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Association Between the Polymorphism of Angiotensin-Converting Enzyme Gene and Interleukin-1 Beta Gene and the Response to Erythropoietin Therapy in Dialysis Patients with Anemia


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The frequency of genotypes of the IL-1B 511 C/T (rs1143627) in all patients and the mean value of ERI in patients with different genotypes of IL-1B 511 C/T.

IL-1B 511 C/T* rs1143627 ERI
Number of patients % X ± SD
CC 7 10.1 8.34 ± 3.64a, b
CT 35 50.7 9.83 ± 6.75a, c
TT 27 39.1 9.56 ± 5.68b, c

The frequency of the ACE I/D genotypes (rs1799752) in all patients, and the mean value of ERI in the patients with different genotypes of ACE I/D.

ACE I/D* rs1799752 ERI
Number of patients % X ± SD
II 10 14.5 11.87 ± 6.56a, b
ID 41 59.4 8.42 ± 5.84a, c
DD 18 26.1 10.92 ± 6.56b, c

Comparison of demographic characteristics, dialysis vintage, laboratory parameters, and erythropoietin resistance index (ERI) between patients with hemoglobin value <110 g/l and ≥ 110 g/l.

Hb < 110 g/l, (N=32) Hb ≥ 110 g/l, (N=37) P
X ± SD X ± SD
Age (years) 58.6 ± 18.3 65.1 ± 138 0.099
Weight (kg) 70.8 ± 16.9 73.5 ± 15.3 0.486
Dialysis vintage (months) 84.0 ± 79.7 104.1 ± 95.9 0.351
Hemoglobin (g/l) 99.9 ± 9.2 116.9 ± 4.8 0.000
Red blood cell count (1012/l) 3.3 ± 0.4 38. ± 0.2 0.000
Hematocrit (rv) 0.31 ± 0.03 0.36 ± 0.02 0.000
Alkaline phosphatase (U/L) 114.4 ± 96.5 103.1 ± 53.1 0.539
Total protein (g/l) 68.1 ± 6.5 70.3 ± 3.8 0.086
Albumin (g/l) 38.6 ± 5.9 40.8 ± 2.7 0.044
Calcium (mmol/l) 2.3 ± 0.2 2.4 ± 0.3 0.282
Phosphates (mmol/l) 1.6 ± 0.5 1.6 ± 0.5 0.494
Cholesterol (mg/dl) 3.5 ± 0.8 4.1 ± 0.8 0.005
Iron (µmol/l) 9.7 ± 3.0 11.7 ± 2.6 0.005
TIBC (µmol/l)* 35.6 ± 9.4 38.1± 7.6 0.229
TSAI (%)** 27.8 ± 7.9 31.4 ± 7.2 0.051
Ferritin (ng/ml) 566.6 ± 529.5 437.0 ± 299.7 0.210
iPTH (pg/ml)*** 560.7 ± 550.5 442.9 ± 410.8 0.317
CRP(mg/l)**** 21.8 ± 34.3 8.3 ± 9.9 0.025
Erythropoietin (IU/per week) 8714.6 ± 2982.4 5234.6 ± 2836.1 0.000
ERI (IU kg/week/g/dl)***** 13.5 ± 6.1 6.2 ± 3.4 0.000

Demographic characteristics, dialysis vintage, laboratory parameters, and erythropoietin resistance index (ERI) of all study patients.

X SD
Age (years) 62.1 16.3
Weight (kg) 72.3 16.0
Dialysis vintage (months) 94.8 88.7
Hemoglobin (g/l) 109.4 11.1
Red blood cell count (1012/l) 3.6 0.4
Hematocrit (rv) 0.34 0.04
Alkaline phosphatase (U/L) 102.3 58.3
Total protein (g/l) 69.5 5.2
Albumin (g/l) 40.2 4.2
Calcium (mmol/l) 2.3 0.2
Phosphates (mmol/l) 1.6 0.5
Iron (µmol/l) 10.9 2.9
TIBC (µmol/l)* 37.6 8.2
TSAI (%)** 29.4 7.6
CRP (mg/l)*** 12.1 14.2
Ferritin (ng/ml) 468.8 343.1
iPTH (pg/ml)**** 499.3 490.3
Erythropoietin (IU/per week) 6909.6 3465.7
ERI (IU kg/week/g/dl)***** 9.6 6.2

Comparison of demographic characteristics, dialysis vintage, and laboratory parameters between patients with ERI ≥ 10 and ERI < 10 IU/kg/week/g/dl.

ERI ≥ 10, (N =27) ERI < 10, (N = 42) P
X ± SD X ± SD
Age (years) 59.1 ± 19.7 63.9 ± 13.5 0.234
Weight (kg) 68.6 ± 14.1 74.6 ± 16.9 0.131
Dialysis vintage (months) 70.6 ± 56.4 110.3 ± 102.0 0.070
Hemoglobin (g/l) 100.6 ± 11.4 114.4 ± 6.9 0.000
Red blood cell count (1012/l) 3.4 ± 0.4 3.7 ± 0.3 0.000
Hematocrit (rv) 0.32 ± 0.04 0.35 ± 0.03 0.000
Alkaline phosphatase (U/L) 106.6 ± 66.2 109.5 ± 82.4 0.879
Total protein (g/l) 69.1 ± 5.8 69.5 ± 4.9 0.762
Albumin (g/l) 39.5 ± 4.9 40.0 ±4.37 0.639
Calcium (mmol/l) 2.3 ± 0.3 2.3 ± 0.2 0.672
Phosphates (mmol/l) 1.6 ± 0.5 1.6 ± 0.5 0.940
Cholesterol (mg/dl) 3.5 ± 0.7 3.9 ± 0.9 0.045
Iron (µmol/l) 9.2 ± 2.7 11.8 ± 2.6 0.000
TIBC (µmol/l)* 36.3 ± 9.3 37.4 ± 8.0 0.609
TSAI (%)** 26.4 ± 7.5 31.8 ± 7.1 0.003
Ferritin (ng/ml) 630.4 ± 555.4 412.3 ± 290.4 0.038
CRP(mg/l)*** 24.2 ± 36.8 8.5 ± 9.9 0.010
iPTH (pg/ml)**** 518.5 ± 511.6 483.1 ± 464.3 0.770
Erythropoietin (IU/per week) 9392.1 ± 2496.0 5213.4 ± 2811.9 0.000
eISSN:
1311-0160
Sprache:
Englisch
Zeitrahmen der Veröffentlichung:
2 Hefte pro Jahr
Fachgebiete der Zeitschrift:
Medizin, Vorklinische Medizin, Grundlagenmedizin, andere