Levels of Inflammatory Cytokines in Type 2 Diabetes Patients with Different Urinary Albumin Excretion Rates and Their Correlation with Clinical Variables

Although the pathogenetic mechanism of DN has not been elucidated, an inflammatory mechanism has been suggested as a potential contributor. This study was designed to explore the relationship between low-grade inflammation and renal microangiopathy in T2DM. A total of 261 diabetic subjects were divi...

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Main Authors: Fen-qin Chen, Jiao Wang, Xiao-bo Liu, Xiao-yu Ma, Xiu-bin Zhang, Ting Huang, Dong-wei Ma, Qiu-yue Wang
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2013/138969
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author Fen-qin Chen
Jiao Wang
Xiao-bo Liu
Xiao-yu Ma
Xiu-bin Zhang
Ting Huang
Dong-wei Ma
Qiu-yue Wang
author_facet Fen-qin Chen
Jiao Wang
Xiao-bo Liu
Xiao-yu Ma
Xiu-bin Zhang
Ting Huang
Dong-wei Ma
Qiu-yue Wang
author_sort Fen-qin Chen
collection DOAJ
description Although the pathogenetic mechanism of DN has not been elucidated, an inflammatory mechanism has been suggested as a potential contributor. This study was designed to explore the relationship between low-grade inflammation and renal microangiopathy in T2DM. A total of 261 diabetic subjects were divided into three groups according to UAE: a normal albuminuria group, a microalbuminuria group, and a macroalbuminuria group. A control group was also chosen. Levels of hs-CRP, TNF-α, uMCP-1, SAA, SCr, BUN, serum lipid, blood pressure, and HbA1c were measured in all subjects. Compared with the normal controls, levels of hs-CRP, TNF-α, uMCP-1, and SAA in T2DM patients were significantly higher. They were also elevated in the normal albuminuria group, P<0.05. Compared with the normal albuminuria group, levels of these inflammatory cytokines were significantly higher in the microalbuminuria and macroalbuminuria group, P<0.01. The macroalbuminuria group also showed higher levels than the microalbuminuria group, P<0.01. Also they were positively correlated with UAE, SBP, DBP, LDL-C, and TC. We noted no significance correlated with course, TG, or HDL-C. Only TNF-α; was positively correlated with HbA1c. This study revealed the importance of these inflammatory cytokines in DN pathogenesis. Further studies are needed to fully establish the potential of these cytokines as additional biomarkers for the development of DN.
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institution Kabale University
issn 2314-6745
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language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Journal of Diabetes Research
spelling doaj-art-12eea5f4d3cb4233a708524e0f76dea62025-02-03T05:51:19ZengWileyJournal of Diabetes Research2314-67452314-67532013-01-01201310.1155/2013/138969138969Levels of Inflammatory Cytokines in Type 2 Diabetes Patients with Different Urinary Albumin Excretion Rates and Their Correlation with Clinical VariablesFen-qin Chen0Jiao Wang1Xiao-bo Liu2Xiao-yu Ma3Xiu-bin Zhang4Ting Huang5Dong-wei Ma6Qiu-yue Wang7Department of Geriatrics, The First Affiliated Hospital, China Medical University, Shenyang 110001, ChinaDepartment of Endocrinology, Fengtian Hospital of Shenyang Medical College, Shenyang 110000, ChinaDepartment of Geriatrics, The First Affiliated Hospital, China Medical University, Shenyang 110001, ChinaDepartment of Geriatrics, The First Affiliated Hospital, China Medical University, Shenyang 110001, ChinaDepartment of Endocrinology, The Fourth People’s Hospital of Shenyang, Shenyang 110031, ChinaDepartment of Geriatrics, The First Affiliated Hospital, China Medical University, Shenyang 110001, ChinaDepartment of Endocrinology, The First Affiliated Hospital, China Medical University, Shenyang 110001, ChinaDepartment of Endocrinology, The First Affiliated Hospital, China Medical University, Shenyang 110001, ChinaAlthough the pathogenetic mechanism of DN has not been elucidated, an inflammatory mechanism has been suggested as a potential contributor. This study was designed to explore the relationship between low-grade inflammation and renal microangiopathy in T2DM. A total of 261 diabetic subjects were divided into three groups according to UAE: a normal albuminuria group, a microalbuminuria group, and a macroalbuminuria group. A control group was also chosen. Levels of hs-CRP, TNF-α, uMCP-1, SAA, SCr, BUN, serum lipid, blood pressure, and HbA1c were measured in all subjects. Compared with the normal controls, levels of hs-CRP, TNF-α, uMCP-1, and SAA in T2DM patients were significantly higher. They were also elevated in the normal albuminuria group, P<0.05. Compared with the normal albuminuria group, levels of these inflammatory cytokines were significantly higher in the microalbuminuria and macroalbuminuria group, P<0.01. The macroalbuminuria group also showed higher levels than the microalbuminuria group, P<0.01. Also they were positively correlated with UAE, SBP, DBP, LDL-C, and TC. We noted no significance correlated with course, TG, or HDL-C. Only TNF-α; was positively correlated with HbA1c. This study revealed the importance of these inflammatory cytokines in DN pathogenesis. Further studies are needed to fully establish the potential of these cytokines as additional biomarkers for the development of DN.http://dx.doi.org/10.1155/2013/138969
spellingShingle Fen-qin Chen
Jiao Wang
Xiao-bo Liu
Xiao-yu Ma
Xiu-bin Zhang
Ting Huang
Dong-wei Ma
Qiu-yue Wang
Levels of Inflammatory Cytokines in Type 2 Diabetes Patients with Different Urinary Albumin Excretion Rates and Their Correlation with Clinical Variables
Journal of Diabetes Research
title Levels of Inflammatory Cytokines in Type 2 Diabetes Patients with Different Urinary Albumin Excretion Rates and Their Correlation with Clinical Variables
title_full Levels of Inflammatory Cytokines in Type 2 Diabetes Patients with Different Urinary Albumin Excretion Rates and Their Correlation with Clinical Variables
title_fullStr Levels of Inflammatory Cytokines in Type 2 Diabetes Patients with Different Urinary Albumin Excretion Rates and Their Correlation with Clinical Variables
title_full_unstemmed Levels of Inflammatory Cytokines in Type 2 Diabetes Patients with Different Urinary Albumin Excretion Rates and Their Correlation with Clinical Variables
title_short Levels of Inflammatory Cytokines in Type 2 Diabetes Patients with Different Urinary Albumin Excretion Rates and Their Correlation with Clinical Variables
title_sort levels of inflammatory cytokines in type 2 diabetes patients with different urinary albumin excretion rates and their correlation with clinical variables
url http://dx.doi.org/10.1155/2013/138969
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