Clinical significance of uremic toxin indoxyl sulfate and inflammation in the development of vascular calcification and cardiovascular complications in stage C3–C5D chronic kidney disease

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Abstract

Aim. To clarify the role of the uremic toxin indoxyl sulfate (IS) and inflammation in the development of vascular calcification and cardiovascular complications in chronic kidney disease (CKD).

Materials and methods. One hundred fifteen patients aged 25 to 68 years with CKD stage C3–C5D were examined. Serum concentrations of IS, interleukin 6 (IL-6), tumor necrosis factor (TNF-α), troponin I, parathyroid hormone were determined by enzyme immunoassay using kits from BluGene biotech (Shanghai, China), Cloud-Clone Corp. (USA), ELISA Kit (Biomedica, Austria).

Results. An increase in the serum concentration of IS, IL-6, TNF-α was revealed, which was significantly associated with a deterioration in renal function and changes in the morphological and functional parameters of the heart and aorta.

Conclusion. High concentrations of IS, IL-6, TNF-α, which are closely associated with an increase in renal failure and cardiovascular complications, indicate their significant role in vascular calcification, which underlies the damage to the cardiovascular system in CKD.

About the authors

Fatima U. Dzgoeva

North Ossetian State Medical Academy

Author for correspondence.
Email: fdzgoeva@mail.ru
ORCID iD: 0000-0002-7314-9063

д-р мед. наук, проф. каф. внутренних болезней №5

Russian Federation, Vladikavkaz

Oleg V. Remizov

North Ossetian State Medical Academy

Email: fdzgoeva@mail.ru
ORCID iD: 0000-0003-4175-5365

д-р мед. наук, проф. каф. лучевой диагностики с лучевой терапией и онкологией

Russian Federation, Vladikavkaz

Victoria G. Goloeva

North Ossetian State Medical Academy

Email: fdzgoeva@mail.ru
ORCID iD: 0000-0001-5310-889X

аспирант каф. внутренних болезней №5

Russian Federation, Vladikavkaz

Zarina R. Ikoeva

North Ossetian State Medical Academy

Email: fdzgoeva@mail.ru
ORCID iD: 0000-0002-4183-2335

аспирант каф. внутренних болезней №5

Russian Federation, Vladikavkaz

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Supplementary files

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2. Fig. 1. Relationships between the level of IS and left ventricular mass index in the group of patients as a whole (n=115). A strong direct correlation was found, especially pronounced in the group of high concentrations of IS and severe changes in LVMI (Spearman analysis).

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3. Fig. 2. Relationships between the level of IS and Vps in the group of patients as a whole (n=115). A strong direct correlation was found, especially pronounced in the group of high concentrations of IS and severe changes in Vps (Spearman analysis).

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