Urinary excretion of the carboxy terminal domain of type IV collagen is associated with kidney size and function in IDDM

Ole Torffvit MD , Jörgen Wieslander PhD , Lillemor Forsberg MD , Esbjörn Hederström MD , Carl-David Agardh MD
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引用次数: 5

Abstract

We evaluated whether urinary excretion of the carboxy terminal domain (NC1) of Type IV collagen is associated with glomerular filtration rate and kidney size in Type I (insulin-dependent) diabetes mellitus (IDDM). Urinary excretion rate of NC1, glomerular filtration rate (GFR), and kidney size were measured in 16 men with Type I diabetes. Their mean age was 33.3 ± 6.1 years with a duration of diabetes of 14.9 ± 3.7 years (mean ± SD). The urinary excretion rate of NC1 was higher in the diabetic patients than in 18 healthy control subjects. Urinary excretion of NC1 was associated with both kidney size, parenchymal width, and GFR (r = 0.73, p = 0.001; r = 0.63, p = 0.009; r = 0.53, p = 0.04, respectively). The exact relationship between these factors and basement membrane turnover/synthesis remains to be elucidated.

尿中IV型胶原羧基末端结构域的排泄与IDDM患者的肾脏大小和功能有关
我们评估了IV型胶原羧基末端结构域(NC1)的尿排泄是否与I型(胰岛素依赖型)糖尿病(IDDM)的肾小球滤过率和肾脏大小有关。我们测量了16例男性I型糖尿病患者尿NC1排泄率、肾小球滤过率(GFR)和肾脏大小。患者平均年龄33.3±6.1岁,糖尿病病程14.9±3.7年(平均±SD)。糖尿病患者尿中NC1排泄率高于18名健康对照者。尿中NC1的排泄与肾脏大小、实质宽度和GFR相关(r = 0.73, p = 0.001;R = 0.63, p = 0.009;R = 0.53, p = 0.04)。这些因素与基底膜转换/合成之间的确切关系仍有待阐明。
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