Yıl: 2019 Cilt: 11 Sayı: 3 Sayfa Aralığı: 171 - 177 Metin Dili: İngilizce DOI: 10.5222/iksstd.2019.77486 İndeks Tarihi: 04-03-2020

Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?

Öz:
Objective: Amyloid A (AA) amyloidosis is the most prevalent form of systemic amyloidosis, and is a serious condition characterized by protein-misfolding. Cardiovascular involvement is known to be a significant manifestation of the disease and common carotid artery intima-media thickness (CIMT) assessment is one of the well-recognized tools for identification of subclinical atherosclerosis. It was reported that FGF-23 may be a significant factor associated with atherosclerosis development in patients with AA amyloidosis, as well as being an independent risk factor for increased CIMT. In this study, we aimed to investigate whether elevated FGF-23 levels might be associated with CIMT levels in AA amyloidosis patients. Method: We studied 63 patients with AA amyloidosis and 29 aged-matched healthy controls. All subjects’ demographic data were recorded and the following parameters were measured: erythrocyte sedimentation rate, C-reactive protein, creatinine, urea, albumin, calcium, phosphate, parathyroid hormone, FGF-23, eGFR, CIMT, blood pressure and BMI. Results: CIMT levels were significantly higher in AA amyloidosis patients compared to the control group (p<0.001). However, serum FGF-23 levels were similar (p=0.110). CIMT was correlated with patient age (r=0.471, p<0.001), but serum FGF-23 was not associated with CIMT in patients with amyloidosis (r=0.031, p=0.807). Conclusion: Although our results suggest a lack of association between FGF-23 levels and CIMT in patients with AA amyloidosis.
Anahtar Kelime:

Konular: Cerrahi

AA Amiloidozlu Hastalarda Serum FGF-23 Düzeyi Subklinik Aterosklerozun Göstergesi midir?

Öz:
Amaç: Amiloidoz proteinlerin anormal katlantı oluşturması ile karekterize hayatı tehdit eden bir hastalıktır, Amyloid-associated (AA) amiloidoz sistemik amiloidozun en yaygın formudur. Kardiyovasküler tutulum amiloidozun en önemli klinik tezahürüdür ve karotis intima media kalınlığının ölçümü (KIMK) subklinik aterosklerozu tespit etmek için iyi tanımlanmış yöntemlerden birisidir. FGF-23 AA amiloidozda KIMK’dan bağımsız olarak subklinik ateroskleroz ile ilişkili olabileceği bildirilmiştir. Bu çalışmada amacımız, AA amiloidozlu hastalarda KIMK ile yükselmiş serum FGF-23 ile ilişkisinin olup olmadığına bakmaktı. Yöntem: Çalışmaya 63 AA amiloidozlu hasta ve 29 sağlıklı kontrol dahil ettik. Tüm olguların demografik verileri, eritrosit sedimantasyon hızı, Crp, kreatinin, üre, albumin, kalsiyum, fosfat, parathormon, FGF-23, eGFR, KIMK, kan basıncı ve vücut kitle indeksleri kayıt edildi. Bulgular: Karotis intima media kalınlığı AA amiloidozlu hastalarda kontrol grubuna göre anlamlı derecede fazlaydı (p<0.001). Bununla birlikte serum FGF-23 seviyesi iki grup arasında farklı değildi (p =0.110). KIMK yaş ile köreleydi (r=0.471, p<0.001), fakat serum FGF-23 seviyesi amiloidozlu hastalarda KIMK ile körele değildi (r=0.031, p=0.807). Sonuç: Bizim çalışmamızda, AA amiloidozlu hastalarda KIMK ile Serum FGF-23 seviyesi arasında bir korelasyon tespit edilememiştir.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Bakan A, Oral A, OZKOK A, ALIŞIR ECDER S, ELÇİOĞLU Ö, ŞAŞAK KUZGUN G, AYDIN BAHAT K, Odabas A (2019). Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. , 171 - 177. 10.5222/iksstd.2019.77486
Chicago Bakan Ali,Oral Alihan,OZKOK ABDULLAH,ALIŞIR ECDER Sabahat,ELÇİOĞLU Ömer Celal,ŞAŞAK KUZGUN Gülşah,AYDIN BAHAT Kübra,Odabas Ali Rıza Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. (2019): 171 - 177. 10.5222/iksstd.2019.77486
MLA Bakan Ali,Oral Alihan,OZKOK ABDULLAH,ALIŞIR ECDER Sabahat,ELÇİOĞLU Ömer Celal,ŞAŞAK KUZGUN Gülşah,AYDIN BAHAT Kübra,Odabas Ali Rıza Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. , 2019, ss.171 - 177. 10.5222/iksstd.2019.77486
AMA Bakan A,Oral A,OZKOK A,ALIŞIR ECDER S,ELÇİOĞLU Ö,ŞAŞAK KUZGUN G,AYDIN BAHAT K,Odabas A Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. . 2019; 171 - 177. 10.5222/iksstd.2019.77486
Vancouver Bakan A,Oral A,OZKOK A,ALIŞIR ECDER S,ELÇİOĞLU Ö,ŞAŞAK KUZGUN G,AYDIN BAHAT K,Odabas A Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. . 2019; 171 - 177. 10.5222/iksstd.2019.77486
IEEE Bakan A,Oral A,OZKOK A,ALIŞIR ECDER S,ELÇİOĞLU Ö,ŞAŞAK KUZGUN G,AYDIN BAHAT K,Odabas A "Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?." , ss.171 - 177, 2019. 10.5222/iksstd.2019.77486
ISNAD Bakan, Ali vd. "Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?". (2019), 171-177. https://doi.org/10.5222/iksstd.2019.77486
APA Bakan A, Oral A, OZKOK A, ALIŞIR ECDER S, ELÇİOĞLU Ö, ŞAŞAK KUZGUN G, AYDIN BAHAT K, Odabas A (2019). Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. İstanbul Kanuni Sultan Süleyman Tıp Dergisi, 11(3), 171 - 177. 10.5222/iksstd.2019.77486
Chicago Bakan Ali,Oral Alihan,OZKOK ABDULLAH,ALIŞIR ECDER Sabahat,ELÇİOĞLU Ömer Celal,ŞAŞAK KUZGUN Gülşah,AYDIN BAHAT Kübra,Odabas Ali Rıza Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. İstanbul Kanuni Sultan Süleyman Tıp Dergisi 11, no.3 (2019): 171 - 177. 10.5222/iksstd.2019.77486
MLA Bakan Ali,Oral Alihan,OZKOK ABDULLAH,ALIŞIR ECDER Sabahat,ELÇİOĞLU Ömer Celal,ŞAŞAK KUZGUN Gülşah,AYDIN BAHAT Kübra,Odabas Ali Rıza Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. İstanbul Kanuni Sultan Süleyman Tıp Dergisi, vol.11, no.3, 2019, ss.171 - 177. 10.5222/iksstd.2019.77486
AMA Bakan A,Oral A,OZKOK A,ALIŞIR ECDER S,ELÇİOĞLU Ö,ŞAŞAK KUZGUN G,AYDIN BAHAT K,Odabas A Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. İstanbul Kanuni Sultan Süleyman Tıp Dergisi. 2019; 11(3): 171 - 177. 10.5222/iksstd.2019.77486
Vancouver Bakan A,Oral A,OZKOK A,ALIŞIR ECDER S,ELÇİOĞLU Ö,ŞAŞAK KUZGUN G,AYDIN BAHAT K,Odabas A Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?. İstanbul Kanuni Sultan Süleyman Tıp Dergisi. 2019; 11(3): 171 - 177. 10.5222/iksstd.2019.77486
IEEE Bakan A,Oral A,OZKOK A,ALIŞIR ECDER S,ELÇİOĞLU Ö,ŞAŞAK KUZGUN G,AYDIN BAHAT K,Odabas A "Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?." İstanbul Kanuni Sultan Süleyman Tıp Dergisi, 11, ss.171 - 177, 2019. 10.5222/iksstd.2019.77486
ISNAD Bakan, Ali vd. "Is Serum FGF-23 Associated with Subclinic Atherosclerosis in Patients with AA Amyloidosis?". İstanbul Kanuni Sultan Süleyman Tıp Dergisi 11/3 (2019), 171-177. https://doi.org/10.5222/iksstd.2019.77486