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Original research
High serum soluble CD200 levels in patients with autosomal dominant polycystic kidney disease
  1. Funda Sari1,
  2. Saadet Gumuslu2,
  3. Ramazan Cetinkaya1,
  4. Metin Sarikaya3,
  5. Arzu Didem Yalcin4
  1. 1Division of Nephrology, Department of Internal Medicine, Akdeniz University, School of Medicine, Antalya, Turkey
  2. 2Department of Biochemistry, School of Medicine, Akdeniz University, Antalya, Turkey
  3. 3Division of Nephrology, Department of Internal Medicine, Antalya Training and Research Hospital, Antalya, Turkey
  4. 4Department of Internal Medicine, Antalya Training and Research Hospital, Antalya, Turkey
  1. Correspondence to Dr Funda Sari, Division of Nephrology, Department of Internal Medicine, Akdeniz University, School of Medicine, Antalya TR-07070, Turkey; fundasari{at}ymail.com

Abstract

CD200 is a novel immune-effective molecule, existing in a cell membrane-bound form, as well as in a soluble form in serum, which performs to modulate inflammatory and acquired immune responses. Autosomal dominant polycystic kidney disease (ADPKD) is characterized by the development of large renal cysts and progressive loss of renal function. As defects in cell cycle arrest and apoptosis of renal tubular epithelial cells occur in ADPKD, we asked whether serum soluble CD200 might underlie and effect on ADPKD. Serum soluble CD200 levels were measured in 44 patients with ADPKD and 24 healthy volunteers. Concentrations of soluble CD200 in the serum samples were quantified using an ELISA kit. The mean serum soluble CD200 levels were higher in patients with ADPKD than in the control group (71.4±29.2 and 21.4±5.6 pg/mL, p<0.001). Positive correlation was detected between serum soluble CD200 levels and glomerular filtration rate (r=0.772, p<0.001), and serum albumin level (r=0.466, p=0.001). Negative correlation was detected between serum soluble CD200 levels and serum creatinine levels (r=−0.761, p<0.001), and C reactive protein levels (r=−0.364, p=0.015). In the ADPKD patients group, serum soluble CD200 levels were lower in patients with stage 5 chronic kidney disease (CKD) than in patients with stages 1–2 (p<0.001), 3 (p=0.005) and 4 CKD (p=0.006). Serum soluble CD200 levels were similar in patients with stages 1–2, 3, and 4 CKD (p>0.05). Our results show that patients with ADPKD have activated soluble CD200 levels which were related to renal function and inflammation.

  • Inflammation
  • Kidney Failure, Chronic
  • Immunologic Tests

http://dx.doi.org/10.1136/jim-2016-000326

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    Footnotes

    • Parts of this study were presented in abstract format at the 32nd National Congress of Nephrology, Hypertension, Dialysis and Transplantation, Antalya, Turkey, October 21–25, 2015

    • Contributors FS contributed to the planning, conduct, statistical analysis, and reporting of the work. SG contributed to the conduct, biochemical analysis and reporting of the work. RC involved in the planning and reporting of the work. MS contributed to the planning and conduct of the work. ADY contributed to the conduct and reporting of the work.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Ethics approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

    • Provenance and peer review Not commissioned; externally peer reviewed.