Research Article

C3-Epimer of 25-Hydroxyvitamin D3 as a Superior Marker for Predicting the Severity of Chronic Kidney Disease in Rheumatoid Arthritis Patients

Table 1

Comparison of observed indicators in RA patients with different CKD severity groups.

IndicatorMild CKD ()Moderate CKD ()Severe CKD (),

Sex (male/female)53/19417/298/175.850, 0.054
Age (years)2.303, 0.102
25(OH)D (ng/ml)19.55 (15.19, 24.84)18.275 (14.83, 21.62)16.72 (10.61, 21.54)9.335, 0.009
25(OH)D2 (ng/ml)1.55 (0.75, 4.96)1.78 (0.58, 6.82)2.17 (1.02, 5.59)1.012, 0.603
25(OH)D3 (ng/ml)16.36 (13.04, 20.97)13.18 (8.81, 19.00)12.22 (7.54, 17.61)15.911, <0.001
F25(OH)D (ng/ml)5.45 (4.20, 6.97)5.13 (4.00, 6.10)4.48 (2.98, 5.81)8.792, 0.012
C3-epi-25(OH)D3 (ng/ml)0.80 (0.50, 1.26)1.24 (0.84, 1.72)1.73 (1.34, 2.17)#48.302, <0.001
Cr (mol/l)51.9 (44.4,60.1)64.8 (53.3,74.9)93.5 (86.7,120.8)#77.410, <0.001
CysC (mg/l)0.97 (0.86,1.12)1.42 (1.35,1.54)1.92 (1.57,2.24)#165.496, <0.001
eGFR (ml/min/1.73m2)81 (70.1, 90.9)55.8 (51.9, 58.1)41.5 (37.0, 51.1)#159.598, <0.001
ACR (mg/g)5.19 (3.14,9.79)25.47 (12.76,40.11)31.49 (13.80,146.81)42.284, <0.001
hsCRP (mg/l)12.85 (3.38, 36.46)23.53 (8.05, 56.23)27.72 (9.93, 59.17)26.269, <0.001
RF (IU/ml)101.5 (25.4, 336.0)77.0 (11.2, 300.5)136.5 (12.2, 313.0)3.033, 0.220

Note: Crosstabs test of tabulations was used, and the rest were performed by Kruskal-Wallis test (nonnormal distribution) or one-way AVONA analysis (normal or nearly normal distribution). Severe or moderate vs. mild CKD group, ; #severe vs. moderate CKD group, . Among 25(OH)D metabolites, only C3-epi-25(OH)D3 levels had significant differences between any two groups of the three different CKD severity groups (all ).