Evidence map›Paper›PMID 42187504›Full record

ArticlePhysiological research2026

Association Between Serum SFRP1 Levels and Coronary Artery Calcification in Stage 5D Chronic Kidney Disease Undergoing Maintenance Hemodialysis.

H Chen, J Jin, M Cheng, Z Niu, S Zhang, Y Bai, G Zhang, J Xu

Abstract read
In one paragraph

Article in Physiological research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

H ChenHebei Clinical Research Center for Chronic Kidney Disease, Hebei Key Laboratory of Vascular Calcification in Kidney Disease, Department of Nephrology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
J Jin
M Cheng
Z Niu
S Zhang
Y Bai
G Zhang
J Xu

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to examine the association between serum Secreted Frizzled-Related Protein 1 (SFRP1) levels and the presence of coronary artery calcification (CAC) in patients with Stage 5D chronic kidney disease (CKD) undergoing maintenance hemodialysis (MHD). A case-control study was conducted involving 76 patients with CKD Stage 5D undergoing MHD. Participants were stratified into three groups based on Coronary Artery Calcium Scores (CACS): non-calcified (CACS < 100), low-score calcification (100 ? CACS ? 400), and high-score calcification (CACS > 400). Serum concentrations of SFRP1, hemoglobin, albumin, ferritin, C-reactive protein (CRP), calcium, phosphorus, 25-hydroxyvitamin D, and intact parathyroid hormone were measured. Correlations between biochemical parameters and CAC were evaluated, and multivariate linear regression analysis was employed to identify independent risk factors for CAC. CAC was detected in 60.5 % of the study population. Serum SFRP1 concentrations were significantly elevated in the high-score calcification group compared to both the low-score and non-calcified groups, with the lowest levels observed in the non-calcified group (p < 0.01). Positive correlations were observed between CAC and serum levels of SFRP1 levels, phosphorus, age, hemoglobin, alkaline phosphatase, and age. Multivariate linear regression analysis identified serum SFRP1 and phosphorus levels as independent risk factors for CAC in this population (p < 0.05). Receiver operating characteristic (ROC) curve analysis demonstrated that serum SFRP1 levels yielded an area under the curve (AUC) of 0.898 (95 % CI: 0.826-0.970, p < 0.0001) for predicting CAC, with a Youden index of 0.738 at a cut-off value of 4.242 ng/ml. Elevated serum SFRP1 levels were associated with an increased likelihood of CAC in patients with Stage 5D CKD undergoing MHD. These findings suggest that SFRP1 may represent a potential biomarker for identifying patients at risk for CAC in this population.

Indexed as

Coronary Artery DiseaseIntercellular Signaling Peptides and ProteinsMembrane ProteinsRenal DialysisRenal Insufficiency, ChronicVascular CalcificationAgedBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedRisk FactorsSecreted Frizzled-Related ProteinsBiomarkersIntercellular Signaling Peptides and ProteinsMembrane ProteinsSecreted Frizzled-Related ProteinsSFRP1 protein, human

Identifiers

PMID42187504
PMCPMC13225440

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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.