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Rangaswamaiah H, Somashekar P, Gutlur Nagarajaiah Setty R, Ganesh V. Urinary nephrin linked nephropathy in type-2 diabetes mellitus. Bioinformation 2022; 18:1131-1135. [PMID: 37701508 PMCID: PMC10492904 DOI: 10.6026/973206300181131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 12/20/2022] [Accepted: 12/31/2022] [Indexed: 09/14/2023] Open
Abstract
Diabetic nephropathy is a one of the risk factor for end stage renal disease in patients with type 2 diabetes mellitus. Urinary micr oalbumin currently marker using for diagnosis of nephropathy in type 2 diabetes mellitus due to its larger variability and less specificity. Urinary nephrin is podocyte protein can be act as a early predictable and prognostic marker than micro albumin for nephropathy in type 2 diabetes mellitus. This case-control prospective observational study included 60 type 2 diabetes mellitus and 30 controls after applying criteria. Basic biochemical, clinical and experimental data were measured and recorded. There was a significantly elevated level of urinary nephrin in type 2 diabetes mellitus patients when compared to controls. The urinary nephrin significantly elevated in normo albuminuria group only when compared to urinary ACR and it is positive association with kidney damage. This study concluded significantly elevated levels of urinary nephrin might be used for early diagnosis and prognostic marker for nephropathy in type 2 diabetes mellitus.
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Affiliation(s)
- Hareesh Rangaswamaiah
- Department of General Medicine, Akash Institute of Medical Sciences and Research Centre, Bangalore - 562110, Karnataka, India
| | - Pallavi Somashekar
- Department of General Medicine, Akash Institute of Medical Sciences and Research Centre, Bangalore - 562110, Karnataka, India
| | | | - Veluri Ganesh
- Department of Biochemistry, Akash Institute of Medical Sciences and Research Centre, Bangalore - 562110, Karnataka, India
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Araújo Galdino O, de Souza Gomes I, Ferreira de Almeida Júnior R, Conceição Ferreira de Carvalho MI, Abreu BJ, Abbott Galvão Ururahy M, Cabral B, Zucolotto Langassner SM, Costa de Souza KS, Augusto de Rezende A. The nephroprotective action of Passiflora edulis in streptozotocin-induced diabetes. Sci Rep 2022; 12:17546. [PMID: 36266308 PMCID: PMC9584925 DOI: 10.1038/s41598-022-21826-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 10/04/2022] [Indexed: 01/13/2023] Open
Abstract
In the present study, we aimed to evaluate the therapeutic effect of Passiflora edulis fruit peel aqueous (AFA) extract as an adjuvant to insulin to confer nephroprotection against streptozotocin-induced diabetes. Male Wistar rats were divided into four groups based on treatment received for 60 days: diabetic (DB), control (CTL), insulin (INS), and insulin + AFA extract (INS + AFA). mRNA and protein expression levels of podocyte (nephrin, podocin, and WT1) and tubular (megalin) proteins were measured in kidney tissue specimens and urine. Biochemical parameters and kidney histopathology were also examined. Herein, the INS + AFA group showed superior glycemic control, which resulted in the reduction of urinary albumin/creatinine ratio, maintenance of baseline levels of Nphs1, Nphs2, Wt1, and Lrp2 mRNA expression, prevention of protein loss from the kidney tissue into the urinary space, along with the maintenance of glomerular basement membrane thickness, hyalinization, glomerular and tubulointerstitial fibrosis at values approximating those of the CTL group and significantly lower than those in the DB group. Therefore, these results suggest that, as an anti-diabetic agent, the AFA extract adjuvant to insulin could reduce and potentially prevent diabetic kidney disease.
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Affiliation(s)
- Ony Araújo Galdino
- grid.411233.60000 0000 9687 399XDepartment of Clinical and Toxicological Analyses, Federal University of Rio Grande do Norte, Av. General Gustavo Cordeiro de Farias, S/N, Faculty of Pharmacy, Petrópolis, Natal, RN CEP: 59012-570 Brazil
| | - Iago de Souza Gomes
- grid.411233.60000 0000 9687 399XDepartment of Clinical and Toxicological Analyses, Federal University of Rio Grande do Norte, Av. General Gustavo Cordeiro de Farias, S/N, Faculty of Pharmacy, Petrópolis, Natal, RN CEP: 59012-570 Brazil
| | - Renato Ferreira de Almeida Júnior
- grid.411233.60000 0000 9687 399XDepartment of Clinical and Toxicological Analyses, Federal University of Rio Grande do Norte, Av. General Gustavo Cordeiro de Farias, S/N, Faculty of Pharmacy, Petrópolis, Natal, RN CEP: 59012-570 Brazil
| | - Maria Imaculada Conceição Ferreira de Carvalho
- grid.411233.60000 0000 9687 399XDepartment of Clinical and Toxicological Analyses, Federal University of Rio Grande do Norte, Av. General Gustavo Cordeiro de Farias, S/N, Faculty of Pharmacy, Petrópolis, Natal, RN CEP: 59012-570 Brazil
| | - Bento João Abreu
- grid.411233.60000 0000 9687 399XDepartment of Morphology, Federal University of Rio Grande do Norte, Natal, RN Brazil
| | - Marcela Abbott Galvão Ururahy
- grid.411233.60000 0000 9687 399XDepartment of Clinical and Toxicological Analyses, Federal University of Rio Grande do Norte, Av. General Gustavo Cordeiro de Farias, S/N, Faculty of Pharmacy, Petrópolis, Natal, RN CEP: 59012-570 Brazil
| | - Barbara Cabral
- grid.411233.60000 0000 9687 399XDepartment of Pharmacy, Federal University of Rio Grande do Norte, Natal, RN Brazil
| | | | - Karla Simone Costa de Souza
- grid.411233.60000 0000 9687 399XDepartment of Clinical and Toxicological Analyses, Federal University of Rio Grande do Norte, Av. General Gustavo Cordeiro de Farias, S/N, Faculty of Pharmacy, Petrópolis, Natal, RN CEP: 59012-570 Brazil
| | - Adriana Augusto de Rezende
- grid.411233.60000 0000 9687 399XDepartment of Clinical and Toxicological Analyses, Federal University of Rio Grande do Norte, Av. General Gustavo Cordeiro de Farias, S/N, Faculty of Pharmacy, Petrópolis, Natal, RN CEP: 59012-570 Brazil
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Mizdrak M, Kumrić M, Kurir TT, Božić J. Emerging Biomarkers for Early Detection of Chronic Kidney Disease. J Pers Med 2022; 12:jpm12040548. [PMID: 35455664 PMCID: PMC9025702 DOI: 10.3390/jpm12040548] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 03/22/2022] [Accepted: 03/28/2022] [Indexed: 12/14/2022] Open
Abstract
Chronic kidney disease (CKD) is a major and serious global health problem that leads to kidney damage as well as multiple systemic diseases. Early diagnosis and treatment are two major measures to prevent further deterioration of kidney function and to delay adverse outcomes. However, the paucity of early, predictive and noninvasive biomarkers has undermined our ability to promptly detect and treat this common clinical condition which affects more than 10% of the population worldwide. Despite all limitations, kidney function is still measured by serum creatinine, cystatin C, and albuminuria, as well as estimating glomerular filtration rate using different equations. This review aims to provide comprehensive insight into diagnostic methods available for early detection of CKD. In the review, we discuss the following topics: (i) markers of glomerular injury; (ii) markers of tubulointerstitial injury; (iii) the role of omics; (iv) the role of microbiota; (v) and finally, the role of microRNA in the early detection of CKD. Despite all novel findings, none of these biomarkers have met the criteria of an ideal early marker. Since the central role in CKD progression is the proximal tubule (PT), most data from the literature have analyzed biomarkers of PT injury, such as KIM-1 (kidney injury molecule-1), NGAL (neutrophil gelatinase-associated lipocalin), and L-FABP (liver fatty acid-binding protein).
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Affiliation(s)
- Maja Mizdrak
- Department of Nephrology and Hemodialysis, University Hospital of Split, 21000 Split, Croatia;
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia; (M.K.); (T.T.K.)
| | - Marko Kumrić
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia; (M.K.); (T.T.K.)
| | - Tina Tičinović Kurir
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia; (M.K.); (T.T.K.)
- Department of Endocrinology, Diabetes and Metabolic Disorders, University Hospital of Split, 21000 Split, Croatia
| | - Joško Božić
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia; (M.K.); (T.T.K.)
- Correspondence:
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