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. 2023 Apr 24;34(8):1409–1420. doi: 10.1681/ASN.0000000000000147

Table 3.

Hazard ratios for incident CKD per doubling or SD increase in baseline protein concentration

Protein Unadjusted P Value for Difference Model 1 P Value for Difference Model 2 P Value for Difference
HR 95% CI HR 95% CI HR 95% CI
MCP-1a
 mGFR 0.89 0.58 to 1.37 0.87 0.55 to 1.37 0.81 0.52 to 1.27
 eGFRcre 1.00 0.58 to 1.73 0.55 0.95 0.53 to 1.70 0.67 0.93 0.54 to 1.59 0.76
 eGFRcys 1.24 0.86 to 1.78 0.04b 1.17 0.78 to 1.75 0.19 1.06 0.74 to 1.51 0.43
 eGFRcyscre 1.06 0.64 to 1.75 0.40 1.00 0.59 to 1.68 0.56 0.87 0.51 to 1.46 0.91
TRAIL-R2a
 mGFR 1.64b 1.37 to 1.96b 1.54b 1.27 to 1.87b 1.48b 1.18 to 1.87b
 eGFRcre 1.67b 1.20 to 2.31b 0.87 1.58b 1.08 to 2.31b 0.78 1.37 0.81 to 2.30 0.57
 eGFRcys 1.62b 1.44 to 1.83b 0.98 1.44b 1.25 to 1.67b 0.71 1.00 0.63 to 1.58 0.09
 eGFRcyscre 1.57b 1.26 to 1.96b 0.69 1.39b 1.08 to 1.80b 0.50 0.82 0.46 to 1.44 0.05
FABP4a
 mGFR 2.00b 1.58 to 2.53b 1.69b 1.28 to 2.23b 1.10 0.82 to 1.48
 eGFRcre 1.91b 1.39 to 2.64b 0.84 1.86b 1.27 to 2.73b 0.98 1.19 0.77 to 1.83 0.72
 eGFRcys 2.37b 1.87 to 3.01b 0.16 1.70b 1.28 to 2.26b 0.51 0.98 0.72 to 1.34 0.36
 eGFRcyscre 2.31b 1.75 to 3.06b 0.31 1.89b 1.37 to 2.61b 0.63 0.99 0.67 to 1.46 0.54
TNFR2
 mGFR 1.47b 1.37 to 1.57b 1.33b 1.25 to 1.42b 1.15b 1.05 to 1.26b
 eGFRcre 1.37b 1.20 to 1.57b 0.36c 1.27b 1.12 to 1.44b 0.52d 1.09 .88 to 1.36 0.64
 eGFRcys 1.69b 1.63 to 1.75b <0.001b 1.63b 1.55 to 1.72b <0.001b 1.01 0.85 to 1.21 0.40
 eGFRcyscre 1.58b 1.47 to 1.71b 0.08 1.46b 1.34 to 1.58b 0.13 0.95 0.80 to 1.14 0.16
CD40Lig
 mGFR 1.08 0.91 to 1.29 1.05 0.89 to 1.24 1.04 0.89 to 1.23
 eGFRcre 0.97 0.72 to 1.32 0.31 0.95 0.70 to 1.29 0.36 0.93 0.96 to 1.27 0.43
 eGFRcys 1.08 0.89 to 1.31 0.93 0.99 0.86 to 1.15 0.46 0.91 0.77 to 1.08 0.17
 eGFRcyscre 1.04 0.82 to 1.32 0.61 0.97 0.78 to 1.20 0.31 0.96 0.75 to 1.22 0.34
GDF-15a
 mGFR 1.67b 1.26 to 2.21b 1.55b 1.11 to 2.15b 1.25 0.90 to 1.74
 eGFRcre 1.27 0.91 to 1.76 0.35 1.09 0.72 to 1.64 0.31e 0.76 0.48 to 1.20 0.09
 eGFRcys 2.18b 1.72 to 2.77b 0.04b 2.18b 1.59 to 2.99b 0.05 1.13 0.76 to 1.68 0.67
 eGFRcyscre 2.07b 1.47 to 2.91 0.19 1.83b 1.23 to 2.73b 0.36 0.99 0.60 to 1.62 0.31
Tie2
 mGFR 1.03 0.85 to 1.25 1.06 0.87 to 1.29 0.95 0.77 to 1.17
 eGFRcre 1.12 0.87 to 1.46 0.50 1.14 0.85 to 1.53 0.56 1.08 0.82 to 1.42 0.49
 eGFRcys 1.11 0.93 to 1.33 0.45 1.05 0.88 to 1.27 0.97 1.12 0.92 to 1.36 0.33
 eGFRcyscre 1.09 0.87 to 1.37 0.59 1.09 0.86 to 1.40 0.73 1.00 0.79 to 1.26 0.81
MMP7
 mGFR 1.85b 1.62 to 2.11b 1.75b 1.53 to 1.99b 1.53b 1.34 to 1.75b
 eGFRcre 1.71b 1.47 to 1.99b 0.48 1.65b 1.39 to 1.96b 0.61 1.42b 1.13 to 1.79b 0.53
 eGFRcys 1.88b 1.69 to 2.09b 0.81 1.80b 1.58 to 2.06b 0.71 1.65b 1.35 to 2.02b 0.48
 eGFRcyscre 1.89b 1.67 to 2.14b 0.81 1.75b 1.51 to 2.03b 0.98 1.48b 1.23 to 1.80b 0.74
suPAR
 mGFR 1.11b 1.06 to 1.15b 1.08 0.94 to 1.24 1.11 0.98 to 1.25
 eGFRcre 0.95 0.67 to 1.35 0.04f 0.81 0.54 to 1.23 0.04g 0.61b 0.41 to 0.90b 0.01h
 eGFRcys 1.14b 1.10 to 1.17b 0.14 1.13b 1.04 to 1.22b 0.30 1.08 0.90 to 1.30 0.71
 eGFRcyscre 1.11b 1.04 to 1.19b 0.81 1.06 0.85 to 1.33 0.77 0.81 0.61 to 1.10 0.08
MMP2
 mGFR 1.12 0.93 to 1.35 1.04 0.87 to 1.24 1.08 0.91 to 1.30
 eGFRcre 1.27 1.02 to 1.60 0.09 1.19 0.95 to 1.48 0.06 1.20 0.88 to 1.64 0.27
 eGFRcys 1.18 1.01 to 1.38 0.47 1.12 0.98 to 1.27 0.29 1.24b 1.03 to 1.49b 0.24
 eGFRcyscre 1.18 0.93 to 1.48 0.50 1.09 0.89 to 1.35 0.43 1.01 0.81 to 1.27 0.71
Umod
 mGFR 0.74b 0.58 to 0.94b 0.72b 0.56 to 0.93b 0.82 0.64 to 1.06
 eGFRcre 0.91 0.66 to 1.26 0.09i 0.92 0.65 to 1.30 0.08j 1.13 0.84 to 1.52 0.07
 eGFRcys 0.67b 0.50 to 0.89b 0.30 0.71b 0.53 to 0.95b 0.81 0.98 0.70 to 1.37 0.26
 eGFRcyscre 0.74 0.53 to 1.05 0.94 0.75 0.53 to 1.07 0.81 1.04 0.73 to 1.48 0.20
Gal-3
 mGFR 1.25b 1.07 to 1.45b 1.14 0.97 to 1.35 1.09 0.90 to 1.31
 eGFRcre 1.38b 1.15 to 1.64b 0.06 1.32b 1.09 to 1.60b 0.03b 1.18 0.98 to 1.43 0.36
 eGFRcys 1.30b 1.13 to 1.50b 0.34 1.18b 1.01 to 1.38b 0.64 1.09 0.97 to 1.22 0.95
 eGFRcyscre 1.38b 1.18 to 1.63b 0.02b 1.28b 1.07 to 1.52b 0.06 1.12 0.96 to 1.32 0.61

Incident CKD is defined as new-onset GFR <60 ml/min per 1.73 m2 during follow-up.

A total of 1409 individuals are included in the analysis; the respective numbers of baseline CKD and incident CKD for the GFR methods are mGFR; n=8 and, n=95. eGFRcre; n=4 and n=51. eGFRcys; n=5 and n=96. eGFRcyscr; n=3 and n=62.

Model 1: sex, age, body mass index, and smoke (now, previously, and newer).

Model 2: model 1+baseline GFR. HR, hazard ratio; CI, confidence interval; mGFR, measured GFR; cre, creatinine; cys, cystatin C; MCP-1, monocyte chemoattractant protein-1; TRAIL-R2, TNF-related apoptosis-inducing ligand receptor 2; FABP4, fatty acid-binding protein 4; TNFR2: TNF receptor 2; CD40Lig, CD40 ligand receptor; GDF-15, growth/differentiation factor 15; Tie2, TEK tyrosine kinase; MMP7, matrix metalloproteinase 7; suPAR, soluble urokinase-type plasminogen activator receptor; MMP2, matrix metalloproteinase 2; Umod, uromodulin; Gal-3, galectin-3.

a

Log2 transformed.

b

Statistically significant association between protein and incident CKD.

Difference between eGFrcre and eGFRcys: cP value: <0.001, dP value: <0.001, eP value: 0.04, fP value: 0.004, gP value: 0.002, hP value: 0.004, iP value: 0.008, jP value: 0.04.