Analysıs of Urınary Albumın and Urınary Synaptopodın Levels in Type 2 Dıabetes Mellıtus Subjects

Authors

  • Afni Juhairia Laisouw Master of Biomedical Sciences, Graduate School, Hasanuddin University Makassar, Indonesia
  • Liong Boy Kurniawan Department of Clinical Pathology, Faculty of Medicine, Hasanudin University Makassar, Indonesia
  • Yuyun Widaningsih Department of Clinical Pathology, Faculty of Medicine, Hasanudin University Makassar, Indonesia
  • Tenri Esa Department of Clinical Pathology, Faculty of Medicine, Hasanudin University Makassar, Indonesia
  • Himawan Sanusi Department of Internal Medicine, Faculty of Medicine, Hasanudin University Makassar, Indonesia
  • Andi Alfian Zainuddin Department of Public Health and Community Medicine, Faculty of Medicine, Hasanudin University Makassar, Indonesia
  • Theosobia Grace Orno Medical Laboratory Technology Faculty, Health Polytechnic Ministry of Health Kendari, Indonesia http://orcid.org/0000-0003-4279-3857

DOI:

https://doi.org/10.31964/mltj.v8i2.514

Abstract

Hyperglycemia from diabetes mellitus affects many body organs and interferes with normal function. Kidney function decreased in approximately one-third of patients with diabetes mellitus before the development of albuminuria. The purpose of this study was to analyze differences in urine albumin and urine synaptopodin levels in type 2 diabetes mellitus (T2DM) and non-DM subjects, differences in urine synaptopodin levels in T2DM subjects with and without nephropathy, to analyze the correlation between urine albumin and urine synaptopodin in T2DM subjects and the cut-off analysis of sensitivity and specificity of urinary synaptopodin in diagnosing diabetic nephropathy. A sample of 60 subjects comprised 40 T2DM subjects and 20 non-DM subjects. Urinary synaptopodin levels were examined using the ELISA method, and albuminuria levels using the immunoturbidimetric method. Based on statistical analysis, the results showed that there were differences in urine albumin levels in T2DM and non-DM subjects (p*= < 0.001), there were differences in urine synaptopodin levels in T2DM and non-DM subjects (p*= < 0.001), there were no differences in urine synaptopodin levels with and without nephropathy in T2DM subjects (p*= 0.090), a relationship was found between urine albumin and urinary synaptopodin in T2DM subjects (p*= 0.048, r= 0.314) and the cut off of urinary synaptopodin in diagnosing nephropathy was ³0.39 ng/mL, sensitivity 64.7% and specificity 56.5%. We recommend further prospective studies with larger sample sizes to compare urinary synaptopodin levels and microalbuminuria (MAU) as markers for early detection of DN in T2DM subjects.

References

American Diabetes Association (2021). 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2021. Diabetes care, 44(Suppl 1), S15–S33. https://doi.org/10.2337/dc21-S002

Artasensi, A., Pedretti, A., Vistoli, G., & Fumagalli, L. (2020). Type 2 Diabetes Mellitus: A Review of Multi-Target Drugs. Molecules (Basel, Switzerland), 25(8), 1987. https://doi.org/10.3390/molecules25081987

Banday, M. Z., Sameer, A. S., & Nissar, S. (2020). Pathophysiology of diabetes: An overview. Avicenna Journal of Medicine, 10(4), 174–188. https://doi.org/10.4103/ajm.ajm_53_20

Berbudi, A., Rahmadika, N., Tjahjadi, A. I., & Ruslami, R. (2020). Type 2 Diabetes and its Impact on the Immune System. Current diabetes reviews, 16(5), 442–449. https://doi.org/10.2174/1573399815666191024085838

Chen Z, Zhao Z, Wang J. (2019). Study on the clinical value of urinary synaptopodin in diabetic nephropathy. Chinese Journal of Practical Internal Medicine, (12): 551-553 https://doi.org/10.19538/j.nk2019060116

Decroli, E. (2019). Diabetes melitus tipe 2. Padang: Pusat Penerbitan Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Andalas, 1-52.

Feng D. (2020). Phosphorylation of key podocyte proteins and the association with proteinuric kidney disease. American Journal of Physiology. Renal physiology, 319(2), F284–F291. https://doi.org/10.1152/ajprenal.00002.2020

Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K. B., Ostolaza, H., & Martín, C. (2020). Pathophysiology of Type 2 Diabetes Mellitus. International journal of molecular sciences, 21(17), 6275. https://doi.org/10.3390/ijms21176275

Gluhovschi, C., Gluhovschi, G., Petrica, L., Timar, R., Velciov, S., Ionita, I., Kaycsa, A., & Timar, B. (2016). Urinary Biomarkers in the Assessment of Early Diabetic Nephropathy. Journal of diabetes research, 2016, 4626125. https://doi.org/10.1155/2016/4626125

Hara, M., Yamagata, K., Tomino, Y., Saito, A., Hirayama, Y., Ogasawara, S., Kurosawa, H., Sekine, S., & Yan, K. (2012). Urinary podocalyxin is an early marker for podocyte injury in patients with diabetes: establishment of a highly sensitive ELISA to detect urinary podocalyxin. Diabetologia, 55(11), 2913–2919. https://doi.org/10.1007/s00125-012-2661-7

Jana S, Mitra P, Roy S. Proficient Novel Biomarkers Guide Early Detection of Acute Kidney Injury: A Review. Diseases. 2022; 11. https://doi.org/10.3390/diseases11010008

Kwon, S. K., Kim, S. J., & Kim, H. Y. (2016). Urine synaptopodin excretion is an important marker of glomerular disease progression. The Korean Journal of internal medicine, 31(5), 938–943. https://doi.org/10.3904/kjim.2015.226

Mukherjee, B. (2018). Diabetes and Obesity International Journal Podocyturia-A Reliable Marker for Early Diabetic Nephropathy Diabetes Obes Int J Podocyturia-A Reliable Marker for Early Diabetic Nephropathy. Diabetes & Obesity International Journal. https://doi.org/10.23880/doij-16000186

Politano, S. A., Colbert, G. B., & Hamiduzzaman, N. (2020). Nephrotic Syndrome. Primary care, 47(4), 597–613. https://doi.org/10.1016/j.pop.2020.08.002

Pusat Data dan Informasi. (2018). Hari Diabetes Sedunia. Jakarta. Kementerian Kesehatan RI. Website access on January, 2023. Available from https://pusdatin.kemkes.go.id/article/view/19041500002/haridiabetes-sedunia-2018.html

Samsu, N. (2018). Patogenesis Penyakit Ginjal Diabetik. UB Press. Malang

Sanchez-Niño, M. D., Perez-Gomez, M. V., Valiño-Rivas, L., Torra, R., & Ortiz, A. (2018). Podocyturia: Why it may have added value in rare diseases. Clinical kidney journal, 12(1), 49–52. https://doi.org/10.1093/ckj/sfy081

Sloan L. A. (2019). Review of glucagon-like peptide-1 receptor agonists for the treatment of type 2 diabetes mellitus in patients with chronic kidney disease and their renal effects. Journal of Diabetes, 11(12), 938–948. https://doi.org/10.1111/1753-0407.12969

Wang, G., Lai, F. M., Lai, K. B., Chow, K. M., Li, K. T., & Szeto, C. C. (2007). Messenger RNA expression of podocyte-associated molecules in the urinary sediment of patients with diabetic nephropathy. Nephron. Clinical practice, 106(4), c169–c179. https://doi.org/10.1159/000104428

Zhang, J., Liu, J., & Qin, X. (2018). Advances in early biomarkers of diabetic nephropathy. Revista da Associacao Medica Brasileira (1992), 64(1), 85–92. https://doi.org/10.1590/1806-9282.64.01.85

Zhang, X. X., Kong, J., & Yun, K. (2020). Prevalence of Diabetic Nephropathy among Patients with Type 2 Diabetes Mellitus in China: A Meta-Analysis of Observational Studies. Journal of diabetes research, 2020, 2315607. https://doi.org/10.1155/2020/2315607

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Published

2023-06-10

How to Cite

Laisouw, A. J., Kurniawan, L. B., Widaningsih, Y., Esa, T., Sanusi, H., Zainuddin, A. A., & Orno, T. G. (2023). Analysıs of Urınary Albumın and Urınary Synaptopodın Levels in Type 2 Dıabetes Mellıtus Subjects. Medical Laboratory Technology Journal, 9(1). https://doi.org/10.31964/mltj.v8i2.514

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