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Open AccessArticle

Effect of Peritoneal Dialysis on Serum Fibrosis Biomarkers in Patients with Refractory Congestive Heart Failure

Nephrology and Hypertension Institute, Sheba Medical Center and Sackler Faculty of Medicine, Tel-Hashomer 52621, Israel
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Author to whom correspondence should be addressed.
Int. J. Mol. Sci. 2019, 20(11), 2610; https://doi.org/10.3390/ijms20112610
Received: 8 April 2019 / Revised: 18 May 2019 / Accepted: 21 May 2019 / Published: 28 May 2019
(This article belongs to the Special Issue Molecular Research on Metabolic Disorders)
Background: Cardiac collagen remodeling is important in the progression of heart failure. Estimation of cardiac collagen turnover by serum levels of serological markers is used for monitoring cardiac tissue repair and fibrosis. Peritoneal dialysis (PD) is used for the long-term management of refractory congestive heart failure (CHF). In this study, we investigated the effect of PD treatment on circulating fibrosis markers levels in patients with refractory CHF and fluid overload. Methods: Twenty-five patients with refractory CHF treated with PD were prospectively enrolled in the study. Circulating fibrosis markers procollagen type III C-peptide (PIIINP), matrix metalloproteinase 2 (MMP-2), and tissue inhibitor of metalloproteinases I (TIMP-1) levels were checked at baseline and after three and six months of treatment. Results: The clinical benefit of PD manifested by improved NYHA functional class and reduced hospitalization rate. Serum brain natriuretic peptide (BNP) levels decreased significantly during the treatment. Serum MMP-2 and TIMP-1 decreased significantly on PD. Circulating PIIINP showed two patterns of change, either decreased or increased following PD treatment. Patients in whom circulating PIIINP decreased had significantly lower baseline serum albumin, lower baseline mean arterial blood pressure, higher serum CRP, and a less significant improvement in hospitalization rate compared to the patients in whom circulating PIIINP increased. Patients in whom all three markers decreased demonstrated a trend to longer survival compared to patients whose markers increased or did not change. Conclusion: In refractory CHF patients PD treatment was associated with a reduction in circulating fibrosis markers. View Full-Text
Keywords: congestive heart failure; peritoneal dialysis; fibrosis markers congestive heart failure; peritoneal dialysis; fibrosis markers
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MDPI and ACS Style

Kunin, M.; Carmon, V.; Beckerman, P.; Dinour, D. Effect of Peritoneal Dialysis on Serum Fibrosis Biomarkers in Patients with Refractory Congestive Heart Failure. Int. J. Mol. Sci. 2019, 20, 2610. https://doi.org/10.3390/ijms20112610

AMA Style

Kunin M, Carmon V, Beckerman P, Dinour D. Effect of Peritoneal Dialysis on Serum Fibrosis Biomarkers in Patients with Refractory Congestive Heart Failure. International Journal of Molecular Sciences. 2019; 20(11):2610. https://doi.org/10.3390/ijms20112610

Chicago/Turabian Style

Kunin, Margarita; Carmon, Vered; Beckerman, Pazit; Dinour, Dganit. 2019. "Effect of Peritoneal Dialysis on Serum Fibrosis Biomarkers in Patients with Refractory Congestive Heart Failure" Int. J. Mol. Sci. 20, no. 11: 2610. https://doi.org/10.3390/ijms20112610

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