Journal of Renal Nutrition
Volume 19, Issue 3 , Pages 220-227 , May 2009

Association Between C-Reactive Protein and Biomarkers of Bone and Mineral Metabolism in Chronic Hemodialysis Patients: A Cross-Sectional Study

  • Chien-Te Lee, MD, PhD

      Affiliations

    • Division of Nephrology, Department of Medicine, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Chang-Gung University College of Medicine, Niao-Sung Shang, Kaohsiung, Hsien, Taiwan
    • Corresponding Author InformationAddress reprint requests to Chien-Te Lee, MD, PhD, Division of Nephrology, Department of Internal Medicine, Chang-Gung Memorial Hospital, 123 Ta-Pei Road, Niao-Sung Shang, Kaohsiung, Hsien 833, Taiwan.
  • ,
  • Yu-Che Tsai, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Chang-Gung University College of Medicine, Niao-Sung Shang, Kaohsiung, Hsien, Taiwan
  • ,
  • Hwee-Yeong Ng, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Chang-Gung University College of Medicine, Niao-Sung Shang, Kaohsiung, Hsien, Taiwan
  • ,
  • Yih Su, PhD

      Affiliations

    • Department of International Trade, Cheng Shiu University, Kaohsiung, Taiwan
  • ,
  • Wen-Chin Lee, MD, PhD

      Affiliations

    • Division of Nephrology, Department of Medicine, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Chang-Gung University College of Medicine, Niao-Sung Shang, Kaohsiung, Hsien, Taiwan
  • ,
  • Lung-Chih Lee, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Chang-Gung University College of Medicine, Niao-Sung Shang, Kaohsiung, Hsien, Taiwan
  • ,
  • Terry Ting-Yu Chiou, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Chang-Gung University College of Medicine, Niao-Sung Shang, Kaohsiung, Hsien, Taiwan
  • ,
  • Shang-Chih Liao, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Chang-Gung University College of Medicine, Niao-Sung Shang, Kaohsiung, Hsien, Taiwan
  • ,
  • Kao-Tai Hsu, MD

      Affiliations

    • Division of Nephrology, Department of Medicine, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Chang-Gung University College of Medicine, Niao-Sung Shang, Kaohsiung, Hsien, Taiwan

References 

  1. Foley RN, Parfrey PS, Sarnak MJ. Clinical epidemiology of cardiovascular disease in chronic renal disease. Am J Kidney Dis. 1998;32(Suppl 3):112–119
  2. McCullough PA. Cardiovascular disease in chronic kidney disease from one cardiologist's perspective. Curr Opin Nephrol Hypertens. 2004;13:591–560
  3. Yeun JY, Levine RA, Mantadilok V, et al. C-reactive protein predicts all-cause and cardiovascular mortality in hemodialysis patients. Am J Kidney Dis. 2000;35:469–476
  4. Kaysen GA. Role of inflammation and its treatment in ESRD patients. Blood Purif. 2002;20:70–80
  5. Tsai YC, Lee CT, Huang TL, et al. Inflammatory marker but not adipokine predict mortality among chronic hemodialysis patients. Mediators Inflamm. 2007;2007, 19891:
  6. Moe S, Drueke T, Cunningham J, et al. Definition, evaluation, and classification of renal osteodystrophy: a position statement from Kidney Disease: Improving Global Outcomes (KDIGO). Kidney Int. 2006;69:1945–1953
  7. Block GA, Klassen PS, Lazarus JM, et al. Mineral metabolism, mortality, and morbidity in maintenance hemodialysis. J Am Soc Nephrol. 2004;15:2208–2218
  8. Young EW, Albert JM, Satayathum S, et al. Predictors and consequences of altered mineral metabolism: the Dialysis Outcomes and Practice Patterns Study. Kidney Int. 2005;67:1179–1187
  9. Slinin Y, Foley RN, Collins AJ. Calcium, phosphorus, parathyroid hormone, and cardiovascular disease in hemodialysis patients: the USRDS Waves 1, 3, and 4 Study. J Am Soc Nephrol. 2005;16:1788–1793
  10. London GM, Guerin AP, Marchais SJ, et al. Arterial media calcification in end-stage renal disease: impact on all-cause and cardiovascular mortality. Nephrol Dial Transplant. 2003;18:1731–1740
  11. Goldsmoth D, Ritz E, Covic A. Vascular calcification: a stiff challenge for the nephrologists. Kidney Int. 2004;66:1315–1333
  12. Cannata-Andía JB, Rodríguez-García M, Carrillo-López N, et al. Vascular calcifications: pathogenesis, management, and impact on clinical outcomes. J Am Soc Nephrol. 2006;17:S267–S273
  13. K/DOQI clinical practice guidelines for bone metabolism and disease in chronic kidney disease. Am J Kidney Dis. 2003;42(Suppl 4):S1–S201
  14. Young EW, Akiba T, Albert JM, et al. Magnitude and impact of abnormal mineral metabolism in hemodialysis patients in the Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis. 2004;44(Suppl 2):34–38
  15. Tomasello S, Dhupar S, Sherman R. Phosphate binders, K/DOQI guidelines, and compliance: the unfortunate reality. Dial Transplant. 2004;33:236–242
  16. Ho LT, Sprague SM. Renal osteodystrophy in chronic renal failure. Am J Kidney Dis. 2002;22:488–493
  17. Kalantar-Zadeh K, Kuwae N, Regidor DL, et al. Survival predictability of time-varying indicators of bone disease in maintenance hemodialysis patients. Kidney Int. 2006;70:771–780
  18. Blacher J, Guerin AP, Pannier B, et al. Arterial calcifications, arterial stiffness, and cardiovascular risk in end-stage renal disease. Hypertension. 2001;38:938–942
  19. Wang AY, Wang M, Woo J, et al. Cardiac valve calcification as an important predictor for all-cause mortality and cardiovascular mortality in long-term peritoneal dialysis patients: a prospective study. J Am Soc Nephrol. 2003;14:159–168
  20. London GM, Marchais SJ, Guerin AP, et al. Arteriosclerosis, vascular calcifications and cardiovascular disease in uremia. Curr Opin Nephrol Hypertens. 2005;14:525–531
  21. Goodman WG, London G, Amann K, et al. Vascular calcification in chronic kidney disease. Am J Kidney Dis. 2004;43:572–579
  22. Ross R. Atherosclerosis—an inflammatory disease. N Engl J Med. 1999;340:115–126
  23. Floege J, Ketteler M. Vascular calcification in patients with end-stage renal disease. Nephrol Dial Transplant. 2004;19(Suppl 5):v59–v66
  24. Ketteler M. Fetuin-A and extraosseous calcification in uremia. Curr Opin Nephrol Hypertens. 2005;14:337–342
  25. Brancaccio D, Tetta C, Gallieni M, et al. Inflammation, CRP, calcium overload and a high calcium-phosphate product: a “liaison dangereuse. Nephrol Dial Transplant. 2002;17:201–203
  26. Block GA, Hulbert-Shearon TE, Levin NW, et al. Association of serum phosphorus and calcium × phosphate product with mortality risk in chronic hemodialysis patients: a national study. Am J Kidney Dis. 1998;31:607–617
  27. Movilli E, Feliciani A, Camerini C, et al. A high calcium-phosphate product is associated with high C-reactive protein concentrations in hemodialysis patients. Nephron Clin Pract. 2005;101:c161–c167
  28. Kalpakian MA, Mehrotra R. Vascular calcification and disordered mineral metabolism in dialysis patients. Semin Dial. 2007;20:139–143

PII: S1051-2276(08)00461-5

doi: 10.1053/j.jrn.2008.11.004

Journal of Renal Nutrition
Volume 19, Issue 3 , Pages 220-227 , May 2009