Marker of lipid peroxidation related to diabetic nephropathy in Indonesian type 2 diabetes mellitus patients
Highlights • A significant correlation between 8-iso-PGF2α and eGFR in T2DM patients. • Increasing level of MDA was mildly correlated with the decline in eGFR (MDRD). • Increasing UACR inversely correlate with eGFR (corrected-CG, MDRD, and CKD-EPI). • Increased 8-iso-PGF2α and MDA in T2DM patients m...
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| Published in: | Diabetes research and clinical practice Vol. 108; no. 1; pp. 193 - 200 |
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| Abstract | Highlights • A significant correlation between 8-iso-PGF2α and eGFR in T2DM patients. • Increasing level of MDA was mildly correlated with the decline in eGFR (MDRD). • Increasing UACR inversely correlate with eGFR (corrected-CG, MDRD, and CKD-EPI). • Increased 8-iso-PGF2α and MDA in T2DM patients may play a role in the pathophysiologic significance of diabetic nephropathy, in which 8-iso-PGF2α contributes in the initiating process. |
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| AbstractList | Highlights • A significant correlation between 8-iso-PGF2α and eGFR in T2DM patients. • Increasing level of MDA was mildly correlated with the decline in eGFR (MDRD). • Increasing UACR inversely correlate with eGFR (corrected-CG, MDRD, and CKD-EPI). • Increased 8-iso-PGF2α and MDA in T2DM patients may play a role in the pathophysiologic significance of diabetic nephropathy, in which 8-iso-PGF2α contributes in the initiating process. Even though diabetes patients exhibit an increased oxidative stress, its correlation with diabetic nephropathy is not fully understood. The purpose of this study was to determine whether lipid peroxidation marker correlates well with eGFR and UACR in type 2 diabetes mellitus patients. We collected urine and serum samples of Indonesian type 2 diabetes mellitus outpatients with normo- and microalbuminuria at a Local Government Clinic (from ages: 39-74 years). Urinary 8-iso-PGF2α was measured by ELISA, the serum malondialdehyde by TBARS assay, and urinary albumin by BCG albumin assay. eGFR was calculated using the corrected-Cockcroft-Gault (CG), MDRD, and CKD-EPI equation. Other necessary data were obtained through questionnaires. The results showed that the increasing level of malondialdehyde was mildly correlated with the decline in eGFR (MDRD). In contrary, there was a significant positive correlation between 8-iso-PGF2α concentration and eGFR based on the corrected-CG, MDRD study, and CKD-EPI equation (r=0.457, p<0.001; r=0.424, p<0.001; r=0.443, p<0.001). This relationship still persisted in the normoalbuminuric subjects (n=43) (r=0.491, p=0.001; r=0.461, p=0.002; r=0.455, p=0.002). The multivariate analysis showed that 8-iso-PGF2α together with fasting plasma glucose was the most predictive factor for the high 2-quantile eGFR (adjusted OR 1.001, (95% CI, 1.000-1.001)). However, there was no significant correlation between UACR with malondialdehyde (r=0.268, p=0.050) and 8-iso-PGF2α(r=-0.030, p=0.808). UACR itself was inversely correlated with eGFR based on the corrected-CG, the MDRD, and CKD-EPI (r=-0.232, p<0.05; r=-0.228, p<0.05; r=-0.232, p<0.05). Increased 8-iso-PGF2α and malondialdehyde in type 2 diabetes mellitus patients may play a role in the pathophysiologic significance of diabetic nephropathy, even while considering the effect of potential confounders. OBJECTIVEEven though diabetes patients exhibit an increased oxidative stress, its correlation with diabetic nephropathy is not fully understood. The purpose of this study was to determine whether lipid peroxidation marker correlates well with eGFR and UACR in type 2 diabetes mellitus patients.METHODSWe collected urine and serum samples of Indonesian type 2 diabetes mellitus outpatients with normo- and microalbuminuria at a Local Government Clinic (from ages: 39-74 years). Urinary 8-iso-PGF2α was measured by ELISA, the serum malondialdehyde by TBARS assay, and urinary albumin by BCG albumin assay. eGFR was calculated using the corrected-Cockcroft-Gault (CG), MDRD, and CKD-EPI equation. Other necessary data were obtained through questionnaires.RESULTSThe results showed that the increasing level of malondialdehyde was mildly correlated with the decline in eGFR (MDRD). In contrary, there was a significant positive correlation between 8-iso-PGF2α concentration and eGFR based on the corrected-CG, MDRD study, and CKD-EPI equation (r=0.457, p<0.001; r=0.424, p<0.001; r=0.443, p<0.001). This relationship still persisted in the normoalbuminuric subjects (n=43) (r=0.491, p=0.001; r=0.461, p=0.002; r=0.455, p=0.002). The multivariate analysis showed that 8-iso-PGF2α together with fasting plasma glucose was the most predictive factor for the high 2-quantile eGFR (adjusted OR 1.001, (95% CI, 1.000-1.001)). However, there was no significant correlation between UACR with malondialdehyde (r=0.268, p=0.050) and 8-iso-PGF2α(r=-0.030, p=0.808). UACR itself was inversely correlated with eGFR based on the corrected-CG, the MDRD, and CKD-EPI (r=-0.232, p<0.05; r=-0.228, p<0.05; r=-0.232, p<0.05).CONCLUSIONSIncreased 8-iso-PGF2α and malondialdehyde in type 2 diabetes mellitus patients may play a role in the pathophysiologic significance of diabetic nephropathy, even while considering the effect of potential confounders. •A significant correlation between 8-iso-PGF2α and eGFR in T2DM patients.•Increasing level of MDA was mildly correlated with the decline in eGFR (MDRD).•Increasing UACR inversely correlate with eGFR (corrected-CG, MDRD, and CKD-EPI).•Increased 8-iso-PGF2α and MDA in T2DM patients may play a role in the pathophysiologic significance of diabetic nephropathy, in which 8-iso-PGF2α contributes in the initiating process. Even though diabetes patients exhibit an increased oxidative stress, its correlation with diabetic nephropathy is not fully understood. The purpose of this study was to determine whether lipid peroxidation marker correlates well with eGFR and UACR in type 2 diabetes mellitus patients. We collected urine and serum samples of Indonesian type 2 diabetes mellitus outpatients with normo- and microalbuminuria at a Local Government Clinic (from ages: 39–74 years). Urinary 8-iso-PGF2α was measured by ELISA, the serum malondialdehyde by TBARS assay, and urinary albumin by BCG albumin assay. eGFR was calculated using the corrected-Cockcroft–Gault (CG), MDRD, and CKD-EPI equation. Other necessary data were obtained through questionnaires. The results showed that the increasing level of malondialdehyde was mildly correlated with the decline in eGFR (MDRD). In contrary, there was a significant positive correlation between 8-iso-PGF2α concentration and eGFR based on the corrected-CG, MDRD study, and CKD-EPI equation (r=0.457, p<0.001; r=0.424, p<0.001; r=0.443, p<0.001). This relationship still persisted in the normoalbuminuric subjects (n=43) (r=0.491, p=0.001; r=0.461, p=0.002; r=0.455, p=0.002). The multivariate analysis showed that 8-iso-PGF2α together with fasting plasma glucose was the most predictive factor for the high 2-quantile eGFR (adjusted OR 1.001, (95% CI, 1.000–1.001)). However, there was no significant correlation between UACR with malondialdehyde (r=0.268, p=0.050) and 8-iso-PGF2α(r=−0.030, p=0.808). UACR itself was inversely correlated with eGFR based on the corrected-CG, the MDRD, and CKD-EPI (r=−0.232, p<0.05; r=−0.228, p<0.05; r=−0.232, p<0.05). Increased 8-iso-PGF2α and malondialdehyde in type 2 diabetes mellitus patients may play a role in the pathophysiologic significance of diabetic nephropathy, even while considering the effect of potential confounders. |
| Author | Manfaatun, A Sakano, N Saputri, D.A Andrajati, R Sauriasari, R Dharmeizar Wang, D.H Ogino, K Muris, R.U Amanda, O.F Azizahwati Setiawan, H |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25726335$$D View this record in MEDLINE/PubMed |
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| Keywords | 8-iso-PGF 2α Estimated Glomerular Filtration Rate Diabetes Mellitus Urine Albumin to Creatinine Ratio 8-iso-PGF2α 8-iso-PGF(2α) |
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| Snippet | Highlights • A significant correlation between 8-iso-PGF2α and eGFR in T2DM patients. • Increasing level of MDA was mildly correlated with the decline in eGFR... •A significant correlation between 8-iso-PGF2α and eGFR in T2DM patients.•Increasing level of MDA was mildly correlated with the decline in eGFR... Even though diabetes patients exhibit an increased oxidative stress, its correlation with diabetic nephropathy is not fully understood. The purpose of this... OBJECTIVEEven though diabetes patients exhibit an increased oxidative stress, its correlation with diabetic nephropathy is not fully understood. The purpose of... |
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| SubjectTerms | 8-iso-PGF2α Adult Aged Biomarkers - blood Biomarkers - urine Creatinine - metabolism Diabetes Mellitus Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - metabolism Diabetic Nephropathies - epidemiology Diabetic Nephropathies - etiology Diabetic Nephropathies - metabolism Dinoprost - analogs & derivatives Dinoprost - blood Endocrinology & Metabolism Enzyme-Linked Immunosorbent Assay Estimated Glomerular Filtration Rate Female Glomerular Filtration Rate Humans Indonesia - epidemiology Lipid Peroxidation Male Malondialdehyde - metabolism Middle Aged Prevalence Spectrophotometry Urine Albumin to Creatinine Ratio |
| Title | Marker of lipid peroxidation related to diabetic nephropathy in Indonesian type 2 diabetes mellitus patients |
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