1. Is 3-Carboxy-4-methyl-5-propyl-2-furanpropionate (CMPF) a Clinically Relevant Uremic Toxin in Haemodialysis Patients?
- Author
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Samuel Granjon, Anais Bouchara, Myriam Pastural, Mathilde Luce, Christophe O. Soulage, Laetitia Koppe, Maurice Laville, Denis Fouque, Walid Arkouche, Jean Christophe Szelag, Service de néphrologie, Hospices Civils de Lyon (HCL)-Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon (HCL), Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hospices Civils de Lyon (HCL), Centre Hospitalier Lyon Sud [CHU - HCL] (CHLS), Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National de la Recherche Agronomique (INRA), INSERM, INSA-Lyon, and 'Annee Recherche' from Agence Regionale de Sante (ARS)
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0301 basic medicine ,Male ,dialyse ,Health, Toxicology and Mutagenesis ,Metabolite ,furan ,[SDV]Life Sciences [q-bio] ,efficient removal ,Toxicology ,Gastroenterology ,chemistry.chemical_compound ,body-composition ,CMPF ,Uremic toxins ,CKD ,haemodialysis ,protein energy wasting ,nutrition ,Wasting ,uremie ,2. Zero hunger ,chemistry.chemical_classification ,biology ,bound furancarboxylic acid ,Middle Aged ,Fish oil ,3. Good health ,toxine ,Food Science & Technology ,Female ,dialyzer membrane ,medicine.symptom ,fatty-acid ,uremic toxins ,medicine.medical_specialty ,Nutritional Status ,Article ,03 medical and health sciences ,Renal Dialysis ,Internal medicine ,medicine ,Humans ,Furans ,Toxicologie ,albumin ,Aged ,Toxins, Biological ,Uremia ,performance liquid-chromatography ,business.industry ,solutes ,Albumin ,Fatty acid ,mass-spectrometry ,human serum ,Transthyretin ,030104 developmental biology ,chemistry ,Lean body mass ,biology.protein ,Kidney Failure, Chronic ,Propionates ,business ,Body mass index - Abstract
International audience; 3-Carboxy-4-methyl-5-propyl-2-furanpropionate (CMPF) is a metabolite of furan fatty acid and a marker of fish oil intake. CMPF is described as a protein-bound uremic toxin and interacts with free oxygen radicals, which can induce cell damages. However, the clinical consequences of CMPF accumulation in haemodialysis patients remain poorly documented. The aims of this study are to investigate potential association between CMPF levels and (i) biochemical and nutritional parameters; (ii) cardiovascular events and (iii) mortality. Two hundred and fifty-two patients undergoing maintenance haemodialysis were included. Routine clinical biochemistry tests and assay for CMPF by HPLC technique were performed at the inclusion. Body composition parameters were measured using a bioimpedance spectroscopy method. The enrolled patients were prospectively monitored for cardiovascular events and mortality. CMPF level was positively correlated with nutritional parameters and lean mass and is significantly higher in patients without protein-energy wasting. However, the multivariate linear regression analysis indicated that CMPF level was not independently associated with albumin, prealbumin, creatinemia and body mass index. Elevated serum CMPF was not associated with mortality and cardiovascular morbidity. Our results indicate that CMPF is not a relevant uremic toxin in haemodialysis and in contrast could be a marker of healthy diet and omega 3 intakes.
- Published
- 2018
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