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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Nephrol
2015 ; 16
(ä): 159
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Increased urinary Smad3 is significantly correlated with glomerular
hyperfiltration and a reduced glomerular filtration rate and is a new urinary
biomarker for diabetic nephropathy
#MMPMID26449625
Guo K
; Lu J
; Kou J
; Wu M
; Zhang L
; Yu H
; Zhang M
; Bao Y
; Chen H
; Jia W
BMC Nephrol
2015[Oct]; 16
(ä): 159
PMID26449625
show ga
BACKGROUND: Diabetic nephropathy is one of the major microvascular complications
of diabetes. We investigated the association between urinary Smad3 (usmad3)
levels, glomerular hyperfiltration, and the development of nephropathy in
patients with type 2 diabetes mellitus (T2DM). METHODS: The usmad3 level was
determined by enzyme-linked immunosorbent assay in 245 well-characterised
patients with T2DM and 82 healthy control subjects. The associations of the
usmad3 level with glomerular hyperfiltration, glucose and lipid profiles, and
renal function were evaluated. RESULTS: The usmad3 level was significantly higher
in patients with diabetes than in the control group. The level in the
hyperfiltration group was higher than that in the normofiltering group,
regardless of whether patients were in the normoalbuminuric or the proteinuria
groups. Pearson's correlation analysis suggested that the usmad3 level was
significantly correlated with age, systolic blood pressure, fasting plasma
glucose, insulin, C-peptide, glycated haemoglobin, and estimated glomerular
filtration rate (eGFR). A multiple linear stepwise regression analysis revealed
that usmad3 levels in patients with T2DM and an eGFR ? 90 ml/min/1.73 m(2) were
independently and positively correlated with eGFR, whereas in patients with T2DM
and eGFR <90 ml/min/1.73 m(2), the levels were independently and negatively
correlated with eGFR. CONCLUSIONS: The usmad3 level was significantly correlated
with biphasic changes in the GFR (both glomerular hyperfiltration and reduced
eGFR) in patients with T2DM. Usmad3 may serve as a novel marker for
hyperfiltration and for screening patients with T2DM for nephropathy.