1. Correlation between serum homocysteine level and clinicopathological factors of IgA nephropathy
- Author
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Cai Xiao-fan, Huang Jie-bo, Xing Yue, Cai Xiu-feng, Li Xue-ling, and Zhong Yi-fei
- Subjects
iga nephropathy ,glomerulonephritis ,homocysteine ,cystatin ,Internal medicine ,RC31-1245 - Abstract
ObjectiveTo investigate the correlation between serum homocysteine (Hcy) and clinicopathologic factors of immunoglobulin A nephropathy (IgAN).MethodsA total of 349 patients with IgAN diagnosed by renal biopsy in the Nephrology Department of Longhua Hospital, Shanghai University of Traditional Chinese Medicine from January 1, 2014 to October 31, 2023 were retrospectively analyzed. The patients were divided into the Hcy normal group and hyperhomocysteinemia (HHcy) group according to Hcy level at the time of renal biopsy. Clinical observation data and pathological injury indices were compared between groups. The correlation of estimated glomerular filtration rate (eGFR) and pathological injury indices with Hcy was analyzed by Spearman's correlation analysis. The clinicopathological factors associated with HHcy were analyzed by logistic regression, and area under the receiver operator characteristic curve (AUC) was used to assess the ability of Hcy in predicting pathologic injuries associated with IgAN.ResultsPatients in the HHcy group had significantly higher male ratio (63.1% vs 32.7%), age [(40.44 ± 12.85)years vs (36.83 ± 11.56)years], albumin [Alb,(38.14 ± 4.71)g/L vs (36.28 ± 6.65)g/L], serum creatinine [Scr,(125.90 ± 75.89)μmol/L vs (75.39 ± 29.16)μmol/L], blood uric urea [BUN,(7.61 ± 4.01)mmol/L vs (5.29 ± 1.78)mmol/L], uric acid [UA,(427.04 ± 101.99)μmol/L vs (351.56 ± 93.45)μmol/L], and cystatin C [Cys C,(1.61 ± 0.66)mg/L vs (1.05 ± 0.36)mg/L], but lower eGFR [(70.50 ± 30.90)mL·min-1·(1.73 m2)-1 vs (100.35 ± 27.08)mL·min-1·(1.73 m2)-1] than the Hcy normal group (all P
- Published
- 2025
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