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January 1, 2013Circulation JournalOpen Access

Angiopoietin-Like Protein 2 Is Associated With Chronic Kidney Disease in a General Japanese Population

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Why the study?

Is higher serum Angptl2 associated with an increased prevalence of chronic kidney disease in a general population?

Population

3,169 community-dwelling subjects aged ≥40 years (1,370 men, 1,799 women) from the Hisayama Study in Japan.

Comparison

Higher serum Angiopoietin-like protein 2 levels vs Lowest quintile of serum Angptl2 (<2.01 ng/ml)

Design

Cross-sectional

Key result

Elevated serum Angptl2 levels were significantly associated with an increased likelihood of chronic kidney disease, with the highest quintile showing an adjusted odds ratio of 1.79 compared to the lowest.

Authors

TUTomoko UsuiTNToshiharu NinomiyaMNMasaharu Nagata

Discussion

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Member takes

Overview

Angptl2 should not yet inform CKD risk assessment; leaves open its value as progression biomarker or therapeutic target.

Study Design

Type

Cross-Sectional (n=3,169)

Multicenter

No

Structured PICO

Is higher serum Angptl2 associated with an increased prevalence of chronic kidney disease in a general population?

P
Population
3,169 community-dwelling Japanese adults aged 40 years and older evaluated in a cross-sectional study for the association between serum Angptl2 levels and chronic kidney disease.
E
Exposure
Higher serum Angiopoietin-like protein 2 (Angptl2) levels (quintiles 2-5: ≥2.01 ng/ml)
C
Comparator
Lowest quintile of serum Angptl2 (<2.01 ng/ml)
O
Outcome
Presence of chronic kidney disease (CKD), defined as albuminuria (urine albumin-creatinine ratio ≥30.0 mg/g) or decreased estimated glomerular filtration rate (eGFR <60 ml/min/1.73m2)composite

Main Result

Odds Ratio: 1.79 (95% CI 1.32–2.43)

p-value: p=0.001

Elevated serum Angptl2 levels are independently associated with a higher prevalence of chronic kidney disease, particularly albuminuria, in the general Japanese population.

Limitations

  • The cross-sectional study design limits the interpretation of causality between serum Angptl2 level and CKD.
  • Cannot exclude the possibility that reduced kidney clearance caused the higher Angptl2 level.
  • Cross-sectional study design limits the interpretation of causality between serum Angptl2 level and CKD
  • Could not exclude the possibility that reduced kidney clearance caused the higher Angptl2 level

Cite This Study

Usui et al. (2013) conducted a cross-sectional in Chronic kidney disease (n=3,169). Serum Angiopoietin-like protein 2 (Angptl2) level vs. Lowest quintile of serum Angptl2 (<2.01 ng/ml) was evaluated on Presence of chronic kidney disease (albuminuria or decreased eGFR) (OR 1.79, 95% CI 1.32-2.43, p=0.001). Elevated serum Angptl2 levels were significantly associated with an increased likelihood of chronic kidney disease, with the highest quintile showing an adjusted odds ratio of 1.79 compared to the lowest.

synapsesocial.com/papers/6a9afaf0efc9cfd66a18b69chttps://doi.org/10.1253/circj.cj-12-1548
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Serum Angiopoietin–Like Protein 2 Is a Novel Risk Factor for Cardiovascular Disease in the Community2016 · 40 citations
  2. 2Angiopoietin-Like Protein 2 Promotes the Progression of Diabetic Kidney Disease2018 · 18 citations
  3. 3Levels of Angiopoietin-Like-2 Are Positively Associated With Aortic Stiffness and Mortality After Kidney Transplantation2017 · 14 citations
  4. 4Angiopoietin-Like Protein 2 and Risk of Type 2 Diabetes in a General Japanese Population2012 · 78 citations
  5. 5Angiopoietin-2, Angiopoietin-1 and subclinical cardiovascular disease in Chronic Kidney Disease2016 · 41 citations