尿中维生素D结合蛋白:在2型糖尿病风险患者中,管功能障碍的标记物
Zhila Semnani-Azad1,2, Windy Z N Wang2, David E C Cole3,4,5,6
1Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA.
Journal of the Endocrine Society
|February 14, 2024
概括
尿液中维生素D结合蛋白 (uVDBP) 的升高与患糖尿病风险的个体的功能下降相关. 这种标记物可能有助于预测随着时间的推移管损伤.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 临床化学 临床化学
背景情况:
- 在糖尿病病中观察到尿液中维生素D结合蛋白 (uVDBP) 的升高.
- 对于功能恶化的uVDBP的预测价值仍然未经检查.
研究的目的:
- 评估uVDBP与功能纵向变化之间的关联.
- 调查uVDBP作为病进展的潜在生物标志物.
主要方法:
- 长度研究 (PROMISE) 涉及727名2型糖尿病风险成年人.
- 测量了尿中的白蛋白与肌素比率 (ACR) 和估计的淋巴膜过率 (eGFR).
- 使用一般估计方程 (GEE) 分析的uVDBP正常化为尿液肌素 (uVDBP:cr).
主要成果:
- 脏uVDBP损失随着ACR严重程度的增加而增加.
- 较高的uVDBP:cr水平与6年多的ACR增加显著相关.
- 随着时间的推移,uVDBP和eGFR变化之间没有发现显著的关联.
结论:
- 尿液VDBP:cr可以作为预测管损伤的有用标志物.
- 这一发现与患糖尿病和病风险较高的人有关.
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