Expression of Angiopoetin-Like Protein-4 and Kidney Injury Molecule-1 as Preliminary Diagnostic Markers for Diabetes-Related Kidney Disease: A Single Center-Based Cross-Sectional Study

The purpose of the study was to examine the urinary levels of kidney injury molecule-1 (KIM-1) and angiopoietin-like protein-4 (ANGPTL-4) in individuals with diabetic kidney disease (DKD) and their association with established DKD diagnostic markers such as albuminuria and estimated glomerular filtr...

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Veröffentlicht in:Journal of personalized medicine 2023-03, Vol.13 (4), p.577
Hauptverfasser: Bano, Gulnaz, Imam, Mohammad Tarique, Bajpai, Ram, Alem, Ghada, Kashyap, Varun Kumar, Habib, Anwar, Najmi, Abul Kalam
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container_issue 4
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container_title Journal of personalized medicine
container_volume 13
creator Bano, Gulnaz
Imam, Mohammad Tarique
Bajpai, Ram
Alem, Ghada
Kashyap, Varun Kumar
Habib, Anwar
Najmi, Abul Kalam
description The purpose of the study was to examine the urinary levels of kidney injury molecule-1 (KIM-1) and angiopoietin-like protein-4 (ANGPTL-4) in individuals with diabetic kidney disease (DKD) and their association with established DKD diagnostic markers such as albuminuria and estimated glomerular filtration rate (eGFR). Levels of ANGPTL-4 and KIM-1 were estimated in urine samples. A total of 135 participants were recruited into three groups: 45 diabetes type 2 patients in the control group and 90 DKD patients in two disease groups. Concentrations of ANGPTL-4 and KIM-1 were conclusively related to the urinary albumin-creatinine ratio (UACR). Also, the levels of both ANGPTL-4 and KIM-1 were negatively associated with the eGFR. Multivariable Poisson regression analysis showed that urinary ANGPTL-4 (PR: 3.40; 95% CI: 2.32 to 4.98; < 0.001) and KIM-1 (PR: 1.25; 95% CI: 1.14 to 1.38; < 0.001) were prevalent in DKD patients. Receiver operating characteristic (ROC) analysis of urinary ANGPTL-4 and KIM-1 in the combined form resulted in an area under curve (AUC) of 0.967 (95%CI: 0.932-1.000; < 0.0001) in the microalbuminuria group and 1 (95%CI: 1.000-1.000; < 0.0001) in the macroalbuminuria group. The association of urinary levels of ANGPTL-4 and KIM-1 with UACR and eGFR and significant prevalence in the diabetic kidney disease population illustrates the diagnostic potential of these biomarkers.
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subjects Albumin
Analysis
Angiopoietin
Automation
Blood pressure
Creatinine
Cross-sectional studies
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes therapy
Epidermal growth factor receptors
Glomerular filtration rate
Glucose
Kidney diseases
Patients
Precision medicine
Proteins
Sample size
Type 2 diabetes
Urine
Variance analysis
title Expression of Angiopoetin-Like Protein-4 and Kidney Injury Molecule-1 as Preliminary Diagnostic Markers for Diabetes-Related Kidney Disease: A Single Center-Based Cross-Sectional Study
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