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10.1371/journal.pone.0152357

http://scihub22266oqcxt.onion/10.1371/journal.pone.0152357
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suck abstract from ncbi


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pmid27019421
      PLoS+One 2016 ; 11 (3 ): e0152357
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  • 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.
  • |Adult [MESH]
  • |Albumins/*analysis [MESH]
  • |Creatinine/blood/urine [MESH]
  • |Diabetic Nephropathies/*drug therapy/urine [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Interleukin-6/*analysis/blood/urine [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Minocycline/*therapeutic use [MESH]
  • |Osteoprotegerin/*analysis/blood/urine [MESH]
  • |Pilot Projects [MESH]
  • |Placebo Effect [MESH]
  • |Prospective Studies [MESH]
  • |Proteins/analysis [MESH]


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