Review Article

Prognostic and Diagnostic Value of Endocan in Kidney Diseases

Table 2

The most important findings concerning the role of endocan in kidney diseases.

ReferenceType of diseaseStudy groupsKey findings

Rahmania et al. [55]AKI96 pts with ARDS who were not receiving RRT at diagnosisPlasma endocan levels in ARDS pts requiring RRT during hospitalization are higher than in those not needing RRT. Endocan and cre levels combined are most valuable in predicting the need for RRT
Gunay et al. [42]AKI39 pts with AKIEndocan levels are higher in AKI pts than in NC. ROC analysis showed significant sensitivity and specificity in the identification of AKI
Gaudet et al. [56]AKI99 severe septic ptsRenal SOFA was the only component of the SOFA score associated with higher ECR. Circulating concentration of p14 might be influenced by the severity of AKI in septic pts
Yilmaz et al. [11]CKD251 pts with CKD (stage 1–5), not receiving dialysisCKD pts displayed higher plasma endocan levels than controls, which correlated with lower eGFR and markers of inflammation and vascular abnormalities (FMV and CIMT). Plasma endocan levels were associated with all-cause of mortality and CVE independently of traditional risk factors
Bao et al. 2018 [57]CKD54 pts with CKD, stage 5, not receiving dialysisIncreased serum endocan is significantly associated with elevated night/day heart rate ratio in nondialysis stage 5 CKD pts
Perrotti et al. [58]CKD166 pts with preoperative CKD who underwent cardiac surgeryMeasurement of plasma endocan in CKD pts after cardiac surgery predicts postoperative pulmonary infection with high sensitivity and specificity in a more time-saving way compared to clinical diagnosis
Pawlak et al. [10]CKD53 pts with CKD with and without CVDPlasma endocan, soluble adhesion molecules sICAM-1/sVCAM-1, and hs-CRP were higher in pts with CKD and CVD than in CKD pts without CVD. There was no correlation between endocan levels and kidney function markers (eGFR, cre, and urea). In CKD pts with CVD, a positive correlation was observed between endocan and sICAM-1 and sVCAM
Samouilidou et al. [46]CKD105 pts with CKD, divided into nondialysis and HD subgroupsIn CKD pts on HD, serum endocan levels were higher than in nondialyzed pts and controls. Endocan levels were significantly and positively correlated with TC and LDL-C in CKD, and additionally were negatively correlated with HDL-C in the HD group. Multiple regression analysis between endocan and lipid parameters including PON1 and PON3 fractions of PON, revealed that endocan was independently associated only with PON1 concentration
Mc Millan et al. [46]CKD90 pts with CKD-stage 5, on HD, with and without HFIn CKD pts with HD, there were no significant differences in plasma endocan levels of HD pts in stage 5 CKD with and without HF. In contrast to endocan, NT-proBNP and KIM-1 concentrations were significantly higher in HF (+)-CKD5-HD pts
Oka et al. [48]CKD21 CKD pts on PDIn PD patients, serum endocan levels were significantly increased in those belonging to the rapid decrease of the urine volume group, compared to the slow-volume group. Serum endocan was positively correlated with proteinuria level, serum cre, but not with urine volume at baseline
Poon et al. [47]CKD193 CKD pts on PDPD patients having higher serum endocan levels had lower serum albumin, higher carotid-femoral PWV, and higher CRP. Serum endocan level was an independent predictor of cardiovascular-free survival
Li et al. [59]CKD60 pts who underwent RT, divided into a normally functioning renal allograft group and acute rejection subgroupsIn patients with acute rejection, ESM-1 mRNA and protein expression peripheral blood increased significantly compared to patients with normal allograft function or dysfunction from other causes.
Lee et al. [12]CKD203 KT recipients with different etiologies of allograft dysfunctionIn pts with acute ABMR, both plasma and urinary endocan levels were significantly higher than pts with normal pathology or other kidney etiologies. Pts with high urinary and plasma endocan levels in the ABMR group displayed significant worse renal survival and higher scores of microvascular inflammation in biopsy specimens
Su et al. [50]CKD97 RT recipientsRenal transplant pts with higher serum endocan levels displayed higher cre and lower eGFR levels than pts with lower endocan after 3 months of follow-up
Malyszko et al. [49]CKD63 RT recipientsEndocan level correlated positively with other markers of endothelial damage (ICAM-1, VCAM-1) and negatively with eGFR and time after transplantation
De Souza et al. [60]CKD62 pediatric renal transplants with and without HTIn pediatric pts with HT and loss of renal function, serum endocan levels were significantly elevated and inversely correlated with eGFR. An endocan cutoff concentration of 70 ng/mL identified pts who had HT and loss of renal function with 100% sensitivity and 75% specificity
Ekiz-Bellir et al. [53]DN96 DM2 pts, classified according to their 24 h urinary albumin excretion rateIn DM2 pts, endocan and endoglin serum levels were significantly higher than in controls. Endocan levels of DN pts were higher than those of normoalbuminuric pts, but there was no significant difference in endoglin levels between these groups
Cikrikcioglu et al. [54]DN137 DM2 pts, divided into normoalbuminuria, microalbuminuria and macroalbuminuria groupsPts with DM2 and macroalbuminuria had significantly lower serum endocan levels than normoalbuminuric and microalbuminuric pts. Urine albumin-cre ratio (UACR) and urine protein-cre ratio (UPCR) displayed negative correlation with endocan levels in pts with macroalbuminuria
Lee et al. [51]IgAN64 pts with IgANIn pts with IgAN, both plasma and urine endocan levels were significantly higher than in controls. Plasma endocan levels were not significantly different across CKD stages; however, the urine endocan levels increased in advanced CKD stages. Cox proportional hazard models showed that high plasma endocan was an independent risk factor for CKD progression
Raptis et al. [52]ADPKD26 ADPKD pts with preserved renal function in comparison to 26 ADPKD pts with impaired renal functionPts with ADPKD with impaired renal function had significantly increased levels of endocan in comparison to ADPKD with preserved renal function and controls. A strong correlation was observed between ADMA and endocan, as well as between ADMA and angiopoietin-2
Ekinci et al. [78]ADPKD51 ADPKD ptsIn ADPKD pts, serum endocan, CIMT, and ADMA levels were higher, whereas NMD was lower in pts with eGFR≤60 mL/min/1.73 m2 than pts with eGFR>60 mL/min/1.73 m2