| Id |
Subject |
Object |
Predicate |
Lexical cue |
| T1 |
0-119 |
Sentence |
denotes |
Effect of phosphate binders on serum inflammatory profile, soluble CD14, and endotoxin levels in hemodialysis patients. |
| T2 |
120-146 |
Sentence |
denotes |
BACKGROUND AND OBJECTIVES: |
| T3 |
147-237 |
Sentence |
denotes |
Hyperphosphatemia and subclinical endotoxemia are important sources of inflammation in HD. |
| T4 |
238-383 |
Sentence |
denotes |
Proinflammatory cytokines are strong correlates of soluble CD14 (sCD14) concentrations, an independent predictor of mortality in this population. |
| T5 |
384-545 |
Sentence |
denotes |
We evaluated the effects of calcium acetate and sevelamer hydrochloride on serum inflammatory profile, endotoxin concentrations, and sCD14 levels in HD patients. |
| T6 |
546-592 |
Sentence |
denotes |
DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: |
| T7 |
593-652 |
Sentence |
denotes |
Prospective, randomized, open-label, parallel design trial. |
| T8 |
653-756 |
Sentence |
denotes |
Fifty-nine stable HD patients, 30 receiving sevelamer, and 29 receiving calcium acetate were evaluated. |
| T9 |
757-993 |
Sentence |
denotes |
Serum levels of inflammatory parameters (high-sensitivity C-reactive protein [hs-CRP], TNF-α, interleukin (IL)-1, -6, -10, and -18), as well as endotoxin and sCD14 concentrations, were measured at baseline and after 3 months of therapy. |
| T10 |
994-1002 |
Sentence |
denotes |
RESULTS: |
| T11 |
1003-1203 |
Sentence |
denotes |
Serum IL-6 increased in patients receiving calcium acetate, whereas hs-CRP and IL-6 significantly decreased in subjects treated with sevelamer, with IL-10 experiencing a trend to increase (P = 0.052). |
| T12 |
1204-1289 |
Sentence |
denotes |
Serum endotoxin and sCD14 levels did not change after treatment with calcium acetate. |
| T13 |
1290-1403 |
Sentence |
denotes |
However, these parameters decreased by 22.6% and 15.2%, respectively (P < 0.01), in patients receiving sevelamer. |
| T14 |
1404-1687 |
Sentence |
denotes |
Multiple regression analysis showed that variation in serum endotoxin concentrations was the strongest factor associated with IL-6 change, whereas the only variables independently associated with changes in sCD14 levels were the variations in serum IL-6 and endotoxin concentrations. |
| T15 |
1688-1700 |
Sentence |
denotes |
CONCLUSIONS: |
| T16 |
1701-1895 |
Sentence |
denotes |
Administration of the noncalcium phosphate binder sevelamer to maintenance HD patients is associated with a significant decrease in hs-CRP, IL-6, serum endotoxin levels and sCD14 concentrations. |
| T1 |
0-119 |
Sentence |
denotes |
Effect of phosphate binders on serum inflammatory profile, soluble CD14, and endotoxin levels in hemodialysis patients. |
| T2 |
120-146 |
Sentence |
denotes |
BACKGROUND AND OBJECTIVES: |
| T3 |
147-237 |
Sentence |
denotes |
Hyperphosphatemia and subclinical endotoxemia are important sources of inflammation in HD. |
| T4 |
238-383 |
Sentence |
denotes |
Proinflammatory cytokines are strong correlates of soluble CD14 (sCD14) concentrations, an independent predictor of mortality in this population. |
| T5 |
384-545 |
Sentence |
denotes |
We evaluated the effects of calcium acetate and sevelamer hydrochloride on serum inflammatory profile, endotoxin concentrations, and sCD14 levels in HD patients. |
| T6 |
546-592 |
Sentence |
denotes |
DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: |
| T7 |
593-652 |
Sentence |
denotes |
Prospective, randomized, open-label, parallel design trial. |
| T8 |
653-756 |
Sentence |
denotes |
Fifty-nine stable HD patients, 30 receiving sevelamer, and 29 receiving calcium acetate were evaluated. |
| T9 |
757-993 |
Sentence |
denotes |
Serum levels of inflammatory parameters (high-sensitivity C-reactive protein [hs-CRP], TNF-α, interleukin (IL)-1, -6, -10, and -18), as well as endotoxin and sCD14 concentrations, were measured at baseline and after 3 months of therapy. |
| T10 |
994-1002 |
Sentence |
denotes |
RESULTS: |
| T11 |
1003-1203 |
Sentence |
denotes |
Serum IL-6 increased in patients receiving calcium acetate, whereas hs-CRP and IL-6 significantly decreased in subjects treated with sevelamer, with IL-10 experiencing a trend to increase (P = 0.052). |
| T12 |
1204-1289 |
Sentence |
denotes |
Serum endotoxin and sCD14 levels did not change after treatment with calcium acetate. |
| T13 |
1290-1403 |
Sentence |
denotes |
However, these parameters decreased by 22.6% and 15.2%, respectively (P < 0.01), in patients receiving sevelamer. |
| T14 |
1404-1687 |
Sentence |
denotes |
Multiple regression analysis showed that variation in serum endotoxin concentrations was the strongest factor associated with IL-6 change, whereas the only variables independently associated with changes in sCD14 levels were the variations in serum IL-6 and endotoxin concentrations. |
| T15 |
1688-1700 |
Sentence |
denotes |
CONCLUSIONS: |
| T16 |
1701-1895 |
Sentence |
denotes |
Administration of the noncalcium phosphate binder sevelamer to maintenance HD patients is associated with a significant decrease in hs-CRP, IL-6, serum endotoxin levels and sCD14 concentrations. |