The association between novel urinary kidney damage biomarkers and coronary atherosclerosis in an apparently healthy population
(2024) In Scientific Reports 14(1).- Abstract
Several novel urinary kidney damage biomarkers predict the progression of kidney disease. However, the relations of these biomarkers to atherosclerosis, a major consequence of kidney disease, are less studied. Urinary levels of several biomarkers, including kidney injury molecule-1 (KIM-1), osteopontin, epidermal growth factor, and Dickkopf-3, were assessed in participants enrolled in the Swedish CArdioPulmonary BioImage Study. The study included 9,628 individuals with a mean age of 57.5 years, of which 52.4% were women. The presence of coronary artery stenosis and the coronary artery calcium score (CACS) were determined using coronary computed tomography angiography. To analyze the associations between coronary atherosclerosis and... (More)
Several novel urinary kidney damage biomarkers predict the progression of kidney disease. However, the relations of these biomarkers to atherosclerosis, a major consequence of kidney disease, are less studied. Urinary levels of several biomarkers, including kidney injury molecule-1 (KIM-1), osteopontin, epidermal growth factor, and Dickkopf-3, were assessed in participants enrolled in the Swedish CArdioPulmonary BioImage Study. The study included 9,628 individuals with a mean age of 57.5 years, of which 52.4% were women. The presence of coronary artery stenosis and the coronary artery calcium score (CACS) were determined using coronary computed tomography angiography. To analyze the associations between coronary atherosclerosis and urinary biomarker levels, an ordered logistic regression model adusting for confounding factors was employed. KIM-1 was the only biomarker associated with both coronary stenosis and CACS after adjusting for established cardiovascular risk factors (odds ratio [95% confidence intervals], 1.23[1.05–1.44] and 1.25[1.07–1.47]). These results were consistent in sensitivity analyses of individuals without hypertension, diabetes, or known cardiovascular disease and with normal kidney function. Urinary KIM-1, a specific marker of proximal tubular damage, was robustly linked to coronary atherosclerosis even in apparently healthy individuals, which suggests that the detrimental interplay between the kidney and cardiovascular system begins before clinically overt kidney disease. Additional studies are warranted to evaluate the urinary KIM-1 to predict kidney and cardiovascular disease.
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- author
- Lin, Yi Ting ; Wuopio, Jonas ; Larsson, Anders ; Malinovschi, Andrei LU ; Feldreich, Tobias ; Engström, Gunnar LU ; Fall, Tove and Ärnlöv, Johan
- organization
- publishing date
- 2024-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Coronary atherosclerosis, Dickkopf-3, Epidermal growth factor, Kidney injury molecule-1, Osteopontin
- in
- Scientific Reports
- volume
- 14
- issue
- 1
- article number
- 29215
- publisher
- Nature Publishing Group
- external identifiers
-
- pmid:39587192
- scopus:85210101147
- ISSN
- 2045-2322
- DOI
- 10.1038/s41598-024-80321-5
- language
- English
- LU publication?
- yes
- id
- 30866595-28bc-4028-93af-f9ed4877a0a6
- date added to LUP
- 2025-01-07 10:35:59
- date last changed
- 2025-06-10 23:02:58
@article{30866595-28bc-4028-93af-f9ed4877a0a6,
abstract = {{<p>Several novel urinary kidney damage biomarkers predict the progression of kidney disease. However, the relations of these biomarkers to atherosclerosis, a major consequence of kidney disease, are less studied. Urinary levels of several biomarkers, including kidney injury molecule-1 (KIM-1), osteopontin, epidermal growth factor, and Dickkopf-3, were assessed in participants enrolled in the Swedish CArdioPulmonary BioImage Study. The study included 9,628 individuals with a mean age of 57.5 years, of which 52.4% were women. The presence of coronary artery stenosis and the coronary artery calcium score (CACS) were determined using coronary computed tomography angiography. To analyze the associations between coronary atherosclerosis and urinary biomarker levels, an ordered logistic regression model adusting for confounding factors was employed. KIM-1 was the only biomarker associated with both coronary stenosis and CACS after adjusting for established cardiovascular risk factors (odds ratio [95% confidence intervals], 1.23[1.05–1.44] and 1.25[1.07–1.47]). These results were consistent in sensitivity analyses of individuals without hypertension, diabetes, or known cardiovascular disease and with normal kidney function. Urinary KIM-1, a specific marker of proximal tubular damage, was robustly linked to coronary atherosclerosis even in apparently healthy individuals, which suggests that the detrimental interplay between the kidney and cardiovascular system begins before clinically overt kidney disease. Additional studies are warranted to evaluate the urinary KIM-1 to predict kidney and cardiovascular disease.</p>}},
author = {{Lin, Yi Ting and Wuopio, Jonas and Larsson, Anders and Malinovschi, Andrei and Feldreich, Tobias and Engström, Gunnar and Fall, Tove and Ärnlöv, Johan}},
issn = {{2045-2322}},
keywords = {{Coronary atherosclerosis; Dickkopf-3; Epidermal growth factor; Kidney injury molecule-1; Osteopontin}},
language = {{eng}},
number = {{1}},
publisher = {{Nature Publishing Group}},
series = {{Scientific Reports}},
title = {{The association between novel urinary kidney damage biomarkers and coronary atherosclerosis in an apparently healthy population}},
url = {{http://dx.doi.org/10.1038/s41598-024-80321-5}},
doi = {{10.1038/s41598-024-80321-5}},
volume = {{14}},
year = {{2024}},
}