Urinary Lysosomal Enzyme Activities and Albuminuria in Ghanaian Patients with Type 2 Diabetes Mellitus.

Details

Ressource 1Download: DM2016-2810639.pdf (494.40 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_AA530C51F6BB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Urinary Lysosomal Enzyme Activities and Albuminuria in Ghanaian Patients with Type 2 Diabetes Mellitus.
Journal
Disease markers
Author(s)
Asare-Anane H., Twum F., Kwaku Ofori E., Torgbor E.L., Amanquah S.D., Osafo C.
ISSN
1875-8630 (Electronic)
ISSN-L
0278-0240
Publication state
Published
Issued date
2016
Peer-reviewed
Oui
Volume
2016
Pages
2810639
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Renal tubular lysosomal enzyme activities like alanine aminopeptidase (AAP) and N-acetyl-β-D-glucosaminidase (NAG) have been shown to increase in patients developing diabetic nephropathy and nephrosclerosis. This study aimed to determine the activities of N-acetyl-β-D-glucosaminidase and alanine aminopeptidase and albumin concentration in urine samples of patients with type 2 diabetes. One hundred and thirty (65 type 2 diabetic and 65 nondiabetic) subjects participated in this study. Blood samples were drawn for measurements of fasting blood glucose, albumin (Alb), lipids, and creatinine (Cr). Early morning spot urine samples were also collected for activities of alanine aminopeptidase (AAP), N-acetyl-β-D-glucosaminidase (NAG), and concentration of albumin (U-Alb) and creatinine (U-Cr). Both NAG/Cr and AAP/Cr were significantly increased in diabetic subjects compared to controls (p < 0.001). There was positive correlation between NAG/Cr and Alb/Cr (r = 0.49, p < 0.001) and between NAG/Cr and serum creatinine (r = 0.441, p < 0.001). A negative correlation was found between NAG/Cr and eGFR (r = -0.432, p < 0.05). 9.3% and 12% of diabetics with normoalbuminuria had elevated levels of AAP/Cr and NAG/Cr, respectively. We conclude that measuring the urinary enzymes activities (NAG/Cr and AAP/Cr) could be useful as a biomarker of early renal involvement in diabetic complications.

Keywords
Acetylglucosaminidase/urine, Adult, Aged, Albuminuria/etiology, Albuminuria/urine, CD13 Antigens/urine, Case-Control Studies, Diabetes Mellitus, Type 2/complications, Diabetes Mellitus, Type 2/urine, Diabetic Nephropathies/etiology, Diabetic Nephropathies/urine, Female, Ghana, Humans, Male, Middle Aged
Pubmed
Web of science
Open Access
Yes
Create date
14/09/2016 8:46
Last modification date
20/08/2019 16:14
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