PMID- 17879214 OWN - NLM STAT- MEDLINE DCOM- 20080122 LR - 20101118 IS - 1121-8428 (Print) IS - 1121-8428 (Linking) VI - 20 IP - 4 DP - 2007 Jul-Aug TI - Cystatin C as marker of residual renal function in patients on peritoneal dialysis: relation with parameters of peritoneal function. PG - 468-73 AB - INTRODUCTION: Cystatin C (CysC) is a nonglycosylated protein of low molecular weight not influenced by age, sex or inflammation. The aim of this paper is to ascertain the usefulness of serum CysC level determination in peritoneal dialysis (PD) patients. MATERIAL AND METHODS: CysC serum levels were determined in 80 PD patients. The mean age of patients was 53.7 +/- 15 years, with 15.3 +/- 25.8 months on PD. Thirty-three percent were on continuous ambulatory peritoneal dialysis (CAPD) and 66.3% on automated peritoneal dialysis (APD). Fourteen patients (17%) had no residual renal function (RRF). RESULTS: Mean CysC levels were 5.8 +/- 1.4 mg/L, without differences between men (5.5 +/- 1.4 mg/L) and women (5.6 +/- 1.5 mg/L, NS). There was no correlation between CysC levels and age, weight, height or time on PD. Anuric patients had CysC levels significantly higher than non-anuric (6.7 +/- 1.4 vs. 5.3 +/- 1.3 mg/L, p<0.001). CysC levels showed an inverse correlation with RRF (r=-0.60, p<0.001) and residual urine volume (r=-0.58, p<0.001). CONCLUSIONS: In conclusion, serum CysC levels had the same statistical significance as plasma creatinine levels, and they are not influenced by peritoneal transport in PD patients. Consequently, both parameters are valid RRF markers. FAU - Ros, Silvia AU - Ros S AD - Nephrology and Biochemistry Unit, University Hospital La Paz, Madrid, Spain. silviarr@universia.es FAU - Bajo, Auxiliadora AU - Bajo A FAU - del Peso, Gloria AU - del Peso G FAU - Garcia de Miguel, Auxiliadora AU - Garcia de Miguel A FAU - Santacruz, Soledad AU - Santacruz S FAU - Fernandez, Ernesto AU - Fernandez E FAU - de Garcia, Raquel AU - de Garcia R FAU - Selgas, Rafael AU - Selgas R LA - eng PT - Journal Article PL - Italy TA - J Nephrol JT - Journal of nephrology JID - 9012268 RN - 0 (CST3 protein, human) RN - 0 (Cystatin C) RN - 0 (Cystatins) SB - IM MH - Aged MH - Cystatin C MH - Cystatins/*blood MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Peritoneal Dialysis MH - Renal Insufficiency/*diagnosis/*physiopathology EDAT- 2007/09/20 09:00 MHDA- 2008/01/23 09:00 CRDT- 2007/09/20 09:00 PHST- 2007/09/20 09:00 [pubmed] PHST- 2008/01/23 09:00 [medline] PHST- 2007/09/20 09:00 [entrez] PST - ppublish SO - J Nephrol. 2007 Jul-Aug;20(4):468-73.