The association between urinary liver-type fatty acid-binding protein and chronic kidney disease classification in HIV-infected Japanese patients

Clin Exp Nephrol. 2017 Dec;21(6):971-977. doi: 10.1007/s10157-016-1347-8. Epub 2016 Oct 19.

Abstract

Background: Renal dysfunction is recognized with increasing frequency among the noninfectious comorbidities associated with human immunodeficiency virus (HIV) infection. Urinary liver-type fatty acid-binding protein (L-FABP) has been shown to be a new biomarker to screen for not only tubulointerstitial damage but also kidney dysfunction.

Methods: We performed a cross-sectional study to determine the association between the urinary L-FABP and chronic kidney disease (CKD) among 77 HIV-infected Japanese patients by backward-stepwise multivariable logistic regression.

Results: The prevalence of individuals in the low risk was 80 %. Urinary L-FABP level was not associated with antiretroviral therapy and tenofovir disoproxil fumarate. On the other hand, urinary L-FABP level was independently associated with the CKD classification.

Conclusion: Urinary L-FABP may be used as an adjunct to diagnose the CKD stage.

Keywords: CKD; HIV; L-FABP.

MeSH terms

  • Adult
  • Asian People
  • Cross-Sectional Studies
  • Fatty Acid-Binding Proteins / urine*
  • Female
  • Glomerular Filtration Rate
  • HIV Infections / complications
  • HIV Infections / urine*
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Proteinuria / virology
  • Renal Insufficiency, Chronic / urine*
  • Renal Insufficiency, Chronic / virology
  • Retrospective Studies
  • Severity of Illness Index

Substances

  • Fatty Acid-Binding Proteins