Abstract
Background
Single measurements of serum cystatin C (cysC) concentration have generally been used to determine glomerular filtration rate (GFR) in adults. Since GFR varies to some extent among children, we attempted to determine reference serum cysC concentrations for Japanese children.
Methods
Serum cysC concentrations were determined by a latex particle-enhanced turbidimetric immunoassay in children who did not present with kidney disease or infectious disease, and the relationship between age and serum cysC level was assessed.
Results
We found that reference serum cysC levels gradually decreased during the first year after birth, thereafter becoming constant. Mean serum cysC concentration in children aged 1 year (0.76 ± 0.10 mg/L) was slightly higher than in children aged ≥2 years (0.70 ± 0.09 mg/L).
Conclusion
Our reference values will be applicable for screening renal function in Japanese children.
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References
Uemura O, Ushijima K, Nagai T, Yamada T, Hayakawa H, Shinkai Y, Kuwabara M. Reference serum creatinine levels determined by an enzymatic method in Japanese children: relationship to body length. Clin Exp Nephrol. 2009;13(6):585–8.
Bökenkamp A, Domanetzki M, Zinck R, Schumann G, Byrd D, Brodehl J. Cystatin C serum concentrations underestimate glomerular filtration rate in renal transplant recipients. Clin Chem. 1999;45:1866–8.
Risch L, Herklotz R, Blumberg A, Huber AR. Effects of glucocorticoid immunosuppression on serum cystatin C concentrations in renal transplant patients. Clin Chem. 2001;47:2055–9.
Risch L, Huber AR. Glucocorticoids and increased serum cystatin C concentrations. Clin Chim Acta. 2002;320:133–4.
Kos J, Stabuc B, Cimerman N, Brünner N. Serum cystatin C, a new marker of glomerular filtration rate, is increased during malignant progression. Clin Chem. 1998;44:2556–7.
Finney H, Williams AH, Price CP. Serum cystatin C in patients with myeloma. Clin Chim Acta. 2001;309:1–6.
Laterza OF, Price CP, Scott MG. Cystatin C: an improved estimator of glomerular filtration rate? Clin Chem. 2002;48:699–707.
Abrahamson M, Olafsson I, Palsdottir A, Ulvsbäck M, Lundwall A, Jensson O, Grubb A. Structure and expression of the human cystatin C gene. Biochem J. 1990;268:287–94.
Takuwa S, Ito Y, Ushijima K, Uchida K. Serum cystatin-C values in children by age and their fluctuation during dehydration. Pediatr Int. 2002;44:28–31.
Filler G, Lepage N. Should the Schwartz formula for estimation of GFR be replaced by cystatin C formula? Pediatr Nephrol. 2003;18:981–5.
Grubb A, Nyman U, Björk J, Lindström V, Rippe B, Sterner G, Christensson A. Simple cystatin C-based prediction equations for glomerular filtration rate compared with the modification of diet in renal disease prediction equation for adults and the Schwartz and the Counahan-Barratt prediction equations for children. Clin Chem. 2005;51:1420–31.
Zappitelli M, Parvex P, Joseph L, Paradis G, Grey V, Lau S, Bell L. Derivation and validation of cystatin C-based prediction equations for GFR in children. Am J Kidney Dis. 2006;48:221–30.
Andersen TB, Eskild-Jensen A, Frøkiaer J, Brøchner-Mortensen J. Measuring glomerular filtration rate in children; can cystatin C replace established methods? A review. Pediatr Nephrol. 2009;24:929–41.
Kaneko K. Serum cystatin C as a possible marker to detect renal maturation. Pediatr Nephrol. 2009;25(3):561–2.
Harmoinen A, Ylinen E, Ala-Houhala M, Janas M, Kaila M, Kouri T. Reference intervals for cystatin C in pre- and full-term infants and children. Pediatr Nephrol. 2000;15:105–8.
Kamei K, Kasahara K, Teramachi M, Nakayama M, Suzuki T, Tanaka T, Iijima K. Reference values for serum cystatin C concentration in Japanese children and its clinical efficacy for evaluating renal function. J Jpn Pediatr Soc. 2007;111:1381–7. (in Japanese).
Sakamoto K, Kawakatsu H, Nagao F, Hashimoto Y, Hibi Y, Matsushita H. The efficacy of cystatin C as a novel marker of renal function for children. Jpn J Pediatr Nephrol. 2008;21:42–7. (in Japanese).
Fischbach M, Graff V, Terzic J, Bergère V, Oudet M, Hamel G. Impact of age on reference values for serum concentration of cystatin C in children. Pediatr Nephrol. 2002;17:104–6.
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Uemura, O., Ushijima, K., Nagai, T. et al. Reference serum cystatin C levels in Japanese children. Clin Exp Nephrol 14, 453–456 (2010). https://doi.org/10.1007/s10157-010-0314-z
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DOI: https://doi.org/10.1007/s10157-010-0314-z