investigation of the predictive roles of erythropoietin, ghrelin and biochemical parameters in patients with renal failure

Introduction: kidney dysfunction is the loss of elimination of wastes of the kidneys in an adequate manner, which causes the accumulation of nitrogenous substances in the circulation. this condition is present in acute and chronic forms. the last stage renal disease (esrd) is the terminus stage which requires renal replacement measures.the purpose of the research was to examine how the erythropoietin and ghrelin hormones are expected to play and how the biochemical parameters play in clinical assessment of patients with renal failure. materials and methods: the present study was undertaken using the sample of patients with renal failure undergoing dialysis at baquba teaching hospital during the months of january to april 2022. the 62 and 35 were the patients who reported kidney failure and non-renal healthy controls, respectively. alanine aminotransferase (alt), aspartate aminotransferase (ast), and alkaline phosphatase (alp) on serum samples were measured using the cobas e411 analyzer. nephric functional parameters (urea, uric acid and creatinine) were also measured on serum samples through the cobas e411 analyzer. ghrelin and erythropoietin hormone assays were done through the enzyme linked immunosorbent assay. the spss comprehension software was used to conduct the statistical analysis and data processing.results: metabolic, hepatic and renal biomarkers, and hormonal values were also important (p < 0.05) between the patient group and the control group. the patients had high glucose, triglycerides, cholesterol, liver enzymes (alt, ast and alp) and kidney (urea, urate acid, creatinine and potassium) indicators. the patients experienced the reduction of albumin and erythropoietin. there was no significant difference between the total protein, sodium and calcium levels according to the group (p > 0.05.(conclusions: we found that physiological parameters are connected with the presence of renal dysfunction to a large extent. the chronic renal failure affects to a considerable extent the biochemical indicators and blood regulators, that is, the level of erythropoietin and ghrelin. the results indicate a lack of electrolyte, metabolism, and hormone homeostasis, which implies that ghrelin and erythropoietin are the possible diagnostic and treatment etiological variables in the treatment of renal diseases.