Complement pathway: Risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathy

Background: Among individuals with diabetes mellitus, diabetic nephropathy (DN) is a common microvascular complication. As renal dysfunction progresses in DN patients, the risk of cardiovascular disease (CVD) significantly increases. The current effective treatment of DN and CVD demands identifying...

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Main Authors: Liu JunFei, Qian XiaoPing, Wang TaoXia, Liu XiaoLi, Liu WeiGang, Wang LiJie, Zhang HuiFang, Han Li, Li GuiYing, Yu XiaoJuan
Format: Article
Language:English
Published: Society of Medical Biochemists of Serbia, Belgrade 2025-01-01
Series:Journal of Medical Biochemistry
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Online Access:https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582504801L.pdf
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_version_ 1850081895873773568
author Liu JunFei
Qian XiaoPing
Wang TaoXia
Liu XiaoLi
Liu WeiGang
Wang LiJie
Zhang HuiFang
Han Li
Li GuiYing
Yu XiaoJuan
author_facet Liu JunFei
Qian XiaoPing
Wang TaoXia
Liu XiaoLi
Liu WeiGang
Wang LiJie
Zhang HuiFang
Han Li
Li GuiYing
Yu XiaoJuan
author_sort Liu JunFei
collection DOAJ
description Background: Among individuals with diabetes mellitus, diabetic nephropathy (DN) is a common microvascular complication. As renal dysfunction progresses in DN patients, the risk of cardiovascular disease (CVD) significantly increases. The current effective treatment of DN and CVD demands identifying and managing their risk factors. Methods: Patients diagnosed with DN from October 2022 to October 2023 were selected for cross-sectional study and divided into DN group (n=58) and DN/CVD group (n=40) based on the presence of CVD. Univariate analysis was conducted using clinical data, and statistically significant independent variables were analysed through multivariate Logistic regression to identify independent factors influencing CVD in DN patients. A regression model was developed to examine the non-linear relationship between C1q, UA, CRP, and the risk of CVD. The receiver operating characteristic curve was used to analyse the predictive efficacy of the indicators. Results: When elevated, UA and C1q were independent factors for CVD. A linear relationship existed between UA and C1q and the risk of CVD in DN patients. C1q showed better predictive performance. Conclusions: As UA and C1q levels rise, the risk of CVD in DN patients significantly increases. In DN patients, UA and C1q are associated with CVD development and progression, offering some supportive evaluation value for the patient's condition.
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record_format Article
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spelling doaj-art-e634b7cf8439483f8e6d00208b83f6032025-08-20T02:44:38ZengSociety of Medical Biochemists of Serbia, BelgradeJournal of Medical Biochemistry1452-82581452-82662025-01-0144480180710.5937/jomb0-562211452-82582504801LComplement pathway: Risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathyLiu JunFei0Qian XiaoPing1Wang TaoXia2Liu XiaoLi3Liu WeiGang4Wang LiJie5Zhang HuiFang6Han Li7Li GuiYing8Yu XiaoJuan9Affiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nephrology, The Key Laboratory of Basic Research on Blood Purification Application in Hebei Province, Handan City, Hebei Province, ChinaAffiliated Hospital of Hebei University of Engineering, Department of Nutrition, Handan City, Hebei Province, ChinaBackground: Among individuals with diabetes mellitus, diabetic nephropathy (DN) is a common microvascular complication. As renal dysfunction progresses in DN patients, the risk of cardiovascular disease (CVD) significantly increases. The current effective treatment of DN and CVD demands identifying and managing their risk factors. Methods: Patients diagnosed with DN from October 2022 to October 2023 were selected for cross-sectional study and divided into DN group (n=58) and DN/CVD group (n=40) based on the presence of CVD. Univariate analysis was conducted using clinical data, and statistically significant independent variables were analysed through multivariate Logistic regression to identify independent factors influencing CVD in DN patients. A regression model was developed to examine the non-linear relationship between C1q, UA, CRP, and the risk of CVD. The receiver operating characteristic curve was used to analyse the predictive efficacy of the indicators. Results: When elevated, UA and C1q were independent factors for CVD. A linear relationship existed between UA and C1q and the risk of CVD in DN patients. C1q showed better predictive performance. Conclusions: As UA and C1q levels rise, the risk of CVD in DN patients significantly increases. In DN patients, UA and C1q are associated with CVD development and progression, offering some supportive evaluation value for the patient's condition.https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582504801L.pdfcomplement pathwaydiabetic nephropathycardiovascular eventscomplications
spellingShingle Liu JunFei
Qian XiaoPing
Wang TaoXia
Liu XiaoLi
Liu WeiGang
Wang LiJie
Zhang HuiFang
Han Li
Li GuiYing
Yu XiaoJuan
Complement pathway: Risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathy
Journal of Medical Biochemistry
complement pathway
diabetic nephropathy
cardiovascular events
complications
title Complement pathway: Risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathy
title_full Complement pathway: Risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathy
title_fullStr Complement pathway: Risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathy
title_full_unstemmed Complement pathway: Risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathy
title_short Complement pathway: Risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathy
title_sort complement pathway risk molecular pattern of cardiovascular diseases in patients with diabetic nephropathy
topic complement pathway
diabetic nephropathy
cardiovascular events
complications
url https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2025/1452-82582504801L.pdf
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