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Assessment of Vitamin D-Binding Protein and Early Prediction of Nephropathy in Type 2 Saudi Diabetic Patients
المؤلفون المشاركون
Fawzy, Manal S.
Abu AlSel, Baraah T.
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-13، 13ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-04-03
دولة النشر
مصر
عدد الصفحات
13
التخصصات الرئيسية
الملخص EN
Early detection of diabetic nephropathy (DN) represents a great challenge in an attempt to reduce the burden of chronic kidney diseases in diabetic patients.
This study aimed to investigate the potential early prediction role of urinary vitamin D-binding protein (uVDBP) for the diagnosis of DN and to examine the possible correlation to serum VDBP, high-sensitivity C-reactive protein (hs-CRP), and insulin resistance in these patients.
Serum and urine samples were obtained from 40 healthy volunteers and 120 patients with type 2 diabetes divided into 3 groups: normoalbuminuria, microalbuminuria, and macroalbuminuria (urinary albumin excretion rate < 30, 30–300, and >300 μg/mg, resp.); n=40/group.
Serum and urinary VDBP levels were quantified by ELISA.
Insulin resistance has been assessed by homeostasis model assessment index (HOMAI).
Correction for urine creatinine concentration was applied for urinary quantitative measurements.
uVDBP levels were significantly elevated in micro- and macroalbuminuria patient groups compared with those of the normoalbuminuria patient group and controls (820.4 ± 402.8 and 1458.1 ± 210.0 compared with 193.1 ± 141.0 and 127.7 ± 21.9 ng/mg, resp.) (P<0.001).
There was significant correlation between serum and urinary levels of VDBP in total patient group.
Receiver operating characteristic analysis of uVDBP levels showed optimum cut-off value of 216.0 ng/mg corresponding to 98.8% sensitivity and 80.0% specificity and an area under the curve of 0.973 to discriminate the normoalbuminuria from the microalbuminuria groups.
In multivariate analysis, ordination plot showed obvious demarcation between the study groups caused by the higher levels of uVDBP and albumin/creatinine ratio among other variables.
The study findings suggested a possible clinical application of uVDPB as an early and a good marker for the detection of early renal disease in type 2 DM Saudi patients.
Large-scale validation studies are warranted to confirm the results before including uVDBP with the available list of other conventional biomarkers.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Fawzy, Manal S.& Abu AlSel, Baraah T.. 2018. Assessment of Vitamin D-Binding Protein and Early Prediction of Nephropathy in Type 2 Saudi Diabetic Patients. Journal of Diabetes Research،Vol. 2018, no. 2018, pp.1-13.
https://search.emarefa.net/detail/BIM-1183980
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Fawzy, Manal S.& Abu AlSel, Baraah T.. Assessment of Vitamin D-Binding Protein and Early Prediction of Nephropathy in Type 2 Saudi Diabetic Patients. Journal of Diabetes Research No. 2018 (2018), pp.1-13.
https://search.emarefa.net/detail/BIM-1183980
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Fawzy, Manal S.& Abu AlSel, Baraah T.. Assessment of Vitamin D-Binding Protein and Early Prediction of Nephropathy in Type 2 Saudi Diabetic Patients. Journal of Diabetes Research. 2018. Vol. 2018, no. 2018, pp.1-13.
https://search.emarefa.net/detail/BIM-1183980
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1183980
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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