Department of Clinical Research, University of Basel and University Hospital Basel, Basel, Switzerland
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Department of Clinical Research, University of Basel and University Hospital Basel, Basel, Switzerland
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Department of Biomedicine, University of Basel, Basel, Switzerland
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Department of Clinical Research, University of Basel and University Hospital Basel, Basel, Switzerland
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diabetes mellitus and cardiovascular disease ( 2 ). Indeed, several studies have demonstrated that copeptin – the C-terminal part of the AVP precursor and surrogate marker for AVP ( 3 ) – predicts insulin resistance and onset of type 2 diabetes mellitus ( 4
Faculty of Medicine, University of Basel, Basel, Switzerland
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Faculty of Medicine, University of Basel, Basel, Switzerland
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Faculty of Medicine, University of Basel, Basel, Switzerland
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Faculty of Medicine, University of Basel, Basel, Switzerland
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, 16 , 17 ). As AVP is hard to measure due to the instability and short half-life, the more stable pre-hormone copeptin (39-amino acid C-terminal portion of proAVP) may be measured instead ( 14 , 18 , 19 , 20 ). Copeptin has previously been shown to
Faculty of Health and Medical Sciences, Copenhagen University, Copenhagen, Denmark
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Department of Obstetrics & Gynecology, Herlev Gentofte Hospital, Copenhagen, Denmark
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Faculty of Health and Medical Sciences, Copenhagen University, Copenhagen, Denmark
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Department of Obstetrics & Gynecology, Herlev Gentofte Hospital, Copenhagen, Denmark
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Faculty of Health and Medical Sciences, Copenhagen University, Copenhagen, Denmark
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endothelium could have a place in the work-up of patients. Adrenomedullin (ADM), atrial natriuretic peptide (ANP) and copeptin are all associated with CVD and part of the delicate system controlling fluid and hemodynamic homeostasis through vascular tonus and
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Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark
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Steno Diabetes Center Aarhus (SDCA), Aarhus University Hospital, Aarhus, Denmark
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assays preclude its use ( 4 ). Copeptin, which is a split product of the vasopressin pre-pro-peptide, is cleaved and stored with AVP in equimolar amounts in neurosecretory granules in the posterior pituitary gland. Circulating copeptin levels change in
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-analytical and analytical difficulties including a short half-life and pre-analytical instability (4, 5) . Recently, the AVP precursor copeptin (CP), which is co-secreted with AVP from the posterior pituitary, has been suggested to hold promise as a diagnostic
Department of Clinical Research, University of Basel, Basel, Switzerland
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Department of Biomedicine, University of Basel, Basel, Switzerland
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Medical Department III, Endocrinology, Nephrology, Rheumatology, University Hospital of Leipzig, Leipzig, Germany
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Department of Clinical Research, University of Basel, Basel, Switzerland
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blood sample for laboratory evaluation of serum sodium, osmolality, copeptin, IL-6, IL-8 and TNF-α was taken following a 30-min rest in a supine position. Participants received a 250 mL intravenous bolus of hypertonic saline (3% saline, 513 mosmol
Department Clinical Research, University of Basel, Basel, Switzerland
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Department Clinical Research, University of Basel, Basel, Switzerland
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Department Clinical Research, University of Basel, Basel, Switzerland
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Department Clinical Research, University of Basel, Basel, Switzerland
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Leipzig University Medical Center, IFB Adiposity Diseases, Leipzig, Germany
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Department Clinical Research, University of Basel, Basel, Switzerland
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SIAD ( 9 ). So far, there are no evidence-based guidelines for differential diagnosis, and current diagnostic strategies are not well characterized. Therefore, a simple, reliable predictive marker would be of great interest. Copeptin, the c
Department of Clinical Research, University of Basel, Basel, Switzerland
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Department of Clinical Research, University of Basel, Basel, Switzerland
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Department of Clinical Research, University of Basel, Basel, Switzerland
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Department of Clinical Research, University of Basel, Basel, Switzerland
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Department of Clinical Research, University of Basel, Basel, Switzerland
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Central Laboratory, University Hospital Würzburg, Würzburg, Germany
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Leipzig University Medical Center, IFB Adiposity Diseases, Leipzig, Germany
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Department of Clinical Research, University of Basel, Basel, Switzerland
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% saline was administered at an infusion rate of 0.15 mL per kg bodyweight per minute. Sodium levels were controlled every 30 min with venous blood gas analysis. Blood samples for the measurement of plasma osmolality, sodium, copeptin (CT-proAVP – a stable
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Medical Brain Function and Restoration and Neural Regeneration, Fudan University, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Medical Brain Function and Restoration and Neural Regeneration, Fudan University, Shanghai, China
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). Several limitations exist in this study. First, patients less than 18 years old was excluded. Moreover, the constructed model was not validated using an external database, compromising its clinical generalization. Second, the role of copeptin assays is
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Department of Molecular Surgery and Medicine, Karolinska Institute, Stockholm, Sweden
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). Advanced diagnostic approach It may be difficult to differentiate primary polydipsia from SIAD in euvolemic patients with a urine osmolality of >100 mOsm/kg. Here, the combined evaluation of urine osmolality and serum copeptin may be a reliable marker