Abstract
Diabetes mellitus (DM) is a metabolic diseases attributed to lack of insulin secretion, insulin activity, or both. The most serious medical problems in hyperglycemia is diabetic nephropathy (DN), originating from the aggregation of inflammatory cells in high numbers. Chitinase 3 like 1 protein (CH3L1P) is a new biomarker for chronic and severe inflammatory conditions. It has been suggested to have a role in the progress of diabetes-associated micro and macro-vascular complications. This paper aims to measure CH3L1P levels and examine their correlation with albuminuria levels in Iraqi patients with type 2 diabetes mellitus (T2DM). Our study involved 66 T2DM patients (41males and 25 females with age ranging from 30 to 70 years, who were distributed into three groups; (A1) normoalbuminuria, (A2) microalbuminuria and (A3) macroalbuminuria, each group consisting of twenty-two patients. The control (C) group involved 22 healthy individuals (11 males and 11 females). Whole blood was used to estimate Glycated hemoglobin (HbA1c), while serum was used to measure other biochemical parameters, and the urine to measure urine creatinin (U.CR), urine albumin (U.A) & albumin to creatinine ratio (ACR). A quantitative sandwich enzyme-linked immunosorbent assay (ELISA) was used to determine serum CH3L1P level. Results revealed that the levels of systolic blood pressure (SBP), diastolic blood pressure (DBP), HbA1c and fasting blood glucose (FBG) were significantly higher in the patients (A1, A2 and A3 groups) compared to C group (P<0.001). Moreover, mean CH3L1P level significantly increased in the three T2DM patient group (A1, A2 and A3) (1327.20±294.44, 1434.82±305.26, 1602.90±409.50 pg/ml, respectively) as compared to the C group (626.81±103.15 pg/ml). CH3L1P levels in the blood were substantially higher in T2DM patients, with a clear correlation with the increase in albuminuria levels. As a result, it can be concluded that serum CH3L1P level may be used as an early detection marker of DN in T2DM patients.
Highlights
Diabetes mellitus (DM) is a metabolic diseases attributed to lack of insulin secretion, insulin activity, or both
The patients were categorized into 3 groups based on the stage of albuminuria, i.e. albumin to creatinine ratio (ACR), each consisting of 22 patients As follows; Normoalbuminuria (A1) with ACR < 3.4 mg/mmol, microalbumiuria (A2) with ACR 3.4- 34 mg/mmol, and macroalbumiuria (A3) with ACR ≥ 34 mg/mmol
The results showed a significant increase in the levels of estimated glomerular filtration rate (eGFR) in A1 and A2 groups compared with the control group (P
Summary
Diabetes mellitus (DM) is a metabolic diseases attributed to lack of insulin secretion, insulin activity, or both. The results demonstrated highly significant increases in FBG and HbA1c levels in the three groups of patients in comparison with the healthy one (P
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
