Use este identificador para citar ou linkar para este item: http://hdl.handle.net/1843/40274
Tipo: Artigo de Periódico
Título: Performance of new biomarkers of nephropathy in patients with type 1 diabetes mellitus
Autor(es): Manuelle Maria Pereira Natividade
Caroline Pereira Domingueti
Ana Paula Salles Moura Fernandes
Rodrigo Bastos Fóscolo
Janice Sepúlveda Reis
Luci Maria SantAna Dusse
Camila Stefanie Fonseca de Oliveira
João Paulo Amaral Haddad
Lara Carvalho Godoi
Karina Braga Gomes Borges
Henrique Pimenta Barroso Magalhães
Resumo: Introduction: It is known that laboratorial tests (urinary albumin excretion and glomerular filtration rate), routinely used for nephropathy diagnosis in type 1 diabetes (T1DM), have limitations that justify the evaluation of new renal biomarkers. This study assessed the performance of cystatin C, alkaline phosphatase (AP) and gamma-glutamyl transferase (GGT) for nephropathy diagnosis in T1DM patients. The reduction of economic cost and increase in sensibility and specificity from correct biochemical diagnosis of diabetic nephropathy is an important objective of this work. Methods: Cystatin C, AP and GGT were determined in plasma and urine of healthy individuals (N=35) and T1DM patients with (N=45) and without nephropathy (N=80). Results: The plasma levels of cystatin C, AP and GGT, as well as urinary levels of cystatin C and AP were able to differentiate diabetic patients with and without nephropathy. Plasma cystatin C better followed the progression of albuminuria. Cystatin C and AP discriminated the onset of nephropathy in T1DM patients better than creatinine. AP plasma/urine ratio progressively increased from the controls to the diabetic patients without and with nephropathy. Conclusion: The plasma levels of cystatin C and AP may be useful, with the classical markers of renal function, for nephropathy diagnosis and monitoring in T1DM patients.
Assunto: Nefropatias diabéticas
Diabetes mellitus
Cistatina C
Fosfatase alcalina
Gama-glutamiltransferase
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Instituição: UFMG
Departamento: FAR - DEPARTAMENTO DE ANÁLISES CLÍNICAS E TOXICOLÓGICAS
ICB - DEPARTAMENTO DE MICROBIOLOGIA
Tipo de Acesso: Acesso Aberto
Identificador DOI: https://doi.org/10.9734/BJMMR/2016/23476
URI: http://hdl.handle.net/1843/40274
Data do documento: 2016
metadata.dc.url.externa: https://www.journaljammr.com/index.php/JAMMR/article/view/10278
metadata.dc.relation.ispartof: British Journal of Medicine and Medical Research
Aparece nas coleções:Artigo de Periódico

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