Genetics and Molecular Biology,
Journal Year:
2025,
Volume and Issue:
48(1)
Published: Jan. 1, 2025
Tumor
necrosis
factor-alpha
(TNF-α),
is
partly
attributed
to
pathogenesis
of
end-stage
renal
disease
(ESRD).
Inconsistency
reported
associations
between
TNF-α
G-308A
polymorphism
(rs1800629)
and
ESRD
prompted
a
meta-analysis
obtain
more
precise
estimates.
Eleven
case-control
studies
from
11
articles
were
included.
Pooled
odds
ratios
(OR)
95%
confidence
intervals
(95%
CIs)
estimated
evaluate
the
association.
Subgroup
analysis
was
based
on
ethnicity
(Caucasian
Asian).
Multiple
comparisons
Bonferroni-corrected.
Trial
sequential
(TSA)
implemented
ascertain
reliability
results.
Sensitivity
analyses
publication
bias
tests
performed
significant
There
no
association
(pa
>0.05)
in
overall
ethnic
subgroup.
Indians,
three
pool
ORs
<
0.01-0.03)
showed
increased
susceptibility
homozygous
(OR,
6.57;
CI,
1.45
29.75;
pa
=
0.01),
recessive
6.75;
1.44
31.56;
0.02),
codominant
2.06;
1.08
3.94;
0.03)
models.
TSA
indicated
robustness
such
Indian
population.
The
main
outcomes
robust
without
evidence
bias.
This
study
are
confined
which
susceptible
up
approximately
7
times.
Frontiers in Physiology,
Journal Year:
2025,
Volume and Issue:
16
Published: Feb. 3, 2025
Background
Chronic
kidney
disease
(CKD)
has
now
reached
pandemic
proportions
but
risk
prediction
towards
end-stage
(ESKD)
remains
challenging.
Kidney
fibrosis
is
a
key
determinant
in
the
transition
from
CKD
to
ESKD.
In
this
prospective
study,
we
investigated
prognostic
significance
of
urinary
Marinobufagenin
(uMBG),
cardiotonic
steroid
with
acknowledged
pro-fibrotic
activity,
for
stratifying
progression
individuals
non-advanced
renal
disease.
Methods
After
baseline
uMBG
measurements,
108
patients
(eGFR
40.54
±
17
mL/min/1.73
m
2
)
were
prospectively
followed
up
24
months.
The
study
(renal)
endpoint
was
composite
serum
creatinine
doubling,
eGFR
decline
>25%
values,
or
ESKD
requiring
chronic
replacement
therapy.
Results
During
follow-up
(mean
21
months),
32.4%
had
progressive
CKD.
These
displayed
almost
halved
excretion
as
compared
others
(p
<
0.0001).
At
ROC
analysis
showed
remarkable
diagnostic
capacity
on
(AUC
0.898)
and
≤310
pmol/L
(Best
ROC-derived
cut-off)
significantly
faster
(Log-rank
57.9;
p
Restricted
cubic
splines
fitting
logistic
Cox-regression
analyses
revealed
that
association
between
best
described
by
curvilinear,
inverse
J-shaped
trend,
highest
associated
very
low
levels.
This
trend
remained
unaffected
adjustment
age,
eGFR,
h-proteinuria.
Conclusion
CKD,
MBG
reflects
more
sustained
over
time.
Validation
studies
are
needed
generalize
these
findings
larger
heterogeneous
cohorts.
Journal of Infection and Public Health,
Journal Year:
2025,
Volume and Issue:
18(5), P. 102712 - 102712
Published: Feb. 20, 2025
Urinary
tract
infection
(UTI)
or
acute
pyelonephritis
can
lead
to
renal
scarring
and
impact
the
subsequent
function
progression.
The
aims
of
this
study
were
investigate
changes
in
related
UTI
requiring
hospital
admission
(UTI/HA)
association
between
UTI/HA
long-term
outcomes
patients
with
chronic
kidney
disease
(CKD).
This
was
a
multicenter,
retrospective
observational
study.
Renal
events
before
after
CKD
analyzed
for
short-term
mid-term
outcomes.
A
case-control
multivariate
logistic
regression
analysis
used
clinical
characteristics
risk
(kidney
replacement
therapy
death,
KRT/death)
adult
patients.
included
1062
patients,
340
KRT
76
deaths
identified
during
median
follow-up
105
months.
Among
174
UTI/HA,
59
(33.9
%)
had
bacteremia,
90
(51.7
injury
(AKI),
one
in-hospital
mortality.
There
faster
decline
rate
estimated
glomerular
filtration
(eGFR)
compared
pre-UTI/HA
period
[median
(IQR)
0.37
(0.17-0.72)
versus
0.19
(0.06-0.36)
ml/min/1.73
m2
per
month,
P
<
0.0001].
incidence
similar
KRT/death
non-dialysis
groups.
Multivariate
showed
that
baseline
eGFR,
eGFR
number
significantly
associated
an
increased
KRT/death.
highlights
on
It
demonstrates
high
AKI
but
low
mortality,
accelerated
deterioration
following
UTI/HA.
Long-term
influenced
by
progression
rate,
frequency
admission.
may
be
regarded
as
potentially
modifiable
factor
However,
there
is
need
further
isolate
from
pre-existing
Genetics and Molecular Biology,
Journal Year:
2025,
Volume and Issue:
48(1)
Published: Jan. 1, 2025
Tumor
necrosis
factor-alpha
(TNF-α),
is
partly
attributed
to
pathogenesis
of
end-stage
renal
disease
(ESRD).
Inconsistency
reported
associations
between
TNF-α
G-308A
polymorphism
(rs1800629)
and
ESRD
prompted
a
meta-analysis
obtain
more
precise
estimates.
Eleven
case-control
studies
from
11
articles
were
included.
Pooled
odds
ratios
(OR)
95%
confidence
intervals
(95%
CIs)
estimated
evaluate
the
association.
Subgroup
analysis
was
based
on
ethnicity
(Caucasian
Asian).
Multiple
comparisons
Bonferroni-corrected.
Trial
sequential
(TSA)
implemented
ascertain
reliability
results.
Sensitivity
analyses
publication
bias
tests
performed
significant
There
no
association
(pa
>0.05)
in
overall
ethnic
subgroup.
Indians,
three
pool
ORs
<
0.01-0.03)
showed
increased
susceptibility
homozygous
(OR,
6.57;
CI,
1.45
29.75;
pa
=
0.01),
recessive
6.75;
1.44
31.56;
0.02),
codominant
2.06;
1.08
3.94;
0.03)
models.
TSA
indicated
robustness
such
Indian
population.
The
main
outcomes
robust
without
evidence
bias.
This
study
are
confined
which
susceptible
up
approximately
7
times.