Key result
Higher baseline serum glypican-4 levels independently predicted the incidence of newly diagnosed chronic kidney disease (OR 2.16 per standard deviation increase) over a median follow-up of 3.4 years.
Why the study?
Serum glypican-4 (GPC4) is an insulin-sensitizing adipokine, but its association with kidney function was largely unexplored.
Cohort (n=456)
No
Odds Ratio: 2.16 (95% CI 1.45–3.23)
p-value: p=<0.001
High serum glypican-4 is a significant independent predictor of prevalent and future decline in kidney function among patients undergoing coronary angiography.
High GPC4 was associated with reduced prevalent and future kidney function; leaves open its value as a CKD biomarker in broader cohorts.
Serum glypican-4 (GPC4) has been identified as an insulin-sensitizing adipokine serving as a marker for body mass index and insulin resistance in humans. The association of circulating GPC4 with kidney function is to date largely unexplored. Therefore, we aimed to evaluate the association between serum GPC4 and prevalent as well future kidney function in a prospective cohort study. The study included 456 Caucasian coronary angiography patients. After a median follow up period of 3.4 years, data on kidney function was reassessed in all patients. Chronic kidney disease (CKD) was defined by decreased estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m 2 or albuminuria. At baseline, serum GPC4 was significantly associated with decreased eGFR (adjusted odds ratio (OR) per standard deviation = 4.75 [2.66–8.48]; P < 0.001), albuminuria (OR = 1.49 [1.15–1.92]; P = 0.002), and, accordingly, with CKD (OR = 1.75 [1.35–2.26]; P < 0.001). GPC4 levels also significantly and independently predicted the incidence of newly diagnosed decreased eGFR (OR = 2.74 [1.82–4.14]; P < 0.001, albuminuria (OR = 1.58 [1.01–2.46]; P = 0.043, and CKD (OR = 2.16 [1.45–3.23]; P < 0.001). ROC analysis indicated an additional predictive value of GPC4 to a basic prediction model for newly diagnosed CKD and eGFR < 60 mL/min/1.73 m 2 . Our study, therefore, indicates that high serum GPC4 is associated with decreased prevalent and future kidney function.
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Muendlein et al. (2022) conducted a cohort in Chronic kidney disease (n=456). Serum glypican-4 vs. Lower serum glypican-4 levels was evaluated on Incidence of newly diagnosed chronic kidney disease (OR 2.16, 95% CI 1.45-3.23, p=<0.001). Higher baseline serum glypican-4 levels independently predicted the incidence of newly diagnosed chronic kidney disease (OR 2.16 per standard deviation increase) over a median follow-up of 3.4 years.
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