeffner, Elke [Sonstige Person]
Baid-Agrawal, Seema [Sonstige Person]
Theisen, Kerstin [Sonstige Person]
Haller, Hermann [Sonstige Person]
Zeier, Martin [Sonstige Person]
Sommerer, Claudia [Sonstige Person]
Aykac, Mehtap [Sonstige Person]
Wolf, Gunter [Sonstige Person]
Busch, Martin [Sonstige Person]
Steiner, Andy [Sonstige Person]
Sitter, Thomas [Sonstige Person]
Krane, Vera [Sonstige Person]
Börner-Klein, Antje [Sonstige Person]
Bauer, Britta [Sonstige Person]
Oefner, Peter [Sonstige Person]
Gronwald, Wolfram [Sonstige Person]
Schmid, Matthias [Sonstige Person]
Nadal, Jennifer [Sonstige Person]

Links:

Volltext

Themen:

Apolipoprotein A-IV
Apolipoproteins A
Cancer
Inflammation
Journal Article
Kidney function
Prospective study

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

doi:

10.1186/s12885-024-12053-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369441583