Research Article

Growth Differentiation Factor-15 as a Predictor of Idiopathic Membranous Nephropathy Progression: A Retrospective Study

Table 1

Baseline characteristics of the study subjects.

All ()Group 1 ()
GDF-15 < 2.15 ng/ml
Group 2 ()
GDF-15 ≥ 2.15 ng/ml
value

Age (years)59.9 ± 13.2 (24–80)56.0 ± 12.867.6 ± 10.90.012
Male sex, n (%)2415 (65.2%)9 (75.0%)0.424
BMI (kg/m2)24.2 ± 3.3 (18.0–31.8)24.1 ± 3.224.3 ± 3.660.887
Systolic BP (mmHg)130.2 ± 22.6 (98–192)128.9 ± 23.6131.7 ± 21.30.641
Diastolic BP (mmHg)77.8 ± 12.8 (55–107)78.4 ± 12.676.7 ± 13.70.731
DM, n (%)6 (17.1%)0 (0.0%)6 (50.0%)0.001
HTN, n (%)18 (51.4%)10 (43.5%)8 (66.7%)0.172
ACEi or ARB, n (%)27 (77.1%)18 (78.3%)9 (75.0%)0.571
Laboratory parameters
Hemoglobin (g/dl)12.9 ± 1.6 (8.6–16.1)13.5 ± 1.511.9 ± 1.30.012
Serum albumin (g/dl)2.86 ± 0.73 (1.6–4.4)2.95 ± 0.792.69 ± 0.600.327
Serum creatinine (mg/dl)1.05 ± 0.51 (0.5–2.5)0.90 ± 0.371.33 ± 0.630.049
eGFR (ml/min per 1.73 m2)83.6 ± 28.7 (26.2–126.8)92.5 ± 22.466.1 ± 32.60.009
Glucose (mg/dl)98.7 ± 29.5 (50–194)91.9 ± 23.0111.8 ± 36.70.056
Total cholesterol (mg/dl)277.8 ± 97.5 (143–594)292.3 ± 103.7246.1 ± 77.50.202
LDL cholesterol (mg/dl)172.8 ± 62.8 (68–302)187.7 ± 64.2139.9 ± 47.20.056
UPCR (g/g Cr)4.5 ± 4.2(0.05–15.26)3.64 ± 3.986.15 ± 4.360.096
GDF-15 (pg/ml)1.73 ± 0.77 (0.32–2.97)1.28 ± 0.502.59 ± 0.310.000
PLA2R Ab (ng/ml)2.76 ± 1.14 (1.30–6.10)2.37 ± 0.753.58 ± 1.410.019
Histologic parameters
Sclerosis (>25%), n (%)12 (34.3%)8 (34.8%)4 (33.3%)0.618
IF/TA (%)12.2 ± 7.9810.0 ± 7.116.3 ± 8.30.025
IF/TA (≥15%), n (%)16 (45.7%)8 (34.8%)8 (66.7%)0.075

BMI: body mass index; BP: blood pressure; DM: diabetes mellitus; HTN: hypertension; ACEi or ARB: angiotensin-converting-enzyme inhibitor or angiotensin receptor blocker; eGFR: estimated glomerular filtration rate; UPCR: spot urine protein-to-creatinine ratio; GDF-15: growth differentiation factor-15; PLA2R Ab: phospholipase A2 receptor antibody; IF/TA: interstitial fibrosis/tubular atrophy.