PMID- 26857862 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20211203 IS - 1473-2300 (Electronic) IS - 0300-0605 (Print) IS - 0300-0605 (Linking) VI - 44 IP - 2 DP - 2016 Apr TI - Adipokine zinc-alpha-2-glycoprotein as a novel urinary biomarker presents earlier than microalbuminuria in diabetic nephropathy. PG - 278-86 LID - 10.1177/0300060515601699 [doi] AB - OBJECTIVE: To investigate the role of zinc-alpha-2-glycoprotein (ZAG) in the early stage of diabetic nephropathy, in patients with type 2 diabetes mellitus (T2DM). METHODS: This cross-sectional observational study recruited patients with longstanding T2DM and healthy control subjects. Patients with T2DM were further stratified based on their urine albumin-creatinine ratio (UACR) and estimated glomerular filtration rate (eGFR). Serum and urine concentrations of ZAG were determined using an enzyme-linked immunosorbent assay. RESULTS: Eighty patients with T2DM and 20 healthy control subjects were enrolled in the study. Mean +/- SD concentrations of ZAG in serum and urine were both significantly higher in patients with T2DM (serum: 38.29 +/- 22.72 mg/l; urine: 53.64 +/- 29.48 mg/g) compared with concentrations in healthy control subjects (serum: 21.61 +/- 8.83 mg/l; urine: 28.17 +/- 10.64 mg/g). Serum ZAG concentration was positively correlated with serum creatinine and eGFR. Urine ZAG concentration was positively correlated with UACR. Urine concentration of ZAG in the higher eGFR group was higher than that in the normal eGFR group (41.26 +/- 13.67 versus 32.05 +/- 8.55 mg/g, respectively). CONCLUSION: These preliminary findings suggest that ZAG might be a potentially useful biomarker for early diagnosis of diabetic nephropathy in patients with T2DM. CI - (c) The Author(s) 2016. FAU - Wang, Yuan AU - Wang Y AD - Department of Nephrology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China. FAU - Li, Yan-Mei AU - Li YM AD - Department of Nephrology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China. FAU - Zhang, Shu AU - Zhang S AD - Department of Nephrology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China. FAU - Zhao, Jiu-Yang AU - Zhao JY AD - Department of Nephrology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China. FAU - Liu, Chun-Yan AU - Liu CY AD - Department of Nephrology, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China 15541117239@163.com. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20160208 PL - England TA - J Int Med Res JT - The Journal of international medical research JID - 0346411 RN - 0 (Biomarkers) RN - 0 (Seminal Plasma Proteins) RN - 0 (Serum Albumin) RN - 0 (Zn-Alpha-2-Glycoprotein) RN - AYI8EX34EU (Creatinine) SB - IM MH - Adult MH - Aged MH - Albuminuria/blood/*diagnosis/physiopathology/urine MH - Biomarkers/urine MH - Case-Control Studies MH - Creatinine/blood MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/*diagnosis/physiopathology/urine MH - Diabetic Nephropathies/blood/*diagnosis/physiopathology/urine MH - Early Diagnosis MH - Female MH - Glomerular Filtration Rate MH - Humans MH - Male MH - Middle Aged MH - Seminal Plasma Proteins/*urine MH - Serum Albumin/metabolism MH - Zn-Alpha-2-Glycoprotein PMC - PMC5580061 OTO - NOTNLM OT - Zinc-alpha-2-glycoprotein OT - albuminuria OT - biomarker OT - diabetic nephropathy EDAT- 2016/02/10 06:00 MHDA- 2016/12/15 06:00 PMCR- 2016/04/01 CRDT- 2016/02/10 06:00 PHST- 2015/01/22 00:00 [received] PHST- 2015/07/26 00:00 [accepted] PHST- 2016/02/10 06:00 [entrez] PHST- 2016/02/10 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - 0300060515601699 [pii] AID - 10.1177_0300060515601699 [pii] AID - 10.1177/0300060515601699 [doi] PST - ppublish SO - J Int Med Res. 2016 Apr;44(2):278-86. doi: 10.1177/0300060515601699. Epub 2016 Feb 8.