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The association of endothelial progenitor cell markers with arteriovenous fistula maturation in hemodialysis patients

  • Nephrology - Original Paper
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Abstract

Aims

Arteriovenous fistula (AVF) failure is one of the most important clinical problems in end-stage renal disease. Endothelial progenitor cells (EPCs) have a role on vascular angiogenesis and endothelialization. We aimed to investigate the association markers of EPCs on AVF maturation by measuring the surface expressions of CD34, CD309 and CD133 on the monocytes.

Methods

This prospective observational study was conducted in 54 voluntary patients with end-stage renal disease who were admitted for their first renal replacement therapy and were available for AVF creation. Venography was performed in all patients before AVF creation. Six patients were excluded due to inadequate veins after venographic imaging, and also seven patients were excluded due to postoperative thrombosis. The blood samples were analyzed a day before the fistula operation, and the expressions of CD34, CD133 and CD309 on the surface of monocytes were measured.

Results

Patients were divided into two groups after the evaluation of AVF maturation, as the mature group and the failure group. The CD309 expression level on the monocytes was 338.00 (35.00–479.00) in the mature group; however, it was 36.00 (5.50–237.00) (p 0.031) in the failure group. Multiple logistic regression analyses showed that both BMI and the mean fluorescence intensity level of CD309 expression on monocytes independently predicted AVF maturation.

Conclusions

The presence of DM and increased BMI negatively correlated with AVF maturation. High intensity of CD309 expression on monocytes was observed in patients with successful AVF maturation.

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Funding

This study was supported by the Erciyes University Council of Scientific Investigations (Project Code TTU-2013-4456).

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Authors and Affiliations

  1. Department of Internal Medicine, Erciyes University Medical School, Kayseri, Turkey

    Eray Eroglu

  2. Department of Nephrology, Erciyes University Medical School, Kayseri, Turkey

    Ismail Kocyigit, Aydin Unal & Oktay Oymak

  3. Department of Immunology, Erciyes University Medical School, Kayseri, Turkey

    Berkay Saraymen, Huseyin Avcilar & Mustafa Yavuz Koker

  4. Department of Cardiovascular Surgery, Erciyes University Medical School, Kayseri, Turkey

    Aydin Tuncay

  5. Department of Radiology, Erciyes University Medical School, Kayseri, Turkey

    Ertugrul Mavili

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  1. Eray Eroglu
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  2. Ismail Kocyigit
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Correspondence to Eray Eroglu.

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Eroglu, E., Kocyigit, I., Saraymen, B. et al. The association of endothelial progenitor cell markers with arteriovenous fistula maturation in hemodialysis patients. Int Urol Nephrol 48, 891–899 (2016). https://doi.org/10.1007/s11255-016-1282-3

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  • DOI: https://doi.org/10.1007/s11255-016-1282-3

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