Early renal dysfunction and fibroblast growth factor-23 in patients with small vessel disease-related stroke View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-10-28

AUTHORS

Simon Fandler-Höfler, Christian Enzinger, Markus Kneihsl, Daniela Pinter, Sebastian Eppinger, Barbara Obermayer-Pietsch, Anna Goritschan, Hildegard Hafner-Giessauf, Alexander R. Rosenkranz, Franz Fazekas, Thomas Gattringer

ABSTRACT

Interactions between cerebral small vessel disease (CSVD) and renal dysfunction (RD) have been reported, but previous studies were mostly retrospective and limited to measurements of estimated glomerular filtration rate (eGFR). In this prospective, longitudinal study of patients with CSVD-related recent small subcortical infarcts (RSSI), we aimed at a comprehensive exploration of markers of early RD and their association with microvascular brain damage. We investigated 101 stroke patients (mean age: 60.2 ± 10.7 years) with an MRI-confirmed RSSI who underwent follow-up brain MRI 15 months post-stroke. Besides serum creatinine and eGFR, we assessed urinary Albumin-Creatinine Ratio and fibroblast growth factor-23 (FGF-23). RD was classified according to recent Kidney Disease: Improving Global Outcomes criteria. We identified 24 patients with RD, only six patients revealed an eGFR <60 mL/min/1.73 m². RSSI patients with RD more often had severe white matter hyperintensities (WMH, 58% vs. 36%, p = 0.04). CSVD progression was not dependent on RD. However, patients in the highest FGF-23 quartile more frequently had new microangiopathic lesions on follow-up MRI (50% vs. 21%, p = 0.03). Early RD was found in a quarter of RSSI patients and associated with WMH severity, but not CSVD progression. High FGF-23 indicates an increased risk for ongoing microvascular brain damage, warranting further studies. More... »

PAGES

15410

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-019-51965-5

DOI

http://dx.doi.org/10.1038/s41598-019-51965-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1122141867

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31659218


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