PMID- 16166801 OWN - NLM STAT- MEDLINE DCOM- 20060501 LR - 20161124 IS - 1660-2110 (Electronic) IS - 1660-2110 (Linking) VI - 102 IP - 1 DP - 2006 TI - Serum level of macrophage colony-stimulating factor and atherosclerosis in hemodialysis patients. PG - c14-20 AB - BACKGROUND/AIMS: Atherosclerosis and its related complications are the leading causes of death in the hemodialysis (HD) population. Aortic calcification index (ACI), intima-media thickness (IMT) in common carotid arteries, and electrocardiogram (ECG) are atherosclerotic parameters that are available in usual clinical outpatient settings. Macrophage colony-stimulating factor (MCSF) and monocyte chemoattractant protein-1 (MCP-1) play important roles in atherosclerosis. METHODS: We performed a cross-sectional study of 133 outpatients on maintenance HD in a single HD outpatient center. We measured serum levels of MCSF and MCP-1, determined the ACI using computed tomography scan and the IMT using high-sensitivity ultrasound B-mode imaging, and performed ECGs. RESULTS: Stepwise multivariate regression analysis revealed that the MCSF level correlated with age-adjusted mean and maximum IMT (F = 10.811, p = 0.001, and F = 6.784, p = 0.010, respectively) as well as with the diastolic blood pressure. Age and MCSF level (F = 4.866, p = 0.029) were independently related to an increased ACI. High-sensitivity C-reactive protein (hsCRP) was not related to IMT and ACI. The hsCRP level (chi2 = 5.002, p = 0.025) correlated with ECG changes followed by MCSF (chi2 = 3.940, p = 0.047). MCP-1 was not related to the above atherosclerotic parameters. CONCLUSION: A head-to-head comparison between MCSF and hsCRP revealed that MCSF was more closely associated with IMT and ACI in HD patients. CI - 2006 S. Karger AG, Basel. FAU - Haraguchi, Kazutaka AU - Haraguchi K AD - 3rd Department of Internal Medicine, University of Yamanashi, Kofu, Japan. kazutaka@swallow.res.yamanashi-med.ac.jp FAU - Kubo, Masashi AU - Kubo M FAU - Saito, Takehiro AU - Saito T FAU - Furuya, Fumihiko AU - Furuya F FAU - Inoue, Hironobu AU - Inoue H FAU - Takahashi, Mitsuhiko AU - Takahashi M FAU - Shimura, Hiroki AU - Shimura H FAU - Tago, Kiichiro AU - Tago K FAU - Kobayashi, Tetsuro AU - Kobayashi T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050913 PL - Switzerland TA - Nephron Clin Pract JT - Nephron. Clinical practice JID - 101159763 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 81627-83-0 (Macrophage Colony-Stimulating Factor) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Atherosclerosis/*blood/epidemiology MH - C-Reactive Protein/analysis MH - Carotid Arteries/diagnostic imaging MH - Chemokine CCL2/*blood MH - Comorbidity MH - Female MH - Humans MH - Kidney Failure, Chronic/*blood/epidemiology/therapy MH - Logistic Models MH - Macrophage Colony-Stimulating Factor/*blood MH - Macrophages/physiology MH - Male MH - Middle Aged MH - Renal Dialysis MH - Tunica Intima/pathology MH - Tunica Media/pathology MH - Ultrasonography EDAT- 2005/09/17 09:00 MHDA- 2006/05/02 09:00 CRDT- 2005/09/17 09:00 PHST- 2004/11/24 00:00 [received] PHST- 2005/05/30 00:00 [accepted] PHST- 2005/09/17 09:00 [pubmed] PHST- 2006/05/02 09:00 [medline] PHST- 2005/09/17 09:00 [entrez] AID - 88294 [pii] AID - 10.1159/000088294 [doi] PST - ppublish SO - Nephron Clin Pract. 2006;102(1):c14-20. doi: 10.1159/000088294. Epub 2005 Sep 13.