Evidence map›Paper›PMID 36724153›Full record

ArticlePloS one2023

Cystatin C proteoforms in chronic kidney disease.

Helene Dahl, Klaus Meyer, Kristina Sandnes, Natasha Lervaag Welland, Iselin Arnesen, Hans-Peter Marti, Jutta Dierkes, Vegard Lysne

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Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Helene DahlDepartment of Clinical Medicine, Centre for Nutrition, University of Bergen, Bergen, Norway.
Klaus MeyerBevital AS, Bergen, Norway.
Kristina SandnesDepartment of Clinical Medicine, Centre for Nutrition, University of Bergen, Bergen, Norway.
Natasha Lervaag WellandDepartment of Clinical Medicine, Centre for Nutrition, University of Bergen, Bergen, Norway.
Iselin ArnesenDepartment of Clinical Medicine, Centre for Nutrition, University of Bergen, Bergen, Norway.
Hans-Peter MartiDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Jutta DierkesDepartment of Clinical Medicine, Centre for Nutrition, University of Bergen, Bergen, Norway.ORCID 0000-0003-0663-877X
Vegard LysneMohn Nutrition Research Laboratory, University of Bergen, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cystatin C, a cysteine protease inhibitor, is used as a biomarker of renal function. It offers several advantages compared to creatinine, and formulas for the estimation of the glomerular filtration rate based on cystatin C have been developed. Recently, several proteoforms of cystatin C have been discovered, including an intact protein with a hydroxylated proline at the N-terminus, and N-terminal truncated forms. There is little knowledge about the biological significance of these proteoforms.

methodsCross-sectional study of patients with different stages of chronic renal disease (pre-dialysis n = 53; hemodialysis n = 51, renal transplant n = 53). Measurement of cystatin C proteoforms by MALDI-TOF MS, assessment of medicine prescription using the first two levels of the Anatomical Therapeutic chemical system from patients' records.

resultsPatients receiving hemodialysis had the highest cystatin C concentrations, followed by pre-dialysis patients and patients with a renal transplant. In all groups, the most common proteoforms were native cystatin C and CysC 3Pro-OH while the truncated forms made up 28%. The distribution of the different proteoforms was largely independent of renal function and total cystatin C. However, the use of corticosteroids (ATC-L02) and immunosuppressants (ATC-H04) considerably impacted the distribution of proteoforms.

conclusionThe different proteoforms of cystatin C increased proportionally with total cystatin C in patients with chronic kidney disease. Prescription of corticosteroids and immunosuppressants had a significant effect on the distribution of proteoforms. The biological significance of these proteoforms remains to be determined.

Indexed as

Kidney TransplantationRenal Insufficiency, ChronicBiomarkersCreatinineCross-Sectional StudiesCystatin CGlomerular Filtration RateHumansImmunosuppressive AgentsBiomarkersCreatinineCystatin CImmunosuppressive Agents

Identifiers

PMID36724153
PMCPMC9891521

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