Abstract

ObjectiveThe adipokine asprosin, which was recently discovered, facilitates hepatic glucose production. The aim of this study is to see whether serum asprosin concentrations are linked to diabetic nephropathy (DN).MethodsWe performed this investigation in a group of 212 type 2 diabetes (T2DM) patients. These patients were classified into three subgroups: DN0 group (normal to mildly increased), DN1 group (moderately increased), and DN2 group (severely increased) on the basis of urine albumin-to-creatinine ratio (ACR).ResultsWhen compared to the controls, T2DM patients had higher serum asprosin levels. The DN2 group had significantly higher serum asprosin than the DN0 and DN1 groups. Furthermore, the DN1 group had higher serum asprosin than the DN0 group. Serum asprosin was linked to a higher risk of T2DM and DN in a logistic regression analysis. Serum asprosin was found to be positively related with disease duration, systolic blood pressure, blood urea nitrogen, creatinine, uric acid, ACR, calcium channel blockers, and angiotensin-converting enzyme inhibitor/angiotensin II receptor blocker therapy, but negatively related with glomerular filtration rate, metformin, and acarbose therapy.ConclusionSerum asprosin increase with the progression of DN. Serum asprosin is correlated with renal function and ACR.

Highlights

  • Diabetes mellitus is becoming more common around the world [1]

  • Baseline parameter comparison Systolic blood pressure (SBP), HbA1c were higher, while high-density lipoprotein cholesterol (HDL-C) was lower in the case group compared to controls (Table 1)

  • The DN2 group had substantially higher SBP, blood urea nitrogen (BUN), creatinine (Cr), and uric acid (UA) as well as lower glomerular filtration rate (GFR) compared to DN1, DN0, and control groups (Table 1)

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Summary

Introduction

Diabetes mellitus is becoming more common around the world [1]. Diabetic nephropathy (DN), the most frequent diabetic complication, primarily caused the result of end-stage renal disease (ESRD) [2]. DN is responsible for 25–35 percent of type 2 diabetes mellitus (T2DM) cases and significantly raises T2DM patient mortality [3]. The underlying mechanism of DN is currently being investigated. The precise mechanism of DN is still uncertain [4]. Serum biomarkers, such as glycated albumin, copeptin, cystatin C, 8-hydroxy-2′-deoxyguanine

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