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Serum Calcification Propensity Represents a Good Biomarker of Vascular Calcification: A Systematic Review
Vascular calcification contributes to cardiovascular morbidity and mortality. A recently developed serum calcification propensity assay is based on the half-transformation time (T50) from primary calciprotein particles (CPPs) to secondary CPPs, reflecting the serum’s endogenous capacity to prevent c...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9501050/ https://www.ncbi.nlm.nih.gov/pubmed/36136575 http://dx.doi.org/10.3390/toxins14090637 |
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author | Pluquet, Maxime Kamel, Said Choukroun, Gabriel Liabeuf, Sophie Laville, Solène M. |
author_facet | Pluquet, Maxime Kamel, Said Choukroun, Gabriel Liabeuf, Sophie Laville, Solène M. |
author_sort | Pluquet, Maxime |
collection | PubMed |
description | Vascular calcification contributes to cardiovascular morbidity and mortality. A recently developed serum calcification propensity assay is based on the half-transformation time (T50) from primary calciprotein particles (CPPs) to secondary CPPs, reflecting the serum’s endogenous capacity to prevent calcium phosphate precipitation. We sought to identify and review the results of all published studies since the development of the T50-test by Pasch et al. in 2012 (whether performed in vitro, in animals or in the clinic) of serum calcification propensity. To this end, we searched PubMed, Elsevier EMBASE, the Cochrane Library and Google Scholar databases from 2012 onwards. At the end of the selection process, 57 studies were analyzed with regard to the study design, sample size, characteristics of the study population, the intervention and the main results concerning T50. In patients with primary aldosteronism, T50 is associated with the extent of vascular calcification in the abdominal aorta. In chronic kidney disease (CKD), T50 is associated with the severity and progression of coronary artery calcification. T50 is also associated with cardiovascular events and all-cause mortality in CKD patients, patients on dialysis and kidney transplant recipients and with cardiovascular mortality in patients on dialysis, kidney transplant recipients, patients with ischemic heart failure and reduced ejection fraction, and in the general population. Switching from acetate-acidified dialysate to citrate-acidified dialysate led to a longer T50, as did a higher dialysate magnesium concentration. Oral administration of magnesium (in CKD patients), phosphate binders, etelcalcetide and spironolactone (in hemodialysis patients) was associated with a lower serum calcification propensity. Serum calcification propensity is an overall marker of calcification associated with hard outcomes but is currently used in research projects only. This assay might be a valuable tool for screening serum calcification propensity in at-risk populations (such as CKD patients and hemodialyzed patients) and, in particular, for monitoring changes over time in T50. |
format | Online Article Text |
id | pubmed-9501050 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95010502022-09-24 Serum Calcification Propensity Represents a Good Biomarker of Vascular Calcification: A Systematic Review Pluquet, Maxime Kamel, Said Choukroun, Gabriel Liabeuf, Sophie Laville, Solène M. Toxins (Basel) Systematic Review Vascular calcification contributes to cardiovascular morbidity and mortality. A recently developed serum calcification propensity assay is based on the half-transformation time (T50) from primary calciprotein particles (CPPs) to secondary CPPs, reflecting the serum’s endogenous capacity to prevent calcium phosphate precipitation. We sought to identify and review the results of all published studies since the development of the T50-test by Pasch et al. in 2012 (whether performed in vitro, in animals or in the clinic) of serum calcification propensity. To this end, we searched PubMed, Elsevier EMBASE, the Cochrane Library and Google Scholar databases from 2012 onwards. At the end of the selection process, 57 studies were analyzed with regard to the study design, sample size, characteristics of the study population, the intervention and the main results concerning T50. In patients with primary aldosteronism, T50 is associated with the extent of vascular calcification in the abdominal aorta. In chronic kidney disease (CKD), T50 is associated with the severity and progression of coronary artery calcification. T50 is also associated with cardiovascular events and all-cause mortality in CKD patients, patients on dialysis and kidney transplant recipients and with cardiovascular mortality in patients on dialysis, kidney transplant recipients, patients with ischemic heart failure and reduced ejection fraction, and in the general population. Switching from acetate-acidified dialysate to citrate-acidified dialysate led to a longer T50, as did a higher dialysate magnesium concentration. Oral administration of magnesium (in CKD patients), phosphate binders, etelcalcetide and spironolactone (in hemodialysis patients) was associated with a lower serum calcification propensity. Serum calcification propensity is an overall marker of calcification associated with hard outcomes but is currently used in research projects only. This assay might be a valuable tool for screening serum calcification propensity in at-risk populations (such as CKD patients and hemodialyzed patients) and, in particular, for monitoring changes over time in T50. MDPI 2022-09-15 /pmc/articles/PMC9501050/ /pubmed/36136575 http://dx.doi.org/10.3390/toxins14090637 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Pluquet, Maxime Kamel, Said Choukroun, Gabriel Liabeuf, Sophie Laville, Solène M. Serum Calcification Propensity Represents a Good Biomarker of Vascular Calcification: A Systematic Review |
title | Serum Calcification Propensity Represents a Good Biomarker of Vascular Calcification: A Systematic Review |
title_full | Serum Calcification Propensity Represents a Good Biomarker of Vascular Calcification: A Systematic Review |
title_fullStr | Serum Calcification Propensity Represents a Good Biomarker of Vascular Calcification: A Systematic Review |
title_full_unstemmed | Serum Calcification Propensity Represents a Good Biomarker of Vascular Calcification: A Systematic Review |
title_short | Serum Calcification Propensity Represents a Good Biomarker of Vascular Calcification: A Systematic Review |
title_sort | serum calcification propensity represents a good biomarker of vascular calcification: a systematic review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9501050/ https://www.ncbi.nlm.nih.gov/pubmed/36136575 http://dx.doi.org/10.3390/toxins14090637 |
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