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Examination of sTWEAK in type 2 diabetic patients with nephropathy and its clinical significances |
CHAO Bei1, SHI Wei-Feng2, ZHANG Li-rong2, ZHANG Zhi-jian1 |
(1. School of Medicine, Jiangsu University, Zhenjiang Jiangsu 212013; 2. Department of Clinical Laboratory, the First People′s Hospital of Changzhou, Changzhou Jiangsu 213003, China) |
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Abstract Objective: To explore the clinical significances of the serum TNF like weak inducer of apoptosis (sTWEAK) in the diagnosis of diabetic nephropathy and the evaluation of the therapeutic efficacy of the disease. Methods: The objects were divided into 40 cases of healthy control group (group NC); 60 cases of simple type 2 diabetes mellitus group(group T2DM); and 103 cases of type 2 diabetic patients with nephropathy group(group T2DN). According to the Mogensen classification of kidney damage degree, the T2DN group was further divided into three subgroups: normal albuminuria group(NAU),microalbuminuria group(MAU) and macroalbuminuria group(MaAU).The concentrations of sTWEAK in the serum of three groups were examined by ELISA method.In addition, the concentrations of sTWEAK in T2DN patients,before and after treatment, were compared. Results: Different levels of the sTWEAK in the three groups could be detected. In T2DN group and T2DM group, the contents of sTWEAK were significantly lower than that in NC group(P<0.01);in T2DN group, the content of sTWEAK was significantly lower than that in T2DM group(P<0.01). Along with the increase of the degree of renal damage,the concentration of sTWEAK decreased(P<0.01);after treatment, the concentration of sTWEAK increased obviously(P<0.05). Conclusion: Examination of sTWEAK in type 2 diabetic patients with nephropathy had the clinical significances in the diagnosis and the evaluation of the therapeutic efficacy of the disease.
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Received: 08 May 2014
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