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Biomark Med ; 14(12): 1099-1108, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32969247

RESUMO

Aim: To determine the clinical and genetic markers associated with erythropoietin deficiency anemia in predialysis individuals. Materials & methods: Patients were categorized into cases and control group. Demographic characteristics and clinical parameters were obtained from medical record review and serum EPO and ferritin were obtained with ELISA. HIF-1α (rs2057482), IL-1ß (rs1143627) and EPO (rs1617640) gene polymorphism were genotyped. Results: Female gender, glomerular filtration rate, treatment with hematinics, anticoagulant and diuretic were strong predictors of EPO-deficient anemia in predialysis chronic kidney disease patients. Genetic polymorphism in the HIF-1α recessive model was associated with non-EPO-deficiency, followed by EPO recessive allele associated with low-serum erythropoietin and IL-1ß recessive model with low hemoglobin level. Conclusion: EPO-deficiency anemia can be diagnosed more conveniently in the presence of biomarkers.


Assuntos
Anemia/genética , Anemia/metabolismo , Eritropoetina/deficiência , Insuficiência Renal Crônica/complicações , Idoso , Eritropoetina/sangue , Eritropoetina/genética , Feminino , Ferritinas/sangue , Marcadores Genéticos , Taxa de Filtração Glomerular/fisiologia , Humanos , Subunidade alfa do Fator 1 Induzível por Hipóxia/genética , Interleucina-1beta/genética , Masculino , Pessoa de Meia-Idade
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