Evidence map›Paper›PMID 24789549›Full record

Observational studyClinical journal of the American Society of Nephrology : CJASN2014

The relationship between IL-10 levels and cardiovascular events in patients with CKD.

Mahmut Ilker Yilmaz, Yalcin Solak, Mutlu Saglam, Tuncer Cayci, Cengizhan Acikel, Hilmi Umut Unal, Tayfun Eyileten, Yusuf Oguz, Sebahattin Sari, Juan Jesus Carrero and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Clinical journal of the American Society of Nephrology : CJASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  10. Inflammation in Heart Failure-Future Perspectives.Journal of clinical medicine · 2023
    Review
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  19. Exhausted PD-1Frontiers in immunology · 2022
    Article
  20. Impact of presymptomatic COVID-19 on vascular and skeletal muscle function: a case study.Journal of applied physiology (Bethesda, Md. : 1985) · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Mahmut Ilker YilmazDepartments of Nephrology.
Yalcin SolakDepartment of Medicine, Division of Nephrology, Karaman State Hospital, Karaman, Turkey;
Mutlu SaglamRadiology.
Tuncer CayciBiochemistry, and.
Cengizhan AcikelEpidemiology, Gülhane School of Medicine, Ankara, Turkey;
Hilmi Umut UnalDepartments of Nephrology.
Tayfun EyiletenDepartments of Nephrology.
Yusuf OguzDepartments of Nephrology.
Sebahattin SariRadiology.
Juan Jesus CarreroDepartment of Medicine, Division of Renal Medicine andCentres for Molecular Medicine and Gender Medicine, Karolinska Institute, Stockholm, Sweden;
Peter StenvinkelDepartment of Medicine, Division of Renal Medicine and.
Adrian CovicNephrology Clinic, Dialysis and Renal Transplant Center, C.I. PARHON University Hospital and Grigore T. Popa University of Medicine, Iasi, Romania; and.
Mehmet KanbayDepartment of Medicine, Division of Nephrology, İstanbul Medeniyet University School of Medicine, Istanbul, Turkey drkanbay@yahoo.com.
Gülhane Askerî Tıp Akademisi · TRIstanbul Medeniyet University · TRKaramanoğlu Mehmetbey University · TRKarolinska Institutet · SEMetabolism and Renal Physiology · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesCardiovascular disease is the leading cause of death in patients with CKD. IL-10 is considered an antiatherosclerotic cytokine. However, previous studies have failed to observe an association between IL-10 and cardiovascular disease in CKD. This study aimed to evaluate whether serum IL-10 levels were associated with the risk of cardiovascular events in CKD patients. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Four hundred three patients with stages 1-5 CKD were followed for a mean of 38 (range=2-42) months for fatal and nonfatal cardiovascular events. IL-10 and IL-6 were measured at baseline together with surrogates of endothelial function (flow-mediated dilatation) and proinflammatory markers (high-sensitivity C-reactive protein and pentraxin-3). The association between IL-10 and flow-mediated dilatation through linear regression analyses was evaluated. The association between IL-10 and the risk of cardiovascular events was assessed with Cox regression analysis.

resultsIL-10, IL-6, high-sensitivity C-reactive protein, and pentraxin-3 levels were higher among participants with lower eGFR. Both fatal (25 of 200 versus 6 of 203 patients) and combined fatal and nonfatal (106 of 200 versus 23 of 203 patients) cardiovascular events were more common in patients with IL-10 concentration above the median. Flow-mediated dilatation was significantly lower in patients with higher serum IL-10 levels, but IL-10 was not associated with flow-mediated dilatation in multivariate analysis. Kaplan-Meier survival curves showed that patients with IL-10 below the median value (<21.5 pg/ml) had higher cumulative survival compared with patients who had IL-10 levels above the median value (log-rank test, P<0.001).

conclusionsIL-10 levels increase along with the reduction of kidney function. Higher serum IL-10 levels were associated with the risk of cardiovascular events during follow-up. We speculate that higher IL-10 levels in this context signify an overall proinflammatory milieu.

Indexed as

AdultAgedBiomarkersCardiovascular DiseasesC-Reactive ProteinCross-Sectional StudiesEndothelium, VascularFemaleGlomerular Filtration RateHumansInflammation MediatorsInterleukin-10Interleukin-6Kaplan-Meier EstimateKidneyMaleBiomarkersC-Reactive ProteinIL10 protein, humanIL6 protein, humanInflammation MediatorsInterleukin-10Interleukin-6PentraxinsSerum Amyloid P-Componentcardiovascular diseaseCKDIL-10kidney disease

Identifiers

PMID24789549
PMCPMC4078956
OpenAlexW2171871949

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.