Circulating Serum Trefoil Factor 3 (TFF3) Is Dramatically Increased in Chronic Kidney Disease
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OBJECTIVES: Trefoil factor 3 (TFF3) is a small peptide that plays an important role in mucosal protection, cell proliferation, and cell migration. The aberrant expression of TFF3 is correlated with gastrointestinal inflammation, solid tumors, and other clinical diseases. The objective of this study was to identify the distribution characteristics of serum TFF3 in common clinical diseases. MATERIALS AND METHODS: A large prospective randomized study of 1,072 Chinese patients was performed using an enzyme-linked immunosorbent assay (ELISA) to examine the serum TFF3 concentrations in patients with different diseases. A matched case-control study was conducted on patients with chronic kidney disease (CKD) stages 1-5. Immunohistochemistry (IHC) was performed using renal tissues to determine the relationship between the severity of CKD and the serum and urine concentrations of TFF3 peptides. RESULTS: The mean serum concentrations of TFF3 in patients with CKD, metastatic and secondary carcinoma (MC) and acute gastroenteritis (AG) (200.9 ng/ml, 95.7 ng/ml and 71.7 ng/ml, respectively) were significantly higher than those in patients with other common clinical diseases. A positive correlation tendency was observed between the serum TFF3 concentrations and the severity of CKD. The mean serum TFF3 values for CKD stages 1-5 were 23.6 ng/ml, 29.9 ng/ml, 54.9 ng/ml, 85.0 ng/ml and 176.6 ng/ml, respectively. The same trend was observed in the urine TFF3 concentrations and the CKD stages. The creatinine(Cr)-corrected concentrations of TFF3 in urine were 367.1 ng/mg·Cr, 910.6 ng/mg·Cr, 1,149.0 ng/mg·Cr, 1,610.0 ng/mg·Cr and 3,475.0 ng/mg·Cr for CKD stages 1-5, respectively. IHC revealed that TFF3 expression was concentrated in tubular epithelial cells. CONCLUSIONS: The influence of kidney injuries must be fully considered when performing clinical TFF3 research. Further studies on TFF3 in CKD will contribute to our understanding of its pathological roles and mechanisms in other diseases.
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CST3, B2M, and TFF3 have all been used to monitor kidney function, as their plasma levels increase upon kidney injury.
“have all been used to monitor kidney function, as their plasma levels increase upon kidney injury71”
From Trisomy 21 causes changes in the circulating proteome indicative of chronic autoinflammation (2017) · cites this paper as [71]
The Discussion reports that serum TFF3 is higher in patients with chronic kidney disease and rises with CKD severity. It does not establish that TFF3 has been used to monitor kidney function; it describes clinical diagnostic development as a future possibility. The passages also provide no support for the claims about CST3 or B2M. (LLM, conf=0.88)
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Trisomy 21 causes changes in the circulating proteome indicative of chronic autoinflammation
Sullivan, K. D., Evans, D., Pandey, A., Hraha, T. H., Smith, K. P., Markham, N., Rachubinski, A. L., Wolter-Warmerdam, K., Hickey, F., Espinosa, J. M., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-13858-3 · Cited by 228 · see citing works
- Authors
- Du, T.-Y., Luo, H.-M., Qin, H.-C., Wang, F., Wang, Q., Xiang, Y., & Zhang, Y.
- Affiliations
- First People's Hospital of Yunnan Province (CN)
- Kunming Institute of Zoology (CN)
- Corresponding author
- Zhang, Yun
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2013-11-25
- Volume
- 8
- Issue
- 11
- Pages
- e80271
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3840008
- OpenAlex
- W2053943923
- Cited by
- 62
- References
- 2
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 4 · 2019: 2 · 2018: 9 · 2017: 6 · 2016: 4 · 2015: 5
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- National Natural Science Foundation of China (973 Program, 31270835, U1132601)
- Chinese Academy of Sciences
- National Key Research and Development Program of China (973 Program, 2010CB529800, 2010CB529800)
- Topics
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Keywords
- TFF3, chronic kidney disease, serum biomarkers, CKD severity, tubular epithelial cells, acute gastroenteritis, kidney injury
- MeSH terms
- Trefoil Factor-3, Carcinoma, Enzyme-Linked Immunosorbent Assay, Humans, Immunohistochemistry, Kidney Tubules, Neoplasm Metastasis, Peptides, Case-Control Studies, Renal Insufficiency, Chronic
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