Serum Levels of Indoxyl Sulfate and P-cresol in Type II Diabetic Patients With and Without Nephropathy.

IF 0.8 4区 医学 Q4 UROLOGY & NEPHROLOGY
Iranian journal of kidney diseases Pub Date : 2023-05-01
Roghayeh Oladi-Ghadikolaei, Akbar Aliasgharzadeh, Ali Shayanfar, Jafar Soleymani, Milad Moradi, Abolghasem Jouyban, Hamid Tayebi Khosroshahi
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Abstract

Introduction: Indoxyl sulfate (IS) and para-cresol (p-cresol) are uremic toxins with high protein bonding index that accumulate in the body with decreasing kidney function. The main purpose of the current investigation was to compare the concentration of p-cresol and IS in serum of the type II diabetic individuals with and without nephropathy.

Methods: Fifty-five patients with type II diabetes mellitus were divided into two groups: case and control. The case group consisted of 26 diabetic patients with nephropathy (proteinuria and serum creatinine below 1.5 mg/dL) without any other kidney diseases. The control group included 29 patients without diabetic nephropathy. Patients with advanced heart disease, cerebrovascular accident and other inflammatory or infectious diseases were excluded. Five mL of venous blood was taken from each patient in the morning fasting state. Then other laboratory tests including serum uric acid and creatinine levels, serum urea nitrogen, lipids and glucose were measured by standard methods. P-Cresol and IS levels were measured by the spectrofluorimetric method after extraction. We also filled out a checklist with information regarding the duration of their disease, medication history (oral or injectable), and other demographic information. There were no significant differences between the two groups regarding the investigated factors Results. There were no significant difference among the investigated factors between the two groups (P > .05) except for the serum creatinine, proteinuria and estimated glomerular filtration rate, where the mean values of cases were considerably higher than those of the controls. Serum IS and p-cresol levels were also significantly higher in the case group (P < .05).

Conclusion: According to the findings, it seems that IS, and p-cresol may play a role in the development of diabetic nephropathy and other complications of diabetes mellitus.  DOI: 10.52547/ijkd.7266.

伴有和不伴有肾病的2型糖尿病患者血清硫酸吲哚酚和对甲酚的水平。
简介:硫酸吲哚酚(IS)和对甲酚(p-甲酚)是一种蛋白结合指数高的尿毒症毒素,随着肾功能的下降而在体内积累。本研究的主要目的是比较有肾病和无肾病的2型糖尿病患者血清中对甲酚和IS的浓度。方法:55例2型糖尿病患者分为病例组和对照组。病例组包括26例糖尿病肾病患者(蛋白尿和血清肌酐低于1.5 mg/dL),无其他肾脏疾病。对照组29例无糖尿病肾病。排除患有晚期心脏病、脑血管意外及其他炎症或感染性疾病的患者。每位患者在晨禁食状态下取静脉血5 mL。然后用标准方法测定血清尿酸和肌酐水平、血清尿素氮、血脂和葡萄糖等其他实验室测试。提取后用荧光光谱法测定对甲酚和IS的含量。我们还填写了一份清单,上面有他们的疾病持续时间、用药史(口服或注射)和其他人口统计信息。两组在调查因素方面无显著差异。除血清肌酐、蛋白尿和肾小球滤过率的平均值显著高于对照组外,两组间各指标差异无统计学意义(P > 0.05)。病例组血清IS和对甲酚水平也显著升高(P < 0.05)。结论:IS、对甲酚可能参与糖尿病肾病及其他糖尿病并发症的发生。DOI: 10.52547 / ijkd.7266。
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来源期刊
Iranian journal of kidney diseases
Iranian journal of kidney diseases UROLOGY & NEPHROLOGY-
CiteScore
2.50
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: The Iranian Journal of Kidney Diseases (IJKD), a peer-reviewed journal in English, is the official publication of the Iranian Society of Nephrology. The aim of the IJKD is the worldwide reflection of the knowledge produced by the scientists and clinicians in nephrology. Published quarterly, the IJKD provides a new platform for advancement of the field. The journal’s objective is to serve as a focal point for debates and exchange of knowledge and experience among researchers in a global context. Original papers, case reports, and invited reviews on all aspects of the kidney diseases, hypertension, dialysis, and transplantation will be covered by the IJKD. Research on the basic science, clinical practice, and socio-economics of renal health are all welcomed by the editors of the journal.
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