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Table 4 Summary of studies on suPAR in relation to progression of renal failure

From: Soluble urokinase plasminogen activator receptor (suPAR) and glomerular disease in children: a narrative review

Year

Study

N. cases

Patient population

suPAR (pg/ml)

Comments

2017

Schaefer et al. [32]

898

The mean age was 11.9 years old, 62.4% male.

Follow-up of the study for 7.9 years, mean 3.1 years. The end of follow-up when glomerular filtration rate decreases by more than 50% for more than 1 month, or <10ml/min/1.73m2, or start renal replacement.

5658

The 5-year renal survival rate was 64.5% (95% CI, 57.4–71.7) in children with suPAR concentration in the lowest quartile compared with 35.9% (95% CI, 28.7–43.0) of suPAR concentration in the highest quartile (p < 0.001).

2020

Weideman et al. [22]

556

Age from 1 to 16 years old.

6-month follow-up

3204

(i) Patients with suPAR in the highest quartile had a 54% faster progression than the group in the lowest quartile (p < 0.001)

(ii) No change in plasma suPAR level in 6 months

(iii) The higher the suPAR concentration, the faster progression to chronic kidney disease.

2020

Iversen et al. [23]

25,497

Mean age: 58 years old, 52.5% female

 

Serum suPAR was a risk factor for acute and chronic renal failure. suPAR was a potential marker to classify the risk of renal injury with the intention of early intervention.

2021

Jhee et al. [33]

751

Mean age: 61.4± 11.4 years old with 52.6% male

1439

suPAR concentration was an independent factor associated with progression of chronic kidney disease.

2020

Roca et al. [34]

152

Mean age: 46–50 years old

3160–4347

There was an inverse relationship between glomerular filtration rate with serum suPAR (rs= −0.39, p<0.01).

2021

Jehn et al. [35]

100

Kidney transplant patients after 1 year follow-up

 

suPAR concentration above 6212 pg/ml were associated with a reduction of glomerular filtration rate >30% and occurred almost twice as rapidly as in patients with suPAR ≤6212 pg/ml (p < 0.001).