2 型糖尿病患者血清辛迪加-1 浓度与白蛋白尿的关系。

Yoshinori Kakutani, Tomoaki Morioka, Yuko Yamazaki, Akinobu Ochi, Shinya Fukumoto, Tetsuo Shoji, Masanori Emoto
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摘要

简介Syndecan(SDC)-1是一种跨膜硫酸肝素蛋白多糖,是内皮细胞糖萼(EG)的主要成分。本研究旨在探讨作为 EG 降解标志物的血清 SDC-1 浓度与 2 型糖尿病患者白蛋白尿的关系:我们纳入了 370 名 2 型糖尿病患者和 219 名非糖尿病患者。方法:我们纳入了 370 名 2 型糖尿病患者和 219 名非糖尿病患者,并排除了估计肾小球滤过率为 2 的患者:结果:2 型糖尿病患者的血清 SDC-1 浓度高于非糖尿病患者。在多变量分析中,是否患有糖尿病与[SDC-1]对数值无关。在 2 型糖尿病患者中,血清 SDC-1 浓度与对数[尿白蛋白与肌酐比值(ACR)]相关。此外,在对已知的白蛋白尿风险因素进行调整后,对数[SDC-1]是对数[ACR]的独立决定因素:结论:与非糖尿病患者相比,2 型糖尿病患者的血清 SDC-1 浓度更高,并且是 ACR 的独立决定因素。这项研究表明 EG 降解在 2 型糖尿病患者白蛋白尿中的作用。
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Association of serum syndecan-1 concentrations with albuminuria in type 2 diabetes.

Introduction: Syndecan (SDC)-1 is a transmembrane heparan sulfate proteoglycan and is a major component of endothelial glycocalyx (EG). This study aimed to investigate the association of serum SDC-1 concentration as a marker of EG degradation with albuminuria in type 2 diabetes.

Methods: We included 370 patients with type 2 diabetes and 219 individuals with no diabetes. The individuals with estimate glomerular filtration rate <30 mL/min/1.73 m2 were excluded.

Results: Serum SDC-1 concentration was higher in type 2 diabetes than in no diabetes. The presence of diabetes was independently associated with log [SDC-1] in multivariate analysis. In type 2 diabetes, serum SDC-1 concentration was correlated with log [urinary albumin-to-creatinine ratio (ACR)]. Moreover, log [SDC-1] was an independent determinant of log [ACR] after adjustment for known risk factors of albuminuria.

Conclusions: Serum SDC-1 concentration was higher in patients with type 2 diabetes compared to individuals with no diabetes and an independent determinant of ACR. This study implicates the role of the EG degradation in albuminuria in type 2 diabetes.

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