These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Change and significance of urinary smad3 in type 2 diabetic nephropathy].
    Author: Guo KF, Kou JX, Lu JX, Zhang L, Yu HY, Chen HB.
    Journal: Zhonghua Yi Xue Za Zhi; 2013 Apr 09; 93(14):1067-71. PubMed ID: 23902838.
    Abstract:
    OBJECTIVE: To explore the significance of urinary smad3(usmad3) protein level change in diabetic nephropathy (DN) in type 2 diabetes mellitus and examine its relationship with the progression of DN. METHODS: From May 2010 to August 2011, a total of 282 patients with type 2 diabetes were selected for the experimental group according to instant urine specimen albumin-creatinine ratio (UACR). Another 100 healthy subjects were taken as the control group. Then the diabetics were divided into 3 groups, including 110 with normal albuminuria (NA group), 114 with microalbuminuria (MA group) and 58 with macroalbuminuria (DN group). Enzyme-linked immunosorbent assay (ELISA) was used to detect the content of usmad3. The parameters of age, systolic blood pressure, body mass index (BMI), blood glucose, blood lipids, urinary albumin/creatinine (ACR), estimated glomerular filtration rate (eGFR) and glycosylated hemoglobin were measured. And non-mydriatic fundus camera was used to evaluate retinopathy, the DN group (n = 58) was then divided into two groups of those without retinopathy (n = 25) and with retinopathy (n = 33). RESULTS: (1) The usmad3 level in type 2 diabetes group was significantly higher than that in the control group (489(273,1193) vs 311 (179, 497) ng/mmol Cr (P < 0.01). (2) According to UACR, type 2 diabetes group was divided into 3 different groups to compare the relative level differences of usmad3 in different groups: MA group versus NA group, 552 (316,1338) vs 317 (200,594), DN group versus NA group, 1035 (503,3035)vs 317 (200,594), DN group versus MA group, 1035(503,3035)vs 552(316,1338), all P < 0.01. (3) Pearson correlation test showed the level of usmad3 was significantly correlated with age, SBP, HbA1c, blood urea nitrogen, creatinine, total cholesterol, low density lipoprotein, eGFR and UACR (r = 0.57, P < 0.01). And multiple linear regression analysis showed that usmad3 and UACR were independently correlated (β = 0.754, P < 0.01). (4) The usmad3 level in DN with retinopathy were significantly higher than that in DN without retinopathy (1905(806,4303) vs 595 (331,1183), P < 0.01). No significant difference existed in uACR level between DN with retinopathy and DN without retinopathy(P > 0.05). CONCLUSIONS: Urinary level of smad3 is significantly elevated in type 2 diabetics and it is significantly associated with ACR. It suggests that usmad3 is a potential marker in the diagnosis of DN and may be used to predict the severity of DN.
    [Abstract] [Full Text] [Related] [New Search]