Study of The Podocalyxin as An Early Marker for Diabetic Nephropathy and Its Correlation with Stages of Diabetic Nephropathy in A Sample of Egyptian Patients with T2DM | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 30, Volume 81, Issue 5, October 2020, Page 2099-2102 PDF (484.21 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2020.127000 | ||||
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| Authors | ||||
Salah El-Din Ahmed Shelbaya; Rana Hashem Ibrahim; Nourhan Safwat Sawirs; Hanan Mahmoud Ali 
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| Department of Internal Medicine and Endocrinology, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Nephropathy is a major complication of diabetes, and is the main cause of end-stage kidney disease. Early recognition of nephropathy in diabetic patients is critical because it creates an opportunity to prevent the occurrence of diabetic nephropathy and/or even slow down the process of end-stage kidney disease attributable to diabetes. Human cells; podocytes (pods) have been shown to be functionally and structurally affected in the natural history of diabetic nephropathy. Objective: Study of the podocalyxin as an early marker for diabetic nephropathy and its correlation with stages of diabetic nephropathy in a sample of Egyptian patients with type 2 diabetes mellitus (T2DM). Patients and Methods:This study was a cross sectional study conducted on 80 subjects divided into four groups: Group 1: 20 diabetic patients with normalbuminuria. Group 2: 20 diabetic patients with nephropathy and microalbuminuria stages. Group 3: 20 diabetic patients with nephropathy and macroalbuminuria stages, Group 4:20 apparently healthy volunteers were included as a control group. Results: Urinary podocalyxin (PCX) was significantly higher in patients group compared to control group. Urinary PCX was significantly higher in macroalbuminuric group followed by microalbuminuric group then normoalbuminuric group. There was a positive significant correlation between urinary PCX and glycemic profile [Fasting blood sugar (FBS), 2hrPP, Glycosylated Hemoglobin (HbA1C)], serum creatinine and albumin creatinine ratio (ACR). Conclusion: Urinary podocalyxin is a beneficial as an early marker for early stages of diabetic nephropathy in type 2 DM patients. | ||||
| Keywords | ||||
| Diabetic nephropathy; Podocalyxin; T2DM | ||||
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