PMID- 26554790 OWN - NLM STAT- MEDLINE DCOM- 20160218 LR - 20240325 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 94 IP - 44 DP - 2015 Nov TI - Serum Phosphorylated Neurofilament-Heavy Chain, a Potential Biomarker, is Associated With Peripheral Neuropathy in Patients With Type 2 Diabetes. PG - e1908 LID - 10.1097/MD.0000000000001908 [doi] LID - e1908 AB - Neurofilament (NF), one of the major axonal cytoskeletal proteins, plays a critical role in degenerative diseases in both the central and the peripheral nervous systems. The aim of this study is to explore the relationship between serum phosphorylated neurofilament-heavy chain (pNF-H) and diabetic peripheral neuropathy (DPN) in patients with type 2 diabetes.Serum pNF-H concentrations were measured by ELISA in hospitalized patients with and without DPN (n = 118). DPN was assessed by clinical symptoms, signs, and electromyography.Compared with the non-DPN group (311.98 [189.59-634.12] pg/mL), the confirmed group (605.99 [281.17-1332.78] pg/mL) patients had the higher serum pNF-H levels (P = 0.007). DPN was significantly correlated with C-peptide (r = -0.269), total cholesterol (TC) (r = 0.185), and pNF-H (r = 0.258). Serum pNF-H levels were independently associated with DPN (P = 0.004), even after adjusting for age, sex, duration of diabetes, fasting plasma glucose, glycosylated hemoglobin A1c, TC, C-peptide, urinary albuminto/creatinine ratio, and estimated glomerular filtration rate. Compared with pNF-H quartile 1 (referent), patients in quartile 3 (odds ratio [OR], 3.977; 95% confidence interval [CI], 1.243-12.728; P = 0.021) and quartile 4 (OR, 10.488; 95% CI, 3.020-34.429; P = 0.000) had the higher risk of DPN after adjusting for the confounders.Serum pNF-H levels might be associated with the DPN, and the correlationship between serum pNF-H and DPN should be further studied. FAU - Qiao, Xiaona AU - Qiao X AD - From the Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China. FAU - Zhang, Shuo AU - Zhang S FAU - Zhao, Weiwei AU - Zhao W FAU - Ye, Hongying AU - Ye H FAU - Yang, Yehong AU - Yang Y FAU - Zhang, Zhaoyun AU - Zhang Z FAU - Miao, Qing AU - Miao Q FAU - Hu, Renming AU - Hu R FAU - Li, Yiming AU - Li Y FAU - Lu, Bin AU - Lu B LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Biomarkers) RN - 0 (Glycated Hemoglobin A) SB - IM MH - Aged MH - Biomarkers/*blood MH - Diabetes Mellitus, Type 2/*blood/complications MH - Diabetic Neuropathies/*blood/etiology MH - Disease Progression MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Glycated Hemoglobin/*metabolism MH - Humans MH - Intermediate Filaments/*metabolism MH - Male MH - Middle Aged MH - Phosphorylation MH - Pilot Projects MH - Retrospective Studies PMC - PMC4915891 COIS- The authors have no funding and conflicts of interest to disclose. EDAT- 2015/11/12 06:00 MHDA- 2016/02/19 06:00 PMCR- 2015/11/06 CRDT- 2015/11/12 06:00 PHST- 2015/11/12 06:00 [entrez] PHST- 2015/11/12 06:00 [pubmed] PHST- 2016/02/19 06:00 [medline] PHST- 2015/11/06 00:00 [pmc-release] AID - 00005792-201511030-00030 [pii] AID - 10.1097/MD.0000000000001908 [doi] PST - ppublish SO - Medicine (Baltimore). 2015 Nov;94(44):e1908. doi: 10.1097/MD.0000000000001908.