Vol.1 , No. 1, Publication Date: Jul. 7, 2014, Page: 15-18
[1] | Nazarian Zahra , International branch sahhid beheshti Medical Science Un. Tehran, Iran. |
[2] | Mohiti Ardekani Javad , Clinical Biochemistry. Dept. Yazd Medical Science Un. Yazd, Iran. |
[3] | Nazarian Aboalfazl , Clinical Biochemistry. Dept. Zanjan Medical Science Un. Zanjan, Iran. |
Background: Early detection of kidney failure is critical since it is the first message for the advanced process of nephropathy. Objectives: this study is stated the correlation between glycemic control and urinary certain low molecular weight proteins (LMWP); retinol binding protein (RBP) and nerve growth factor receptor (NGFR). Methods: 30 patients with diabetes mellitus type 2 between age of 30-70 with a normal serum creatinine (<1.3mg/dl) and 30 healthy individuals in same age and sex group were randomly selected. Results: There was significant increase in RBP (P< 0.001), NGFR (P<0.005) and HbA1c (glycosylated hemoglobin) (P<0.001) in diabetics patients as compared to control group, and obtained significant correlation between LMWP and HbA1c. This study was showed negative correlation between conventional markers for subclinical nephropathy like: serum and urine creatinine, urine albumin, creatinine clearance and 24h urine protein with LMWP. Conclusion: certain tubular LMWP may alert as early stage biomarkers for predicting of renal dysfunction.
Keywords
Diabetic Nephropathy, Low Molecular Proteins, Retinol Binding Protein, Nerve Growth Factor Receptor
Reference
[01] | Waqar Kashif, Nauman Siddhqi, Erhan Dincer H, Ayse P. Dincer, Sheldon Hirsch. Proteinuria: How to evaluate an important finding. Cleveland Clinic Journal of Medicine.2003; 70(6):535-547. |
[02] | American Diabetes Association. Type 2 diabetes in children and adolescents. Diabetes Care 2000; 23(3):381-389. |
[03] | Varma PP, Murthy S N, Hooda A K. Proteinuria- Long Term Complications. Medicine Update2008; 18:156-168. |
[04] | Azizi F, Salehi P, Etemadi A, Zahedi-Asl S. Prevalence of metabolic syndrome in an urban population: Tehran Lipid and Glucose Study. Diabetes Res Clin Pract 2003;61(1):29-37. |
[05] | Gul E. Rana et al. Clinical Significance and prognostic value of low molecular weight "tubular" proteins, a-1 acid glycoprotein in diabetes. Pak J Physiol2009; 5(1):34-36. |
[06] | Manal A.F et al. Estimation of renal tubular markers for predicting early stage diabetic nephropathy in Egyptian children with type I diabetes mellitus. . Res.J. Medcine & Medical Sciences2009; 4(2):207-211 |
[07] | Schlatzer D, Maahs DM, Chance MR, Dazard JE, Li X, Hazlett F, Rewers M, Snell-Bergeon JK - Novel urinary protein biomarkers predicting the development of microalbuminuria and renal function decline in type 1 diabetes. Diabetes Care. 2012; 35(3):549-55. |
[08] | Hahn WH, Suh JS. Linkage and association study of neurotrophins and their receptors as novel susceptibility genes for childhood IgA nephropathy. Pediatr Res. 2011; 69(4):299-305. |
[09] | Ayatse JO. Human retinol-binding protein: its relationship to renal function in renal diseases. West Afr J Med. 1991; 10 (3-4):226-31. |
[10] | Kirsztajn GM, Nishida SK, Silva MS, et al: Urinary retinol-binding protein as a prognostic marker in glomerulopathies. Nephron 2002; 90 (4):424-431 |
[11] | Luigi Aloe, Simona Rossi, Luigi Manni. Altered expression of nerve growth factor and Its receptors in the kidneys of diabetic rats. J Nephrol 2011; 24(06): 798-805. |
[12] | Antonucci MT, Bonofiglio R, Papalia T, Caruso F, Caroleo MC, Mancuso D, Aloe L. Nerve growth factor and its monocyte receptors are affected in kidney disease.Nepron Clin Prac 2009; 111(1):21-8. |
[13] | Fagot-Campagna A, Pettitt D, Engelgau M, Burrows N, Geiss L, Valdez R, et al. Type 2 diabetes among North American children and adolescents: an epidemiologic review and a public health perspective. J Pediatr 2000;136(5):664-72. |
[14] | Ching-JE hong et al. Urinary microglobulin as a marker of nephropathy in type II diabetic asian subject in Singapoor. Diabetic Care2003; 26:338-342. |
[15] | Sariola, H., et al. Dependence of kidney morphogenesis on the expression of nerve growth factor receptor. Science1991; 254:571-573. |
[16] | Nosadini R, Tonolo G. Role of oxidized low density lipoproteins and free fatty acids in the pathogenesis of glomerulopathy and tubulointerstitial lesions in type 2 diabetes. Nutr Metab Cardiovasc Dis. 2011; 21(2):79-85. |
[17] | Chu CH, Lam HC, Lee JK, Lu CC, Sun CC, Cheng HJ, Wang MC, Chuang MJ. Elevated serum retinol-binding protein 4 concentrations are associated with chronic kidney disease but not with the higher carotid intima-media thickness in type 2 diabetic subjects. Endocr J. 2011;58 (10):841-7. |
[18] | Mona A. K. Salema, . Mohamed M. K. et al Urinary excretion of n-acetyl (--glucosaminidase and retinol-binding protein as alternative indicators of nephropathy in patients with type 1 diabetes mellitus Pediatric Diabetes 2002: 3: 37–41. |
[19] | John G. Lewis , Brett I. Shand , Peter A. Elder , Russell S. Scott Plasma retinol-binding protein is unlikely to be a useful marker of insulin resistance diabetes research and clinical Practice2008; 8 0 : e 1 3– e1 5 |
[20] | Najla Shore, Rukhshan Khurshid*, Mahjabeen Saleem** 1Alpha-1microglobulin: A marker forearly detection of tubular disorders in diabetic nephropathy. J Ayub Med Coll Abbottabad 2010;22(4):53-5 |
[21] | Dhruv K,Fraington S K.The tubule-interstitium in early diabetic nephropathy.www.IJddc.com. 2010; 59:141-147 |
[22] | Kirsztajn GM, Nishida SK, Silva MS, et al: Urinary retinol-binding protein as a prognostic marker in glomerulopathies. Nephron 2002 Apr;90 (4):424-431 |