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30528

Role of Kidney Injury Molecule-1 and β2-Microglobulin in Early Diagnosis of Diabetic Nephropathy

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Last updated: 03 Jan 2025

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Abstract

Background: Diabetes mellitus has been described as a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances of carbohydrate metabolism. Diabetic nephropathy is typically characterized by a gradual increase in urinary albumin excretion. Albuminuria, a marker of glomerular involvement in early renal damage, cannot always detect early diabetic nephropathy (DN). Aim of the Work: Is to determine the suggested promising diagnostic role of kidney injury molecule-1 (KIM-1) level and β2 microglobulin and how could improve the early diagnosis, predict disease progression and deliver new insights in pathogenic of diabetic nephropathy. Subjects and Methods: this study included 80 subjects. Group I: sixty (60) patients with T2DM classified into 3 subgroups according to the level of albumin/creatinine ratio (ACR). Thirty (30) diabetic patients with normoalbuminuria (1a), 20 diabetic patients with microalbuminuria (1b) and 10 diabetic patient with macroalbuminuria (1c). Group II: Twenty, age and sex matched, apparently healthy individuals serving as a control group. Results: Our results revealed a statistical significant increase in FBS, blood urea, as well as microalbuminuria with GFR decline in patients group when compared to control group. However, serum levels of creatinine were only significantly elevated in diabetic patients with ACR ≥300 mg/g when compared to control group. The results revealed a highly statistically significant increase in urinary KIM and β2 microglobulin levels in micro than normo and in macro than micro albuminuric group. Conclusion: Our data revealed that tubular biomarkers were increased in T2DM patients with normoalbuminuria when compared with controls.

DOI

10.21608/ejhm.2019.30528

Keywords

Kidney Injury Molecule-1, β2-microglobulin, diabetic nephropathy

Authors

First Name

Glonar Otiefy

Last Name

Ahmed

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Affiliation

Clinical and Chemical Pathology Department, Faculty of Medicine, Al-Azhar University

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First Name

Amal Abdel Aleem

Last Name

Morsy

MiddleName

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Affiliation

Clinical and Chemical Pathology Department, Faculty of Medicine, Al-Azhar University

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Orcid

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First Name

Samah Roshdy Abo El Eneen

Last Name

Abo El Eneen

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Affiliation

Clinical and Chemical Pathology Department, Faculty of Medicine, Al-Azhar University

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Volume

75

Article Issue

2

Related Issue

5203

Issue Date

2019-04-01

Receive Date

2019-04-21

Publish Date

2019-04-01

Page Start

2,276

Page End

2,284

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_30528.html

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https://ejhm.journals.ekb.eg/service?article_code=30528

Order

24

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Role of Kidney Injury Molecule-1 and β2-Microglobulin in Early Diagnosis of Diabetic Nephropathy

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Article

Created At

22 Jan 2023