PMID- 23966807 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130822 LR - 20220408 IS - 1179-5514 (Print) IS - 1179-5514 (Electronic) IS - 1179-5514 (Linking) VI - 6 DP - 2013 TI - Serum cystatin C and tubular urinary enzymes as biomarkers of renal dysfunction in type 2 diabetes mellitus. PG - 7-13 LID - 10.4137/CMED.S12633 [doi] AB - Renal tubulointerstitium plays an important role in the development and progression of diabetic nephropathy. The aim of this study was to assess serum cystatin C and 2 renal tubular enzymes, neutrophil gelatinase associated lipocalin (NGAL) and N-acetyl-beta-D-glucosaminidase (NAG), as screening markers for early renal dysfunction in patients with type 2 diabetes mellitus (T2DM). ROC curve analysis showed that urinary NAG is the most sensitive marker of microalbuminuria and early renal damage with sensitivity of 83.3%, while serum cystatin C was the most sensitive and specific marker of macroalbuminuria and damage progress with sensitivity of 70.8% and specificity of 83.3% versus 70.6% and 83.3% for uNGAL; and 64.7% and 66.7% for NAG, respectively. Our data indicate that urinary NAG is the most sensitive marker for early renal damage in diabetic patients. However, for damage progress, serum cystatin C is the most sensitive and specific marker for follow-up and monitoring renal dysfunction. FAU - Assal, Heba S AU - Assal HS AD - Department of Internal Medicine, Medical Research Division, National Research Centre, Egypt. FAU - Tawfeek, Salwa AU - Tawfeek S FAU - Rasheed, Enas A AU - Rasheed EA FAU - El-Lebedy, Dalia AU - El-Lebedy D FAU - Thabet, Eman H AU - Thabet EH LA - eng PT - Journal Article DEP - 20130731 PL - United States TA - Clin Med Insights Endocrinol Diabetes JT - Clinical medicine insights. Endocrinology and diabetes JID - 101578235 PMC - PMC3738377 OTO - NOTNLM OT - N-acetyl-beta-D-glucosaminidase OT - cystatin C OT - diabetic nephropathy OT - neutrophil gelatinase-associated lipocalin EDAT- 2013/08/24 06:00 MHDA- 2013/08/24 06:01 PMCR- 2013/07/31 CRDT- 2013/08/23 06:00 PHST- 2013/08/23 06:00 [entrez] PHST- 2013/08/24 06:00 [pubmed] PHST- 2013/08/24 06:01 [medline] PHST- 2013/07/31 00:00 [pmc-release] AID - cmed-6-2013-007 [pii] AID - 10.4137/CMED.S12633 [doi] PST - epublish SO - Clin Med Insights Endocrinol Diabetes. 2013 Jul 31;6:7-13. doi: 10.4137/CMED.S12633. eCollection 2013.