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2型糖尿病患者尿β-微球蛋白基因表达分析

Urinary beta-trace protein gene expression analysis in type 2 diabetes mellitus patients.

作者信息

Bacci Marcelo Rodrigues, Alves Beatriz da Costa Aguiar, Cavallari Marina Romera, Azzalis Ligia Ajaime, Rozier-Alves Ross Martin de, Perez Matheus Moreira, Chehter Ethel Zimberg, Pereira Edimar Cristiano, Fonseca Fernando Luiz Affonso

机构信息

Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Universidade Federal de São Paulo, Diadema, SP, Brazil.

出版信息

Einstein (Sao Paulo). 2017 Oct-Dec;15(4):441-444. doi: 10.1590/S1679-45082017AO4012.

DOI:10.1590/S1679-45082017AO4012
PMID:29364366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5875157/
Abstract

OBJECTIVE

To evaluate the gene expression of beta-trace protein in urine of diabetic patients, with no reduction in glomerular filtration rate, which was defined as below 60mL/min/1.73m2.

METHODS

Type 2 diabetes mellitus patients were recruited, and a group of non-diabetic individuals served as control. Beta-trace protein gene expression was analyzed by quantitative PCR. Blood samples were collected to establish glucose levels and baseline kidney function. Accuracy was analyzed using ROC curves.

RESULTS

Ninety type 2 diabetes mellitus patients and 20 non-diabetic individuals were recruited. The area under the curve was 0.601, sensitivity of 20% and specificity of 89.47%. Among diabetic participants, 18% showed an expression above the cutoff point.

CONCLUSION

These results of accuracy of beta-trace protein gene expression in urine of diabetic patients are promising, although they did not achieve a higher area under the curve level.

摘要

目的

评估肾小球滤过率未降低(定义为低于60mL/min/1.73m²)的糖尿病患者尿液中β-微球蛋白的基因表达。

方法

招募2型糖尿病患者,并选取一组非糖尿病个体作为对照。通过定量PCR分析β-微球蛋白基因表达。采集血样以确定血糖水平和基线肾功能。使用ROC曲线分析准确性。

结果

招募了90名2型糖尿病患者和20名非糖尿病个体。曲线下面积为0.601,敏感性为20%,特异性为89.47%。在糖尿病参与者中,18%的人表达高于临界值。

结论

糖尿病患者尿液中β-微球蛋白基因表达准确性的这些结果很有前景,尽管它们未达到更高的曲线下面积水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11bf/5875157/924c3f8143d0/1679-4508-eins-15-04-0441-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11bf/5875157/924c3f8143d0/1679-4508-eins-15-04-0441-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11bf/5875157/924c3f8143d0/1679-4508-eins-15-04-0441-gf01.jpg

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本文引用的文献

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Drug Des Devel Ther. 2015 Jun 22;9:3179-82. doi: 10.2147/DDDT.S82100. eCollection 2015.
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β-Trace protein: a marker of GFR and other biological pathways.β-痕迹蛋白:肾小球滤过率和其他生物学途径的标志物。
Am J Kidney Dis. 2015 Jan;65(1):131-46. doi: 10.1053/j.ajkd.2014.06.038. Epub 2014 Oct 22.
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Beta-trace protein as a marker of GFR--history, indications, and future research.
β-微球蛋白作为肾小球滤过率的标志物——历史、适应证及未来研究
Clin Biochem. 2014 Sep;47(13-14):1188-94. doi: 10.1016/j.clinbiochem.2014.04.027. Epub 2014 May 12.
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Reduced serum beta-trace protein is associated with metabolic syndrome.血清β-痕迹蛋白降低与代谢综合征有关。
Atherosclerosis. 2013 Apr;227(2):404-7. doi: 10.1016/j.atherosclerosis.2013.01.008. Epub 2013 Jan 17.
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Within-person variability in kidney measures.个体内肾脏指标的变异性。
Am J Kidney Dis. 2013 May;61(5):716-22. doi: 10.1053/j.ajkd.2012.11.048. Epub 2013 Jan 20.
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β-Trace protein: from GFR marker to cardiovascular risk predictor.β-痕迹蛋白:从 GFR 标志物到心血管风险预测因子。
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