PMID- 21693297 OWN - NLM STAT- MEDLINE DCOM- 20111014 LR - 20171116 IS - 1873-2623 (Electronic) IS - 0041-1345 (Linking) VI - 43 IP - 5 DP - 2011 Jun TI - Soluble tumor necrosis factor-like weak inducer of apoptosis plasma levels as a novel biomarker of endothelial function in prevalent orthotopic heart transplant recipients. PG - 1900-3 LID - 10.1016/j.transproceed.2011.03.040 [doi] AB - BACKGROUND: Nonrenal solid organ transplantation is now an established method of therapy with significantly improved outcome over the last years; however, an increasingly prevalent complication in this population is chronic kidney disease. Endothelial dysfunction is highly prevalent in both cardiovascular disease and chronic kidney disease. Tumor necrosis factor (TNF)-like weak inducer of apoptosis (TWEAK) is a member of the TNF superfamily of cytokines. MATERIALS AND METHODS: The aim of the study was to assess TWEAK concentration in 134 prevalent heart transplant recipients in relation to kidney function. Complete blood count, urea, serum lipids, fasting glucose, creatinine, NT-proBNP were studied. Soluble TWEAK was assayed using commercially available kits from Bender MedSystems (VIenna, Austria). High-sensitivity C-reactive protein was assayed using commercially available kits from American Diagnostica (Greenwich, Conn, USA). RESULTS: Heart transplant recipients had significantly higher serum creatinine, urea, cholesterol, triglycerides, fasting glucose, white blood cell count, lower TWEAK levels and lower estimated glomerular filtration rate (eGFR) than the control group. Serum TWEAK levels fell together with New York Heart Association (NYHA) class and rise in GFR. Serum TWEAK was related to kidney function, NYHA class, NT-proBNP, and triglycerides. Kidney function and NYHA class turn out to be predictors of TWEAK in heart transplant recipients. CONCLUSION: TWEAK level is dependent on kidney and heart function. It might also represent a surrogate marker of endothelial dysfunction and atherosclerosis. CI - Copyright (c) 2011 Elsevier Inc. All rights reserved. FAU - Przybylowski, P AU - Przybylowski P AD - Department of Cardiovascular Surgery and Transplantology, Collegium Medicum, Jagiellonian University, John Paul II Hospital Cracow, Poland. piotrus@aol.com FAU - Malyszko, J S AU - Malyszko JS FAU - Malyszko, J AU - Malyszko J LA - eng PT - Journal Article PL - United States TA - Transplant Proc JT - Transplantation proceedings JID - 0243532 RN - 0 (Biomarkers) RN - 0 (Cytokine TWEAK) RN - 0 (TNFSF12 protein, human) RN - 0 (Tumor Necrosis Factors) SB - IM MH - Adult MH - *Apoptosis MH - Biomarkers/*blood MH - Cytokine TWEAK MH - Endothelium, Vascular/*pathology MH - *Heart Transplantation MH - Humans MH - Middle Aged MH - Tumor Necrosis Factors/*blood EDAT- 2011/06/23 06:00 MHDA- 2011/10/15 06:00 CRDT- 2011/06/23 06:00 PHST- 2011/02/28 00:00 [received] PHST- 2011/03/09 00:00 [accepted] PHST- 2011/06/23 06:00 [entrez] PHST- 2011/06/23 06:00 [pubmed] PHST- 2011/10/15 06:00 [medline] AID - S0041-1345(11)00474-X [pii] AID - 10.1016/j.transproceed.2011.03.040 [doi] PST - ppublish SO - Transplant Proc. 2011 Jun;43(5):1900-3. doi: 10.1016/j.transproceed.2011.03.040.