Correlation between cystatin C and serum creatinine as markers of renal function in patients with neoplasms of the locomotor system

J Chemother. 2001 Jun;13(3):316-23. doi: 10.1179/joc.2001.13.3.316.

Abstract

Creatinine levels and clearance are used to monitor renal function in clinical practice. Cystatin C is produced by most nucleated cells in a consistent manner, uninfluenced by inflammatory processes, sex, age, eating habits or nutritional status. Serum cystatin C concentrations are mainly dependent on glomerular activity and are an endogenous biochemical marker of glomerular filtration. The aim of this study was to test the efficiency of cystatin C assay as an alternative marker of renal function. Statistical analysis of our results showed that cystatin C levels were significantly correlated to creatinine and creatinine clearance levels. However, it is still premature to suppose that cystatin C can replace creatinine in routine tests. Establishing cystatin C levels can be useful in cases in which it is not possible to determine creatinine clearance.

MeSH terms

  • Adolescent
  • Adult
  • Biomarkers / blood*
  • Biomarkers / urine
  • Bone Neoplasms / blood*
  • Bone Neoplasms / urine
  • Child
  • Child, Preschool
  • Creatinine / blood*
  • Creatinine / urine
  • Cystatin C
  • Cystatins / blood*
  • Cystatins / urine
  • Female
  • Humans
  • Kidney / physiology*
  • Kidney Diseases / blood*
  • Kidney Diseases / urine
  • Kidney Function Tests*
  • Male
  • Sensitivity and Specificity
  • Soft Tissue Neoplasms / blood*
  • Soft Tissue Neoplasms / urine
  • Treatment Outcome

Substances

  • Biomarkers
  • CST3 protein, human
  • Cystatin C
  • Cystatins
  • Creatinine