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http://hdl.handle.net/1843/60755| Tipo: | Artigo de Periódico |
| Título: | Association between von willebrand factor, disintegrin and metalloproteinase with thrombospondin type 1 motif member 13, d-dimer and cystatin c levels with retinopathy in type 1 diabetes mellitus |
| Autor(es): | Caroline Pereiradomingueti Jéssica a. Fuzatto Rodrigo Bastos Fóscolo Janice s. Reis Luci m. Dusse Maria Das Graças Carvalho Karina b. Gomes Ana Paula Fernandes |
| Resumen: | Objective: This study aimed to evaluate the association between different renal biomarkers with D-Dimer levels in diabetes mellitus (DM1) patients group classified as: low D-Dimer levels (< 318 ng/mL), which included first and second D-Dimer tertiles, and high D-Dimer levels (≥ 318 ng/mL), which included third D-Dimer tertile. Materials and methods: D-Dimer and cystatin C were measured by ELISA. Creatinine and urea were determined by enzymatic method. Estimated glomerular filtration rate (eGFR) was calculated using CKD-EPI equation. Albuminuria was assessed by immunoturbidimetry. Presence of renal disease was evaluated using each renal biomarker: creatinine, urea, cystatin C, eGFR and albuminuria. Bivariate logistic regression analysis was performed to assess which renal biomarkers are associated with high D-Dimer levels and odds ratio was calculated. After, multivariate logistic regression analysis was performed to assess which renal biomarkers are associated with high D-Dimer levels (after adjusting for sex and age) and odds ratio was calculated. Results: Cystatin C presented a better association [OR of 9.8 (3.8–25.5)] with high D-Dimer levels than albuminuria, creatinine, eGFR and urea [OR of 5.3 (2.2–12.9), 8.4 (2.5–25.4), 9.1 (2.6–31.4) and 3.5 (1.4–8.4), respectively] after adjusting for sex and age. All biomarkers showed a good association with D-Dimer levels, and consequently, with hypercoagulability status, and cystatin C showed the best association among them. Conclusion: Therefore, cystatin C might be useful to detect patients with incipient diabetic kidney disease that present an increased risk of cardiovascular disease, contributing to an early adoption of reno and cardioprotective therapies |
| Asunto: | Diabetes Mellitus, Type 1 Creatinine Cystatin C Albuminuria |
| Idioma: | eng |
| País: | Brasil |
| Editor: | Universidade Federal de Minas Gerais |
| Sigla da Institución: | UFMG |
| Departamento: | FAR - DEPARTAMENTO DE ANÁLISES CLÍNICAS E TOXICOLÓGICAS ICB - DEPARTAMENTO DE MICROBIOLOGIA MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
| Tipo de acceso: | Acesso Aberto |
| Identificador DOI: | 10.1016/j.cca.2016.05.011 |
| URI: | http://hdl.handle.net/1843/60755 |
| Fecha del documento: | 2016 |
| metadata.dc.url.externa: | https://doi.org/10.20945/2359-3997000000003 |
| metadata.dc.relation.ispartof: | Archives of Endocrinology and Metabolism |
| Aparece en las colecciones: | Artigo de Periódico |
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