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Yalin SF, Atahan E, Gundogdu S, Parmaksiz E, Mese M, Trabulus S, Mutlu B, Altiparmak MR. Renin-angiotensin system activation: may it increase frequency of obstructive sleep apnea in patients with autosomal dominant polycystic kidney disease? Sleep Breath 2023; 27:1359-1363. [PMID: 36372815 DOI: 10.1007/s11325-022-02742-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Revised: 10/23/2022] [Accepted: 11/05/2022] [Indexed: 11/15/2022]
Abstract
PURPOSE Renin-angiotensin system (RAS) hyperactivity is a common entity in both autosomal dominant polycystic kidney disease (ADPKD) and obstructive sleep apnea (OSA). We aimed to investigate the frequency of OSA in adults with ADPKD either with stages 3-4 or stages 1-2 chronic kidney disease (CKD) and evaluate the effect of RAS blockade on OSA in these patients. METHODS This is a comparative, prospective, two-center clinical study. Eligible patients with ADPKD were enrolled in a polysomnography (PSG) study. Presence of OSA in patients with ADPKD was compared with individuals who underwent polisomnography study due to OSA symptoms. A subgroup analysis was performed in terms of the presence of OSA in ADPKD with eGFR values lower or higher than 60 ml/min/1.73 m2 (stages 3-4 and stages 1-2 CKD, respectively). RESULTS Frequency of OSA (65%) was higher than in the general population and similar between the two groups (p = 0.367). Patients with ADPKD and eGFR ≥ 60 ml/min/1.73 m2 presented a similar frequency of OSA to the control group (p = 0.759). However, OSA was significantly more frequent in ADPKD with eGFR < 60 ml/min/1.73 m2 (p = 0.018). Subgroup analysis revealed that presence of OSA also was significantly higher in ADPKD with lower eGFR levels (eGFR < 60 ml/min/1.73 m2 and eGFR > 60 ml/min/1.73 m2) 14/17 (82%) and 12/23 (52%), respectively (p: 0.048). CONCLUSION As kidney disease progresses, uremia and related factors of renal failure rather than RAS activation seem to play a more important role for the development of OSA in patients with ADPKD.
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Affiliation(s)
- Serkan Feyyaz Yalin
- Department of Nephrology, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey.
| | - Ersan Atahan
- Department of Pulmonary Diseases, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Sule Gundogdu
- Department of Pulmonary Diseases, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Ergun Parmaksiz
- Department of Nephrology, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey
| | - Meral Mese
- Department of Nephrology, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey
| | - Sinan Trabulus
- Department of Nephrology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Birsen Mutlu
- Department of Pulmonary Diseases, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Mehmet Riza Altiparmak
- Department of Nephrology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
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Bahat KA, Mese M. Investigation of COVID-19 Vaccine Acceptance and Early Side Effects of COVID-19 Vaccine in Hemodialysis Patients. Turk J Nephrol 2023. [DOI: 10.5152/turkjnephrol.2023.2234305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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Yesil EE, Yilmaz Y, Yesil A, Mese M, Kaya E, Bakir EA. Prevalence of metabolic dysfunction-associated fatty liver disease in kidney transplant recipients: A cross-sectional study using FibroScan. Hepatol Forum 2023; 4:14-18. [PMID: 36843889 PMCID: PMC9951894 DOI: 10.14744/hf.2022.2022.0038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 11/29/2022] [Accepted: 12/06/2022] [Indexed: 06/18/2023]
Abstract
BACKGROUND AND AIM Metabolic dysfunction-associated fatty liver disease (MAFLD) is expected to be prevalent among kidney transplant recipients (KTRs). In this study, we evaluated the prevalence of MAFLD among KTRs, data that have not been investigated by any clinical study to date. MATERIALS AND METHODS We included a total of 52 KTRs and 53 age-, sex-, and BMI-matched individuals as the control group through prospective consecutive recruitment. We detected the presence of hepatic steatosis and liver fibrosis using the controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) defined by FibroScan. RESULTS Among the KTRs, 18 (34.6%) had metabolic syndrome. The prevalence of MAFLD among the KTRs and controls was 42.3% and 51.9%, respectively (p=0.375). The CAP and LSM values did not differ significantly between the KTRs and controls (p=0.222 and p=0.119). Among the KTRs, patients with MAFLD had significantly higher age, BMI, waist circumference, LDL, and total cholesterol levels (p<0.001, p=0.011, p=0.033, p=0.022, and p=0.029, respectively). In multivariable analysis, age was the only independent factor for MAFLD among the KTRs (OR: 1.120, 95% confidence interval (CI): 1.039-1.208). CONCLUSION MAFLD among KTRs did not show a significantly higher prevalence compared to the normal population. Further clinical studies with larger populations are needed.
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Affiliation(s)
- Ezgi Ersoy Yesil
- Department of Nephrology, Umraniye Training and Research Hospital, Istanbul, Turkiye
| | - Yusuf Yilmaz
- Department of Gastroenterology, Marmara University Faculty of Medicine, Istanbul, Turkiye
| | - Atakan Yesil
- Department of Gastroenterology, Istanbul Health and Technology University Faculty of Medicine, Istanbul, Turkiye
| | - Meral Mese
- Department of Nephrology, Kartal Training and Research Hospital, Istanbul, Turkiye
| | - Eda Kaya
- Department of Internal Medicine, University Hospital Knappschaftskrankenhaus, Ruhr University Bochum, Bochum, Germany
| | - Elif Ari Bakir
- Department of Nephrology, Kartal Training and Research Hospital, Istanbul, Turkiye
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Mese M, Ari E. A prospective study of living kidney donors: 6 years follow-up from a cardiovascular disease risk perspective. Rev Assoc Med Bras (1992) 2022; 68:1042-1047. [PMID: 36134832 PMCID: PMC9574979 DOI: 10.1590/1806-9282.20220143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Accepted: 05/16/2022] [Indexed: 08/30/2023] Open
Abstract
OBJECTIVE: The purpose of this prospective study was to evaluate the clinical, laboratory, and donation-specific outcomes of living kidney donors 6 years after donation. METHODS: We included a total of 93 kidney donors and 54 age- and sex-matched individuals as control group through a type 2 cohort consecutive recruitment. We detected kidney function abnormalities and the presence of hypertension, diabetes, and cardiovascular events during the 6 years follow-up period. RESULTS: The mean serum creatinine levels were higher (p<0.001), and the estimated glomerular filtration rate levels were lower (p<0.001) in living kidney donors 6 years after donation when compared with controls. The protein/creatinine ratio of the study population was also higher (p=0.014). There was no difference in outcomes between the groups for end-stage kidney disease and cardiovascular mortality. A higher rate of new-onset hypertension (6.4 vs. 32.9%), diabetes mellitus (0.0 vs. 4.3%), chronic kidney disease (0.0 vs. 2.1%), and cardiovascular disease (0.0 vs. 2.1%) was demonstrated among donors 6 years after donation (p<0.001, respectively). CONCLUSION: Our data have demonstrated that the reduction in Glomerular filtration rate induced by kidney donation might cause an increase in adverse renal and cardiovascular events.
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Affiliation(s)
- Meral Mese
- Kartal Dr. Lutfi Kırdar City Hospital, Department of Nephrology - Istanbul, Turkey
| | - Elif Ari
- University of Health Sciences, Department of Nephrology - Istanbul, Turkey
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Gogas Yavuz D, Aydin K, Apaydin T, Velioglu A, Mert M, Pekkolay Z, Parmaksiz E, Mese M, Esen Pazir A, Aydın E, Bugdayci O, Tuglular S. Clinical predictors of incipient vertebral fractures and bone mineral density in kidney transplant patients. Eur Spine J 2022; 31:2423-2430. [PMID: 35376984 DOI: 10.1007/s00586-022-07162-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 01/02/2022] [Accepted: 02/23/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE Kidney transplant recipients are prone to metabolic bone diseases and consequent fractures. This study aimed to evaluate the incidence of incipient vertebral fractures, osteopenia, osteoporosis, and the clinical factors associated with incipient vertebral fractures in a group of kidney transplant patients. METHODS Two hundred sixty-four patients (F/M 124/140, 45.3 ± 13 years) who had undergone kidney transplantation in tertiary care centers were included. Vertebral fractures were assessed semiquantitatively using conventional thoracolumbar lateral radiography in 202 of the patients. RESULTS Vertebral fractures were observed in 56.4% (n = 114) of the study group. The frequency of osteoporosis was 20.0% (53 of 264 patients), and osteopenia was 35.6% (94 of 264 patients). Bone mineral density (BMD) levels were in the normal range in 40.3% (n = 46) of the subjects with vertebral fractures. It was in the osteoporotic range in 20.1% (n = 23) and the osteopenic range in 40.3% (n = 46). Vertebral fractures were associated with age, duration of hemodialysis, BMI, and femoral neck Z score (R2 37.8%, p = 0.027). CONCLUSION As incipient vertebral fractures can be observed in patients with normal BMD levels in kidney transplant recipients, conventional X-ray screening for vertebral fractures may be beneficial for a proper therapy decision of metabolic bone disease in kidney transplant recipients.
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Affiliation(s)
- Dilek Gogas Yavuz
- Department of Endocrinology and Metabolism, Marmara University School of Medicine, Istanbul, Turkey
| | - Kadriye Aydin
- Department of Endocrinology and Metabolism, Kartal Lutfi Kirdar Research and Training Hospital, Istanbul, Turkey
| | - Tugce Apaydin
- Department of Endocrinology and Metabolism, Marmara University School of Medicine, Istanbul, Turkey.
| | - Arzu Velioglu
- Department of Nephrology, Marmara University School of Medicine, Istanbul, Turkey
| | - Meral Mert
- Department of Endocrinology and Metabolism, Istanbul Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey
| | - Zafer Pekkolay
- Department of Endocrinology and Metabolism, Dicle University School of Medicine, Diyarbakır, Turkey
| | - Ergun Parmaksiz
- Department of Nephrology, Kartal Lutfi Kirdar Research and Training Hospital, Istanbul, Turkey
| | - Meral Mese
- Department of Nephrology, Kartal Lutfi Kirdar Research and Training Hospital, Istanbul, Turkey
| | - Ayse Esen Pazir
- Department of Nephrology, Istanbul Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey
| | - Emre Aydın
- Department of Nephrology, Dicle University School of Medicine, Diyarbakır, Turkey
| | - Onur Bugdayci
- Department of Radiology, Marmara University School of Medicine, Istanbul, Turkey
| | - Serhan Tuglular
- Department of Nephrology, Marmara University School of Medicine, Istanbul, Turkey
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Affiliation(s)
- Meral Mese
- 147015Dr. Lutfi Kirdar Kartal City Hospital, Department of Nephrology, Istanbul, Turkey
| | - Ergün Parmaksiz
- 147015Dr. Lutfi Kirdar Kartal City Hospital, Department of Nephrology, Istanbul, Turkey
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Demir E, Uyar M, Parmaksiz E, Sinangil A, Yelken B, Dirim AB, Merhametsiz O, Yadigar S, Atan Ucar Z, Ucar AR, Demir ME, Mese M, Akin EB, Garayeva N, Safak S, Oto OA, Yazici H, Turkmen A. COVID-19 in kidney transplant recipients: A multicenter experience in Istanbul. Transpl Infect Dis 2020; 22:e13371. [PMID: 32657540 PMCID: PMC7404438 DOI: 10.1111/tid.13371] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 06/04/2020] [Accepted: 06/14/2020] [Indexed: 12/24/2022]
Abstract
INTRODUCTION Management of COVID-19 in kidney transplant recipients should include treatment of the infection, regulation of immunosuppression, and supportive therapy. However, there is no consensus on this issue yet. This study aimed to our experiences with kidney transplant recipients diagnosed with COVID-19. MATERIAL AND METHODS Kidney transplant recipients diagnosed with COVID-19 from five major transplant centers in Istanbul, Turkey, were included in this retrospective cohort study. Patients were classified as having moderate or severe pneumonia for the analysis. The primary endpoint was all-cause mortality. The secondary endpoints were acute kidney injury, the average length of hospital stay, admission to intensive care, and mechanical ventilation. RESULTS Forty patients were reviewed retrospectively over a follow-up period of 32 days after being diagnosed with COVID-19. Cough, fever, and dyspnea were the most frequent symptoms in all patients. The frequency of previous induction and rejection therapy was significantly higher in the group with severe pneumonia compared to the moderate pneumonia group. None of the patients using cyclosporine A developed severe pneumonia. Five patients died during follow-up in the intensive care unit. None of the patients developed graft loss during follow-up. DISCUSSION COVID-19 has been seen to more commonly cause moderate or severe pneumonia in kidney transplant recipients. Immunosuppression should be carefully reduced in these patients. Induction therapy with lymphocyte-depleting agents should be carefully avoided in kidney transplant recipients during the pandemic period.
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Affiliation(s)
- Erol Demir
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Murathan Uyar
- Division of Nephrology, Department of Internal Medicine, Gaziosmanpasa Hospital, Yeniyuzyil University, Istanbul, Turkey
| | - Ergun Parmaksiz
- Division of Nephrology, Department of Internal Medicine, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Ayse Sinangil
- Division of Nephrology, Department of Internal Medicine, Florence Nightingale Hospital, Demiroglu Bilim University, Istanbul, Turkey
| | - Berna Yelken
- Division of Nephrology, Department of Internal Medicine, Koc School of Medicine, Koc University, Istanbul, Turkey
| | - Ahmet Burak Dirim
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Ozgur Merhametsiz
- Division of Nephrology, Department of Internal Medicine, Gaziosmanpasa Hospital, Yeniyuzyil University, Istanbul, Turkey
| | - Serap Yadigar
- Division of Nephrology, Department of Internal Medicine, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Zuhal Atan Ucar
- Division of Nephrology, Department of Internal Medicine, Florence Nightingale Hospital, Demiroglu Bilim University, Istanbul, Turkey
| | - Ali Riza Ucar
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Mehmet Emin Demir
- Division of Nephrology, Department of Internal Medicine, Gaziosmanpasa Hospital, Yeniyuzyil University, Istanbul, Turkey
| | - Meral Mese
- Division of Nephrology, Department of Internal Medicine, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Emin Baris Akin
- Division of Nephrology, Department of Internal Medicine, Florence Nightingale Hospital, Demiroglu Bilim University, Istanbul, Turkey.,Unit of Renal Transplantation, Department of General Surgery, Florence Nightingale Hospital, Demiroglu Bilim University, Istanbul, Turkey
| | - Nurana Garayeva
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Seda Safak
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Ozgur Akin Oto
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Halil Yazici
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Aydin Turkmen
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.,Division of Nephrology, Department of Internal Medicine, Koc School of Medicine, Koc University, Istanbul, Turkey
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Gul CB, Kucuk M, Ozturk S, Demir E, Eren N, Sumnu A, Seyahi N, Gullulu M, Dede F, Derici Ü, Koc Y, SAHIN G, Oymak O, Manga Sahin G, Tatar E, Dursun B, Dheir H, Apaydin S, Suleymanlar G, Ulu MS, Altunoren O, Kutlay S, Mese M, Sahin İ, Ustundag S, Turkmen K, Yilmaz ME, Turan Kazancioglu R, Uzun O, Candan F, Aydin Z, Oygar D, Aktas N, Erdem Y, Paydas S, Guven Taymez D, Can B, Kıykım A, Koc L, Sezer S, Duranay M, Bardak S, Altintepe L, Kaya B, Azak A, Alisir Ecder S, Cavdar C, Selcuk NY. P0431TRENDS OF PRIMARY GLOMERULAR DISEASE IN TURKEY FROM 2009 TO 2017: A REGIONAL REGISTRY REPORT FROM TSN-GOLD WORKING GROUP. Nephrol Dial Transplant 2020. [DOI: 10.1093/ndt/gfaa142.p0431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background and Aims
Several glomerular disease registries in Europe, and they shared their data; however, there was a lack of current data on trends of primary glomerulopathy in Turkey. Glomerular disease patterns can change geographical areas and populations decade by decade. Our aim is to present Turkey's primary glomerular disease pattern from 2009 to 2017.
Method
3878 native kidney biopsy records were assessed in the Turkish Society of Nephrology Glomerulopathy (TSN-GOLD) Working Group Registry. Secondary disease (lupus, etc.) and transplant biopsies do not enroll in the registry. These records divided into four periods, before 2009, 2009 to 2013, 2013 to 2017, and 2017 to current.
Results
A total of 3858 patients (M = 2173, K = 1685) were examined. There was no difference in the distribution of number of patients according to periods (Q1 = 968, Q2 = 960, Q3 = 968, Q4 = 962). Nephrotic syndrome was the most common biopsy indication in all quarters (58.6%, 53%, 44.1%, 51.6%, respectively). Glomerulopathy types; Membranous GN (29.9%, n = 290) was the first in Q1 and IgA nephropathy (17.7%, n = 172) was the second. IgA nephropathy (28.5%, n = 274) was the most common glomerulopathy in Q2, while Membranous GN (25.5%, n = 245) was the second most common. IgA nephropathy (29.9%, n = 285) was the most common glomerulopathy in Q3, followed by FSGS (22.9%, n = 222) and Membranous GN. In Q4, FSGS (26.8, n = 258) was the most common glomerulopathy, followed by IgA nephropathy (26.7%, n = 257) and Membranous GN (24.5%, n = 236) (Figure 1).
Conclusion
While biopsy indications did not change over the years, the incidence of FSGS and IgA nephropathy gradually increased.
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Affiliation(s)
- Cuma Bulent Gul
- Bursa Yuksek Ihtisas Training and Research Hospital, Nephrology, Bursa, Turkey
| | - Mehmet Kucuk
- Okmeydanı Training and Research Hospital, Nephrology, Istanbul, Turkey
| | - Savas Ozturk
- Haseki Training and Resarch Hospital, Nephrology, Turkey
| | - Erol Demir
- Istanbul University Medical School, Nephrology
| | - Necmi Eren
- Kocaeli Derince Training and Research Hospital, Nephrology
| | - Abdullah Sumnu
- Medipol Mega University Hospital, Nephrology, istanbul, Turkey
| | | | - Mustafa Gullulu
- Uludag University Medical Faculty Hospital, Nephrology, Bursa, Turkey
| | - Fatih Dede
- Ankara Numune Training and Research Hospital, Nephrology, ankara, Turkey
| | - Ülver Derici
- Gazi University Medical Faculty, Nephrology, Ankara, Turkey
| | - Yener Koc
- Sisli Hamidiye Training and Research Hospital, Nephrology, Turkey
| | - Garip SAHIN
- Osmangazi University, Nephrology, eskisehir, Turkey
| | - Oktay Oymak
- Erciyes University, Nephrology, Kayseri, Turkey
| | | | - Erhan Tatar
- Bozyaka Training and Research Hospital, Nephrology, Izmir, Turkey
| | | | - Hamad Dheir
- Sakarya Training and Research Hospital, Nephrology, Turkey
| | - Süheyla Apaydin
- Dr. Sadi Konuk training and reseasrch hospital, Istanbul, Turkey
| | | | - Memnune Sena Ulu
- Afyon Kocatepe University Medical School, nephrology, Afyonkarahisar, Turkey
| | - Orcun Altunoren
- Kahramanmaraş Sütçü İmam University, Nephrology, Kahramanmaras, Turkey
| | - Sim Kutlay
- Ibn Sina University Hospital, Nephrology, Ankara, Turkey
| | - Meral Mese
- Kartal Training and Research Hospital, Nephrology, Turkey
| | - İdris Sahin
- Inonu University Medical School, Nephrology, Turkey
| | | | - Kultigin Turkmen
- Necmettin Erbakan University Meram Medical School, Nephrology, Turkey
| | | | | | - Ozcan Uzun
- Dokuz Eylul University Medical school, Nephrology, Turkey
| | - Ferhan Candan
- Cumhuriyet University Medical School, Nephrology, Turkey
| | - Zeki Aydin
- Darıca Farabi Training and Research Hospital, Nephrology, Turkey
| | - Deren Oygar
- Lefkosa Burhan Nalbantoglu Hospital, Nephrology
| | - Nimet Aktas
- Bursa Yuksek Ihtisas Training and Research Hospital, Nephrology, Bursa, Turkey
| | - Yunus Erdem
- Hacettepe University Medical School, Nephrology, Turkey
| | | | | | - Basak Can
- Ok Meydanı Traing and Research Hospital, Nephrology
| | | | - Leyla Koc
- Taksim Traing and Research Hospital, Nephrology
| | - Siren Sezer
- Baskent University Medical School, Nephrology
| | | | | | | | - Burcu Kaya
- Marmara University Medical School, Nephrology, Turkey
| | - Alper Azak
- Balıkesir Traing and Research Hospital, Nephrology
| | | | - Caner Cavdar
- Dokuz Eylul University Medical School, Nephrology
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Trabulus S, Zor MS, Turanli ET, Dincer T, Alagoz S, Mese M, Yilmaz E, Seyahi N. FP507URINARY EXOSOMAL MIRNA LEVELS REVEAL NEW POTENTIAL BIOMARKERS IN TYPE 2 DIABETIC NEPHROPATHY AND FSGS. Nephrol Dial Transplant 2019. [DOI: 10.1093/ndt/gfz106.fp507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Sinan Trabulus
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Mehmet Seyit Zor
- Istanbul Technical University, Faculty of Science and Letters, Istanbul, Turkey
| | - Eda Tahir Turanli
- Istanbul Technical University, Faculty of Science and Letters, Istanbul, Turkey
| | - Tamer Dincer
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Selma Alagoz
- Bagcilar Training and Research Hospital, Istanbul, Turkey
| | - Meral Mese
- Kartal Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey
| | - Erkan Yilmaz
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Nurhan Seyahi
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
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Yalın SF, Eren N, Sinangil A, Yilmaz VT, Tatar E, Ucar AR, Sevinc M, Can Ö, Gurkan A, Arik N, Alisir Ecder S, Uyar M, Yasar M, Gulcicek S, Mese M, Dheir H, Cakir U, Köksal Cevher Ş, Turkmen K, Guven B, Guven Taymez D, Erkalma Senates B, Ecder T, Kocak H, Uslu A, Demir E, Basturk T, Ogutmen MB, Kinalp C, Dursun B, Bicik Bahcebasi Z, Sipahi S, Dede F, Oruc M, Caliskan Y, Genc A, Yelken B, Altıparmak MR, Turkmen A, Seyahi N. Fabry Disease Prevalence in Renal Replacement Therapy in Turkey. Nephron Clin Pract 2019; 142:26-33. [PMID: 30739116 DOI: 10.1159/000496620] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Accepted: 12/22/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Fabry disease (FD) is an X-linked lysosomal storage disorder resulting from lack of alpha-galactosidase A (AGALA) activity in lysosomes. OBJECTIVE In this multicenter study, we aimed to evaluate the prevalence of FD in renal transplant (Tx) recipients in Turkey. We also screened dialysis patients as a control group. METHODS All Tx and dialysis patients were screened regardless of the presence of a primary disease. We measured the AGALA activity in all male patients as initial analysis. Mutation analysis was performed in male patients with decreased AGALA activity and in female patients as the initial diagnostic assay. RESULTS We screened 5,657 patients. A total of 17 mutations were identified. No significant difference was observed between the groups regarding the prevalence of patients with mutation. We found FD even in patients with presumed primary kidney diseases. Seventy-one relatives were analyzed and mutation was detected in 43 of them. We detected a patient with a new, unknown mutation (p.Cys223) in the GLA gene. CONCLUSIONS There are important implications of the screening. First, detection of the undiagnosed patients leads to starting appropriate therapies for these patients. Second, the transmission of the disease to future generations may be prevented by prenatal screening after appropriate genetic counseling. In conclusion, we suggest screening of kidney Tx candidates for FD, regardless of etiologies of chronic kidney disease.
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Affiliation(s)
- Serkan Feyyaz Yalın
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Necmi Eren
- Department of Nephrology, Kocaeli University Medical Faculty, Kocaeli, Turkey
| | - Ayse Sinangil
- Department of Nephrology, Bilim University Medical Faculty Medical, Istanbul, Turkey
| | - Vural Taner Yilmaz
- Division of Nephrology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Erhan Tatar
- Department of Nephrology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Ali Riza Ucar
- Division of Nephrology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
| | - Mustafa Sevinc
- Department of Nephrology, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Özgür Can
- Department of Nephrology, Haydarpasa Training and Research Hospital, Istanbul, Turkey
| | - Alp Gurkan
- Department of Nephrology, Medicana, Istanbul, Turkey
| | - Nurol Arik
- Department of Nephrology, Ondokuz Mayis University Medical Faculty, Samsun, Turkey
| | - Sabahat Alisir Ecder
- Division of Nephrology, Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Murathan Uyar
- Department of Nephrology, Gaziosmanpasa Hospital, Istanbul, Turkey
| | - Murat Yasar
- Department of Nephrology, Pamukkale University Medical Faculty, Denizli, Turkey
| | - Sibel Gulcicek
- Department of Nephrology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Meral Mese
- Department of Nephrology, Dr. Lufti Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
| | - Hamad Dheir
- Department of Nephrology, Sakarya University Tip Medical Faculty, Sakarya, Turkey
| | - Ulkem Cakir
- Department of Nephrology, Acibadem University Medical Faculty, Istanbul, Turkey
| | - Şimal Köksal Cevher
- Department of Nephrology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Kultigin Turkmen
- Division of Nephrology, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey
| | - Bahtisen Guven
- Department of Nephrology, Bahcesehir University Medical Faculty, Istanbul, Turkey
| | | | - Banu Erkalma Senates
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Tevfik Ecder
- Department of Nephrology, Bilim University Medical Faculty Medical, Istanbul, Turkey
| | - Huseyin Kocak
- Division of Nephrology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Adam Uslu
- Department of Nephrology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Erol Demir
- Division of Nephrology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
| | - Taner Basturk
- Department of Nephrology, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Melike Betul Ogutmen
- Department of Nephrology, Haydarpasa Training and Research Hospital, Istanbul, Turkey
| | - Can Kinalp
- Department of Nephrology, Medicana, Istanbul, Turkey
| | - Belda Dursun
- Department of Nephrology, Pamukkale University Medical Faculty, Denizli, Turkey
| | - Zerrin Bicik Bahcebasi
- Department of Nephrology, Dr. Lufti Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
| | - Savas Sipahi
- Department of Nephrology, Sakarya University Tip Medical Faculty, Sakarya, Turkey
| | - Fatih Dede
- Department of Nephrology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Meric Oruc
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Yasar Caliskan
- Division of Nephrology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
| | - Ahmed Genc
- Department of Nephrology, Sakarya University Tip Medical Faculty, Sakarya, Turkey
| | - Berna Yelken
- Department of Nephrology, Memorial Hospital, Istanbul, Turkey
| | - Mehmet Rıza Altıparmak
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Aydin Turkmen
- Division of Nephrology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
| | - Nurhan Seyahi
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey,
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11
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Kucuk EV, Bindayi A, Mese M, Gulcu Bulmus F, Parmaksiz E, Cetinel AC, Bicik Bahcebasi Z, Sarica K. A randomized study to assess the efficacy of herbal product to prevent cisplatin-induced nephrotoxicity in a rat model. ACTA ACUST UNITED AC 2017; 89:192-196. [PMID: 28969397 DOI: 10.4081/aiua.2017.3.192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Revised: 06/02/2017] [Accepted: 07/02/2017] [Indexed: 11/22/2022]
Abstract
OBJECTIVES This study aimed to investigate the protective effect and antioxidant activity of an herbal product that made from multiple plants in a rat model of kidney dysfunction induced by intraperitoneal cisplatin. MATERIALS AND METHODS Twenty-four rats were divided into four different groups namely: Group 1 - control healthy animals without any specific medication, Group 2 - Herbal product only 5 mg/kg, Group 3 - cisplatin only and Group 4 - Herbal product 5 mg/kg + cisplatin. RESULTS Evaluation of our findings demonstrated a significant (p = 0.017) reduction in Catalase activities and a significant increase (p = 0.001) in renal tissue Malondialdehyde levels in cisplatin- treated rats when compared with the control group. Also, Glutathion and Glutathione peroxidase content revealed significant (p = 0.031) reduction in renal tissues of cisplatintreated rats compared with the control group. Pre-treatment of rats with the herbal product ameliorated these cisplatininduced changes of the antioxidant enzymes. No statistically significant changes were demonstrated in Superoxide dismutase activities in the tissue specimens of any group. CONCLUSIONS This potent antioxidant herbal medicine was found to have potential antioxidant activity, which may in turn to be effective in the protection of kidney tissue resulting from cisplatin application. Therefore, much attention should be given to the possible role of natural dietary antioxidants for protecting the kidney.
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Affiliation(s)
- Eyup Veli Kucuk
- Umraniye Training and Research Hospital Urology Clinic, Istanbul.
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12
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Oguzhan S, Schirren M, Sponholz S, Kudelin N, Mese M, Schirren J. Strategien beim Thoraxtrauma. Z Herz- Thorax- Gefäßchir 2016. [DOI: 10.1007/s00398-015-0040-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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13
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Bicik Z, Coskun A, Serteser M, Bulur A, Mese M, Unsal I. Association between serum pregnancy-associated plasma protein-A and bicarbonate in hemodialysis patients. J Clin Lab Anal 2014; 28:114-7. [PMID: 24395628 DOI: 10.1002/jcla.21653] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2013] [Accepted: 06/04/2013] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Acidosis is associated with protein-energy malnutrition, inflammation, and bone disease, and low bicarbonate levels have been implicated in higher mortality rates in chronic kidney disease. Recently, the concentration of serum pregnancy-associated plasma protein-A (PAPP-A) has become accepted as a prognostic marker in hemodialysis patients. This study determined the relationship between PAPP-A and bicarbonate levels in these patients. METHODS The study enrolled 65 hemodialysis patients (41 males, 24 females) and 26 control subjects (11 males, 15 females). Serum PAPP-A, intact parathormone (iPTH), calcium, phosphorus (P), and bicarbonate levels were measured. Correlations between PAPP-A and bicarbonate, iPTH, calcium, and phosphorus were evaluated. RESULTS Median PAPP-A levels were significantly higher in hemodialysis patients [15.1 (<0.03-158.8) ng/ml] than in control subjects [6.6 (<0.03-16.4) ng/ml] (P < 0.05). There were statistically significant correlations between serum PAPP-A and bicarbonate, iPTH, and P in hemodialysis patients but not in control subjects. CONCLUSION Elevation of serum PAPP-A has been found in hemodialysis patients and its significant correlation with bicarbonate suggests that it may be a prognostic factor.
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Affiliation(s)
- Zerrin Bicik
- Dr Lutfi Kirdar Training Hospital, Istanbul, Turkey
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14
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Abstract
In this paper we propose look-up table (LUT) based methods for inverse halftoning of images. The LUT for inverse halftoning is obtained from the histogram gathered from a few sample halftone images and corresponding original images. The method is extremely fast (no filtering is required) and the PSNR and visual image quality achieved is comparable to the best methods known for inverse halftoning. The LUT inverse halftoning method does not depend on the specific properties of the halftoning method, and can be applied to any halftoning method. Then, an algorithm for template selection for LUT inverse halftoning is introduced. We demonstrate the performance of the LUT inverse halftoning algorithm on error diffused images and ordered dithered images. We also extend LUT inverse halftoning to color halftones.
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Affiliation(s)
- M Mese
- Dept. of Electr. Eng., California Inst. of Technol., Pasadena, CA 91125, USA.
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15
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Abstract
Unlike the error diffusion method, the dot diffusion method for digital halftoning has the advantage of pixel-level parallelism. However, the image quality offered by error diffusion is still regarded as superior to most of the other known methods. We show how the dot diffusion method can be improved by optimization of the so-called class matrix. By taking the human visual characteristics into account we show that such optimization consistently results in images comparable to error diffusion, without sacrificing the pixel-level parallelism. Adaptive dot diffusion is also introduced and then a mathematical description of dot diffusion is derived. Furthermore, inverse halftoning of dot diffused images is discussed and two methods are proposed. The first one uses projection onto convex sets (POCS) and the second one uses wavelets. Of these methods, the wavelet method does not make use of the knowledge of the class matrix. Embedded multiresolution dot diffusion is also discussed, which is useful for rendering at different resolutions and transmitting images progressively.
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Affiliation(s)
- M Mese
- Dept. of Electr. Eng., California Inst. of Technol., Pasadena, CA 91125, USA.
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