Exploring the Relationship between TNF-α Gene Expression in Non Diabetic Nephropathy Type 2 Diabetes Patients

Muhammad Roman, Samra Anees, S. Sharif, S. Jahan
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Abstract

Non-diabetic nephropathy (NDN) is a common complication of type 2 diabetes, leading to kidney damage and impaired kidney function. TNF-α (tumor necrosis factor-alpha) is a pro-inflammatory cytokine that has been implicated in the development of NDN. Objective: To evaluate the gene expression of TNF-α in patients with type 2 diabetes mellitus (T2DM) without nephropathy to gain insight into the potential role of TNF-α in the pathogenesis of diabetic nephropathy (DN). Methods: Total of 80 subjects were tested, split into two groups, including healthy patients, T2DM patients without nephropathy, and T2DM patients with nephropathy. RNA was extracted from blood samples, and RT-PCR was used to observe the impact of T2DM without nephropathy on the expression of the TNF-α gene using gene-specific primers and SYBR Green mix. Results: The results showed almost 4.4-fold induced expression of TNF-α in T2DM patients without nephropathy compared to the normal group. Conclusion: The findings may have implications for the development of new therapies and biomarkers for DN, and for a good interpretation of the complex pathophysiology of T2DM. The exact role of TNF-α in the pathogenesis of DN in humans is not fully understood, and further investigation is needed.
探讨非糖尿病肾病2型糖尿病患者TNF-α基因表达的关系
非糖尿病肾病(NDN)是2型糖尿病的常见并发症,可导致肾脏损害和肾功能受损。TNF-α(肿瘤坏死因子-α)是一种促炎细胞因子,与NDN的发展有关。目的:评价2型糖尿病(T2DM)无肾病患者中TNF-α的基因表达,探讨TNF-α在糖尿病肾病(DN)发病中的潜在作用。方法:80例受试者分为健康组、T2DM无肾病组和T2DM合并肾病组。从血样中提取RNA,利用基因特异性引物和SYBR Green混合物,采用RT-PCR方法观察无肾病T2DM对TNF-α基因表达的影响。结果:无肾病T2DM患者TNF-α的诱导表达量是正常组的近4.4倍。结论:这些发现可能对DN的新疗法和生物标志物的开发具有重要意义,并对T2DM复杂的病理生理学有很好的解释。TNF-α在人类DN发病机制中的确切作用尚不完全清楚,需要进一步研究。
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