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Original Research Open Access
Volume 5 | Issue 1 | DOI: https://doi.org/10.46439/nephrology.5.019

Association of fundus damage, renal function deterioration, and ferroptosis in chronic kidney disease patients

  • 1Department of Nephrology, Zigong First People's Hospital, Zigong, Sichuan, China
  • 2Department of Nephrology, Affiliated Hospital of Sichuan North Medical College Zigong First People's Hospital, Zigong, Sichuan, China
+ Affiliations - Affiliations

Corresponding Author

Min Tang, t1246437325@163.com

Received Date: April 29, 2025

Accepted Date: May 30, 2025

Abstract

Introduction: This study aimed to explore the changes in ferroptosis markers and their relationship with fundus lesion severity in chronic kidney disease (CKD).

Methods: We enrolled 118 CKD patients and collected clinical, renal function, fundus imaging data, and ferroptosis markers. We performed correlation and regression analyses between renal dysfunction and fundus lesions, and assessed the changes and mediating roles of serum iron (Fe), malondialdehyde (MDA), and reduced glutathione (GSH) in CKD deterioration and retinal damage.

Results: Levels of Fe, MDA, and GSH showed significant differences across CKD stages (P<0.001). Logistic regression identified sex, mean arterial pressure, total cholesterol, hemoglobin, ferritin, Fe, MDA, and GSH as significant factors in CKD-related fundus lesions (P<0.05). MDA (β=0.15, 95%CI: 0.03–0.26) and GSH (β=0.33, 95%CI: 0.16–0.54) significantly mediated the link between renal decline and retinal damage (P ≤ 0.001).

Conclusions: Early fundus screening is clinically valuable for managing CKD progression. Fundus damage severity in CKD closely tracks renal decline, with ferroptosis likely playing a key role. MDA and GSH are promising biomarkers for early detection and intervention in CKD-related retinal pathology.

Keywords

Chronic kidney disease, Fundus disease, Ferroptosis

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