PMID- 35133014 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220407 IS - 1098-2825 (Electronic) IS - 0887-8013 (Print) IS - 0887-8013 (Linking) VI - 36 IP - 3 DP - 2022 Mar TI - Associations of serum amyloid A and 25-hydroxyvitamin D with diabetic nephropathy: A cross-sectional study. PG - e24283 LID - 10.1002/jcla.24283 [doi] LID - e24283 AB - BACKGROUND: The present study investigated the relationships between serum amyloid A (SAA), 25-hydroxyvitamin D (25(OH)VD) and diabetic nephropathy (DN) to provide evidence for the prevention and management of DN. METHODS: A total of 182 patients with type 2 diabetes mellitus (T2DM) were enrolled in this study. The levels of SAA, 25(OH)VD, and other conventional indicators were measured and analyzed. Receiver operating characteristic curve analysis was applied for the combined measurement of SAA and 25(OH)VD, and risk factors for DN were evaluated using binary logistic regression analysis. RESULTS: The levels of SAA in T2DM patients were significantly higher than those in healthy subjects, and the level significantly increased with the progression of DN (p < 0.05). In contrast, the level of 25(OH)VD in T2DM patients was significantly lower than that in healthy subjects, and the level significantly decreased with the progression of DN (p < 0.05). The combined measurement of SAA and 25(OH)VD distinguished DN patients from T2DM patients better than the measurement of SAA or 25(OH)VD alone. SAA was an independent risk factor for DN, and 25(OH)VD was an independent protective factor for DN. CONCLUSION: SAA and 25(OH)VD might be used as potential markers to identify patients at increased risk of developing DN. CI - (c) 2022 The Authors. Journal of Clinical Laboratory Analysis published by Wiley Periodicals LLC. FAU - Liu, Qian AU - Liu Q AD - Department of Laboratory Medicine, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Sun, Jin AU - Sun J AD - Department of Laboratory Medicine, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Xu, Tongdao AU - Xu T AD - Department of Endocrinology, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Bian, Guangrong AU - Bian G AD - Department of Laboratory Medicine, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Yang, Fumeng AU - Yang F AUID- ORCID: 0000-0002-2636-7340 AD - Department of Laboratory Medicine, The Second People's Hospital of Lianyungang, Lianyungang, China. LA - eng GR - TQ202101/Young and Middle-aged Medical Talent Growth Fund of the Second People's Hospital of Lianyungang/ GR - 2020byzd342/Key Project of the Natural Science Foundation of Bengbu Medical College/ PT - Journal Article DEP - 20220208 PL - United States TA - J Clin Lab Anal JT - Journal of clinical laboratory analysis JID - 8801384 RN - 0 (Serum Amyloid A Protein) RN - 1406-16-2 (Vitamin D) RN - A288AR3C9H (25-hydroxyvitamin D) SB - IM MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 2/complications MH - *Diabetic Nephropathies MH - Humans MH - Serum Amyloid A Protein MH - Vitamin D/analogs & derivatives PMC - PMC8906018 OTO - NOTNLM OT - 25-hydroxyvitamin D OT - diabetic nephropathy OT - serum amyloid A OT - type 2 diabetes mellitus COIS- The authors declare no potential conflicts of interest with respect to the study, authorship, and/or publication of this article. EDAT- 2022/02/09 06:00 MHDA- 2022/04/08 06:00 PMCR- 2022/02/08 CRDT- 2022/02/08 08:40 PHST- 2022/01/25 00:00 [revised] PHST- 2021/12/30 00:00 [received] PHST- 2022/01/28 00:00 [accepted] PHST- 2022/02/09 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] PHST- 2022/02/08 08:40 [entrez] PHST- 2022/02/08 00:00 [pmc-release] AID - JCLA24283 [pii] AID - 10.1002/jcla.24283 [doi] PST - ppublish SO - J Clin Lab Anal. 2022 Mar;36(3):e24283. doi: 10.1002/jcla.24283. Epub 2022 Feb 8.