A total of 451 residents (167 men and 284 women, age 65.7 years) underwent a history and physical examination, and determination of blood chemistries, including plasma levels of HSP 27. HSP 27 levels were measured by using enzyme-linked immunosorbent assay kits.
Elevated HSP 27 levels were independently associated with estimated glomerular filtration rate (eGFR) (p < 0.001) and smoking habits (p < 0.05). HSP 27 levels were significantly decreased stratified by groups of eGFR (p < 0.001 for trend) by analysis of co-variance (ANCOVA) adjusted for age, sex, and smoking habits. HSP 27 levels were increased with more smoking of cigarettes. In particular, HSP 27 levels were increased in the heavy smokers (≥20 cigarettes/day) by ANCOVA adjusted for age, sex, and eGFR compared with non-smokers and light smokers (p < 0.05 for trend).
The present study demonstrated that HSP 27 levels were strongly related to renal dysfunction and habitual smoking in a dose–response manner in a Japanese general population.