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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 PLoS+One
2016 ; 11
(3
): e0152357
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English Wikipedia
Effects of Minocycline on Urine Albumin, Interleukin-6, and Osteoprotegerin in
Patients with Diabetic Nephropathy: A Randomized Controlled Pilot Trial
#MMPMID27019421
Shah AP
; Shen JI
; Wang Y
; Tong L
; Pak Y
; Andalibi A
; LaPage JA
; Adler SG
PLoS One
2016[]; 11
(3
): e0152357
PMID27019421
show ga
BACKGROUND: We tested minocycline as an anti-proteinuric adjunct to
renin-angiotensin-aldosterone system inhibitors (RAASi) in diabetic nephropathy
(DN) and measured urinary biomarkers to evaluate minocycline's biological
effects. DESIGN: Prospective, single center, randomized, placebo-controlled,
intention-to-treat pilot trial. Inclusion. Type 2 diabetes/DN; Baseline
creatinine clearance >30 mL/min; proteinuria ?1.0 g/day; Age ?30 years; BP
<150/95 mm Hg; intolerant of/at maximum RAASi dose. Protocol. 3-wk screening;
Baseline randomization; Urine and blood measures at months 1, 2, 4, and Month 6
study completion. Urine interleukin-6 (IL-6) and osteoprotegerin were measured in
a subset. Primary outcome. Natural log of urine protein/creatinine (ln U P:Cr)
ratio at Month 6 vs Baseline. RESULTS: 30 patients completed the study. The 15%
decline in U P: Cr in minocycline patients (6 month P:Cr ÷ Baseline P:Cr, 0.85
vs. 0.92) was not significant (p = 0.27). Creatinine clearance did not differ in
the 2 groups. Urine IL-6:Cr (p = 0.03) and osteoprotegerin/Cr (p = 0.046)
decrements were significant. Minocycline modified the relationship between urine
IL-6 and proteinuria, suggesting a protective biological effect. CONCLUSIONS:
Although the decline in U P:Cr in minocycline patients was not statistically
significant, the significant differences in urine IL-6 and osteoprotegerin
suggest that minocycline may confer cytoprotection in patients with DN, providing
a rationale for further study. TRIAL REGISTRATION: Clinicaltrials.gov
NCT01779089.