PMID- 26488448 OWN - NLM STAT- MEDLINE DCOM- 20160913 LR - 20220310 IS - 1366-5804 (Electronic) IS - 1354-750X (Linking) VI - 20 IP - 6-7 DP - 2015 TI - Diagnostic utility of BNP, corin and furin as biomarkers for cardiovascular complications in type 2 diabetes mellitus patients. PG - 460-9 LID - 10.3109/1354750X.2015.1093032 [doi] AB - CONTEXT: The number of patients with type 2 diabetes mellitus (T2DM) is progressively increasing, and diabetic cardiovascular complications have become a public health problem. Brain or B-type natriuretic peptide (BNP) is a cardiac hormone synthesized as a pre-pro-peptide. pro-BNP is produced by cleaving the signal peptide then two proprotein convertases, corin and furin cleave pro-BNP to form a biologically active hormone. Two corin single nucleotide polymorphisms (SNPs) have been reported to alter corin protein conformation and impair its biological activity. OBJECTIVE: We aimed to investigate the potential role of corin and furin in comparison to BNP as biomarkers for predicting cardiovascular complications in T2DM patients. The association of corin gene SNPs with corin levels was also examined. METHODS: Seventy-five subjects were recruited in this study, including 25 T2DM patients with complications, 25 T2DM patients without complications as well as 25 healthy subjects. Plasma BNP, corin and furin levels were measured using enzyme-linked immunosorbent assays. Two corin SNPs were genotyped using allele specific oligonucleotide-polymerase chain reaction. RESULTS: Both furin and BNP were found to be more sensitive than corin (80% versus 56%, p = 0.008), whereas furin showed higher specificity when compared to BNP (96% versus 84%, p = 0.041) and corin (96% versus 64%, p < 0.0001) in predicting cardiovascular complications in T2DM patients. Corin SNPs are not associated with corin levels, neither in the entire study cohort nor in the subgroup of T2DM patients with cardiovascular complications (p > 0.05). CONCLUSIONS: Furin may be useful, either alone or in combination with other biomarkers, for cardiovascular risk stratification assessment in T2DM patients. FAU - Fathy, Shadia A AU - Fathy SA AD - a Department of Biochemistry , Faculty of Science, Ain Shams University , Cairo , Egypt . FAU - Abdel Hamid, Fatma F AU - Abdel Hamid FF AD - a Department of Biochemistry , Faculty of Science, Ain Shams University , Cairo , Egypt . FAU - Zabut, Baker M AU - Zabut BM AD - b Biochemistry Department , Faculty of Science, Islamic University , Gaza , Palestine . FAU - Jamee, Amal F AU - Jamee AF AD - c Cardiology Department , El-Shifa Hospital , Gaza , Palestine , and. FAU - Ali, Mohamed A M AU - Ali MA AD - a Department of Biochemistry , Faculty of Science, Ain Shams University , Cairo , Egypt . FAU - Abu Mustafa, Ayman M AU - Abu Mustafa AM AD - d General Directorate of Human Resources Development, Ministry of Health , Gaza , Palestine. LA - eng PT - Journal Article DEP - 20151021 PL - England TA - Biomarkers JT - Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals JID - 9606000 RN - 0 (Biomarkers) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - EC 3.4.21.- (CORIN protein, human) RN - EC 3.4.21.- (Serine Endopeptidases) RN - EC 3.4.21.75 (Furin) SB - IM MH - Aged MH - Biomarkers/*blood MH - Cardiovascular Diseases/*blood/complications/diagnosis MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*blood/complications/genetics MH - Female MH - Furin/*blood MH - Gene Frequency MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - Natriuretic Peptide, Brain/*blood MH - Polymorphism, Single Nucleotide MH - Prognosis MH - ROC Curve MH - Serine Endopeptidases/*blood/genetics OTO - NOTNLM OT - BNP OT - cardiovascular complications OT - corin OT - furin OT - type 2 diabetes mellitus EDAT- 2015/10/22 06:00 MHDA- 2016/09/14 06:00 CRDT- 2015/10/22 06:00 PHST- 2015/10/22 06:00 [entrez] PHST- 2015/10/22 06:00 [pubmed] PHST- 2016/09/14 06:00 [medline] AID - 10.3109/1354750X.2015.1093032 [doi] PST - ppublish SO - Biomarkers. 2015;20(6-7):460-9. doi: 10.3109/1354750X.2015.1093032. Epub 2015 Oct 21.