›› 2014, Vol. 29 ›› Issue (2): 122-129.DOI: 10.3969/j.issn.1673-8640.2014.02.008

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Research on relationship between the levels of serum retinol binding protein 4 and oxidized-low density lipoprotein in children with nephrotic syndrome

NIU Dongmei, HONG Jun, WU Jia, SONG Jiaxi, YU Ruijie, YUAN Yunlong, WANG Junjun.   

  1. Institute of Laboratory Medicine Science of the People′s Liberation Army, Nanjing General Hospital of Nanjing Military Command, Jiangsu Nanjing 210002, China
  • Received:2013-07-25 Online:2014-02-20 Published:2014-02-20

Abstract:

Objective To investigate the relationship between the level change of serum retinol binding protein 4(RBP4) and oxidized-low density lipoprotein(ox-LDL) in children with nephrotic syndrome(NS). Methods The levels of serum RBP4 in 118 children with NS(NS group) and 45 healthy children(healthy control group) were determined respectively, the levels of ox-LDL, albumin (Alb), blood lipids [total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and non HDL-C] andrenal function parameters [urea and creatinine (Cr)] were determined simultaneously, and the results were analyzed statistically. Results The levels of serum RBP4 in NS group [(55.88±27.36)mg/L] were significantly higher than those in healthy control group [(30.61±8.68) mg/L] (P<0.01). The levels of serum RBP4 were positively correlated with ox-LDL, TC, TG, LDL-C, non HDL-C and urea [correlation coefficient (r)=0.30, 0.35, 0.25, 0.29, 0.32 and 0.26, P<0.01].Multiple linear regression analysis found that the changes of TC(β=0.62, P<0.01), urea(β=0.26, P<0.01) and ox-LDL(β=0.20, P<0.05) influenced the 48.4% of the change of RBP4. In addition, RBP4 was one of factors for the levels of ox-LDL in children with NS. Conclusions The levels of serum RBP4 in children with NS increase significantly, which are associated with the increase of ox-LDL, promoting the occurrence and development of NS.

Key words: Retinol binding protein 4, Oxidized-low density lipoprotein, Lipid metabolism, Child nephrotic syndrome

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