PMID- 31560661 OWN - NLM STAT- MEDLINE DCOM- 20191112 LR - 20211204 IS - 1512-0112 (Print) IS - 1512-0112 (Linking) IP - 292-293 DP - 2019 Jul-Aug TI - [ASSOCIATION OF FIBROBLAST GROWTH FACTOR 23 WITH MARKERS OF INFLAMMATION AND FIBROSIS IN DIABETIC NEPHROPATHY]. PG - 44-49 AB - The aim of the present study was to establish the disorders of mineral metabolism and production of monocyte chemoattractant protein type 1 (MCP-1) and plasminogen activator inhibitor type 1 (PAI-1) in patients with diabetic nephropathy (DN) at different stages of the disease. We examined 78 patients with DN aged from 57 to 76 years. Fibroblast growth factor 23 (FGF23), MCP-1 and PAI-1 levels in blood serum were determined by ELISA. The levels of calcium and phosphorus in the serum were established by biochemical method. Our results showed the progressive elevation of FGF-23 level in serum depending on the stage of the DN (p <0.05). High levels of FGF23 were determined already in the early stages of nephropathy. FGF23 levels in DN patients twice exceeded control group level. The highest FGF23 concentrations were detected in the late stages of the disease. Hyperphosphatemia was found in the late stages of the DN when compared with controls and early preclinical stages. We found a significant increase of MCP-1 and PAI-1 levels in patients with DN. These changes may be involved in inflammatory and fibrotic processes in the kidneys. FGF23 elevation in the peripheral blood of DN patients was associated with an increase of inflammatory and fibrosis mediators MCP-1 and PAI-1. We conclude that FGF23 increase may be considered as an important risk factor of DN progression. FAU - Topchii, I AU - Topchii I AD - L.T. Mala National Institute of Therapy of the National Academy of Medical Science of Ukraine, State Institution, Department of Prevention and Treatment of Kidney Diseases at Comorbid Conditions. FAU - Semenovykh, P AU - Semenovykh P AD - L.T. Mala National Institute of Therapy of the National Academy of Medical Science of Ukraine, State Institution, Department of Prevention and Treatment of Kidney Diseases at Comorbid Conditions. FAU - Galchiskaya, V AU - Galchiskaya V AD - L.T. Mala National Institute of Therapy of the National Academy of Medical Science of Ukraine, State Institution, Department of Prevention and Treatment of Kidney Diseases at Comorbid Conditions. FAU - Yakymenko, Yu AU - Yakymenko Y AD - L.T. Mala National Institute of Therapy of the National Academy of Medical Science of Ukraine, State Institution, Department of Prevention and Treatment of Kidney Diseases at Comorbid Conditions. FAU - Shcherban, T AU - Shcherban T AD - L.T. Mala National Institute of Therapy of the National Academy of Medical Science of Ukraine, State Institution, Department of Prevention and Treatment of Kidney Diseases at Comorbid Conditions. LA - rus PT - Journal Article PL - Georgia (Republic) TA - Georgian Med News JT - Georgian medical news JID - 101218222 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (FGF23 protein, human) RN - 0 (Plasminogen Activator Inhibitor 1) RN - 62031-54-3 (Fibroblast Growth Factors) RN - 7Q7P4S7RRE (Fibroblast Growth Factor-23) SB - IM MH - Aged MH - Biomarkers/blood MH - Case-Control Studies MH - Chemokine CCL2/*blood MH - Diabetic Nephropathies/blood/*diagnosis MH - Disease Progression MH - Enzyme-Linked Immunosorbent Assay MH - Fibroblast Growth Factor-23 MH - Fibroblast Growth Factors/*blood MH - Fibrosis MH - Humans MH - Hyperphosphatemia/blood MH - Inflammation/blood MH - Middle Aged MH - Plasminogen Activator Inhibitor 1/*blood EDAT- 2019/09/29 06:00 MHDA- 2019/11/13 06:00 CRDT- 2019/09/28 06:00 PHST- 2019/09/28 06:00 [entrez] PHST- 2019/09/29 06:00 [pubmed] PHST- 2019/11/13 06:00 [medline] PST - ppublish SO - Georgian Med News. 2019 Jul-Aug;(292-293):44-49.