PMID- 33686950 OWN - NLM STAT- MEDLINE DCOM- 20210720 LR - 20210720 IS - 1945-4589 (Electronic) IS - 1945-4589 (Linking) VI - 13 IP - 6 DP - 2021 Mar 3 TI - A dynamic nomogram for predicting diabetic macular edema in type 2 diabetes patients based on plasma cytokines. PG - 8369-8379 LID - 10.18632/aging.202647 [doi] AB - OBJECTIVE: This study investigated changes of plasma cytokines and aimed to build a dynamic nomogram for diabetic macular edema (DME) in type 2 diabetes mellitus (T2DM). METHODS: In a pilot cohort, plasma samples were selected from 9 T2DM patients and 9 DME patients to screen for cytokine differences. The screening cytokines were then validated by enzyme-linked immunoassay in a cohort, which contained 100 DME (DME group) and 100 T2DM patients without DME (T2DM group). A dynamic nomogram for predicting DME was developed, based on the plasma cytokines. RESULTS: In the pilot cohort, 11 plasma cytokines were significantly increased in the DME group. In the validation cohort, platelet-derived growth factor (PDGF)-BB, tissue inhibitors of metalloproteinase (TIMP)-1, angiopoietin (ANG-1), and vascular endothelial cell growth factor receptor (VEGFR)-2 were confirmed to be significantly elevated in the DME group. The dynamic nomogram demonstrated good calibration and discrimination, with an area under the receiver operating characteristic curve (AUC) of 0.88. In the test set, sensitivity, specificity, and AUC were 73.3%, 80.0%, and 0.84, respectively. CONCLUSION: Plasma cytokines were closely associated with DME. A novel dynamic monogram including ANG-1, PDGF-BB, TIMP-1, and VEGFR2 was a novel tool for predicting DME. FAU - Zhang, Ning AU - Zhang N AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China. AD - Beijing Key Laboratory of Diabetes Research and Care, Beijing 101149, China. FAU - Ke, Jing AU - Ke J AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China. AD - Beijing Key Laboratory of Diabetes Research and Care, Beijing 101149, China. FAU - Zhang, Dawei AU - Zhang D AD - Department of Ophthalmology, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China. FAU - Zhang, Yuanyuan AU - Zhang Y AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China. AD - Beijing Key Laboratory of Diabetes Research and Care, Beijing 101149, China. FAU - Fu, Ying AU - Fu Y AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China. AD - Beijing Key Laboratory of Diabetes Research and Care, Beijing 101149, China. FAU - Cao, Bin AU - Cao B AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China. AD - Beijing Key Laboratory of Diabetes Research and Care, Beijing 101149, China. FAU - Zhao, Dong AU - Zhao D AD - Center for Endocrine Metabolism and Immune Diseases, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China. AD - Beijing Key Laboratory of Diabetes Research and Care, Beijing 101149, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210303 PL - United States TA - Aging (Albany NY) JT - Aging JID - 101508617 RN - 0 (Biomarkers) RN - 0 (Cytokines) SB - IM MH - Adult MH - Aged MH - Biomarkers/*blood MH - Cohort Studies MH - Cytokines/*blood MH - Diabetes Mellitus, Type 2/*complications MH - Female MH - Humans MH - Macular Edema/*blood/*etiology MH - Male MH - Middle Aged MH - Nomograms MH - Pilot Projects PMC - PMC8034887 OTO - NOTNLM OT - diabetic macular edema OT - dynamic nomogram OT - plasma cytokines OT - type 2 diabetes mellitus COIS- CONFLICTS OF INTEREST: The authors declare that they have no conflicts of interest. EDAT- 2021/03/10 06:00 MHDA- 2021/07/21 06:00 PMCR- 2021/03/31 CRDT- 2021/03/09 08:39 PHST- 2020/11/13 00:00 [received] PHST- 2021/01/22 00:00 [accepted] PHST- 2021/03/10 06:00 [pubmed] PHST- 2021/07/21 06:00 [medline] PHST- 2021/03/09 08:39 [entrez] PHST- 2021/03/31 00:00 [pmc-release] AID - 202647 [pii] AID - 10.18632/aging.202647 [doi] PST - ppublish SO - Aging (Albany NY). 2021 Mar 3;13(6):8369-8379. doi: 10.18632/aging.202647. Epub 2021 Mar 3.