249864

Evaluation of Endocan as a Novel Marker for Early Detection of Nephropathy in Patients with Type 2 Diabetes Milletus

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

Clinical microbiology

Abstract

Background: Diabetic nephropathy (DN) is a major complication of type 2 Diabetes Mellitus (T2DM). Screening for DN must be initiated once diagnosis of DM is confirmed. Persistent albuminuria is a hallmark of DN, while the risk for developing DN starts when urine albumin excretion (UAE) values are still within the normoalbuminuric range. Objective: The aim of this study was to assess serum endocan as a novel predictive marker for early detection of DN in T2DM and to investigate whether its level was parallel to the severity of DN as assessed by the degree of albuminuria. Methodology: The study included 60 patients with T2DM, were divided into three groups of normo, micro and macro albuminuria. They were compared to 20 controls. Endocan level in serum was measured by ELISA. Results: Serum endocan was increased in all patients compared to controls, and in macro and microalbuminuria compared to normoalbuminuria groups. Serum endocan was positively correlated with duration of DM, fasting blood glucose (FBG), hemoglobin (Hb) A1C, creatinine and urine albumin creatinine ratio (UACR), and negatively correlated with estimated glomerular filtration rate (eGFR). The receiver operating characteristic (ROC) analysis revealed that serum endocan has the highest diagnostic performance in discriminating between normoalbuminuria group and control group. Conclusion: Serum endocan was elevated early in patients with normoalbuminuria and its increase was parallel to the increase in UACR. Therefore, serum endocan may be used as a predictive marker for early detection of DN in T2DM and in monitoring of disease progression.

DOI

10.21608/ejmm.2020.249864

Keywords

Type 2 diabetes mellitus, diabetic nephropathy, albuminuria, endocan

Authors

First Name

Nahla

Last Name

Yasser

MiddleName

-

Affiliation

Clinical Pathology, Faculty of Medicine, Cairo University

Email

-

City

-

Orcid

-

First Name

Soheir

Last Name

M. Saleh

MiddleName

AbdAlRahman

Affiliation

Clinical Pathology Department, Faculty of Medicine for Girls, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Reham

Last Name

Sabry

MiddleName

-

Affiliation

Clinical Pathology Department, Faculty of Medicine for Girls, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Amany

Last Name

Abdallah

MiddleName

M.

Affiliation

Internal Medicine Department, Faculty of Medicine for Girls, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

29

Article Issue

1

Related Issue

35680

Issue Date

2020-01-01

Receive Date

2022-07-19

Publish Date

2020-01-01

Page Start

101

Page End

109

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_249864.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=249864

Order

249,864

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Evaluation of Endocan as a Novel Marker for Early Detection of Nephropathy in Patients with Type 2 Diabetes Milletus

Details

Type

Article

Created At

23 Jan 2023