PMID- 9407457 OWN - NLM STAT- MEDLINE DCOM- 19980205 LR - 20181201 IS - 0098-6577 (Print) IS - 0098-6577 (Linking) VI - 63 DP - 1997 Dec TI - Urinary excretion of TGF-beta 1, PDGF-BB and fibronectin in insulin-dependent diabetes mellitus patients. PG - S195-7 AB - We studied the urinary excretion of transforming growth factor-beta 1 (TGF-beta 1), platelet-derived growth factor-BB (PDGF) and fibronectin (FN) in 104 patients (52 normoalbuminuric, 24 microalbuminuric, and 28 with overt diabetic nephropathy) with insulin-dependent diabetes mellitus (IDDM) of a long duration and in 30 non-diabetic controls. IDDM patients had higher urinary excretion of TGF-beta 1, PDGF and FN compared to controls. Urinary excretion of TGF-beta 1 and PDGF was elevated in all IDDM subgroups, while FN excretion was significantly increased only in patients with macroalbuminuria. Urinary excretion of TGF-beta 1 and FN did not differ between normoalbuminuric IDDM patients with long duration of diabetes, a group at low risk of ever developing diabetic nephropathy, and IDDM patients with incipient or overt diabetic nephropathy. Excretion of PDGF was significantly higher in patients with micro- and macroalbuminuria compared to normoalbuminuric patients, but there was a considerable overlap between the groups. In conclusion, although longitudinal follow-up studies are needed to further clarify the issue, our results in long-standing IDDM do not support a hypothesis of urinary excretion of TGF-beta 1, PDGF or FN to predict development of diabetic nephropathy. FAU - Fagerudd, J A AU - Fagerudd JA AD - Department of Medicine, Helsinki University Central Hospital, Finland. FAU - Groop, P H AU - Groop PH FAU - Honkanen, E AU - Honkanen E FAU - Teppo, A M AU - Teppo AM FAU - Gronhagen-Riska, C AU - Gronhagen-Riska C LA - eng PT - Clinical Trial PT - Journal Article PL - United States TA - Kidney Int Suppl JT - Kidney international. Supplement JID - 7508622 RN - 0 (Anticoagulants) RN - 0 (Fibronectins) RN - 0 (Platelet-Derived Growth Factor) RN - 0 (Proto-Oncogene Proteins c-sis) RN - 0 (Recombinant Proteins) RN - 0 (Transforming Growth Factor beta) RN - 1B56C968OA (Becaplermin) SB - IM MH - Adult MH - Albuminuria/urine MH - Anticoagulants/*urine MH - Becaplermin MH - Diabetes Mellitus, Type 2/*urine MH - Diabetic Nephropathies/urine MH - Female MH - Fibronectins/*urine MH - Humans MH - Male MH - Platelet-Derived Growth Factor/*urine MH - Proto-Oncogene Proteins c-sis MH - Recombinant Proteins/urine MH - Transforming Growth Factor beta/*urine EDAT- 1998/01/04 00:00 MHDA- 1998/01/04 00:01 CRDT- 1998/01/04 00:00 PHST- 1998/01/04 00:00 [pubmed] PHST- 1998/01/04 00:01 [medline] PHST- 1998/01/04 00:00 [entrez] PST - ppublish SO - Kidney Int Suppl. 1997 Dec;63:S195-7.