4.4 Article

Tumor Necrosis Factor-Alpha and 8-Hydroxy-2′-Deoxyguanosine are Associated with Elevated Urinary Angiopoietin-2 Level in Type 2 Diabetic Patients with Albuminuria

Journal

KIDNEY & BLOOD PRESSURE RESEARCH
Volume 40, Issue 4, Pages 355-365

Publisher

KARGER
DOI: 10.1159/000368510

Keywords

Angiopoietin 2; Tumor necrosis factor-alpha; 8-Hydroxy-2 '-deoxyguanosine; Interleukin-18; Superoxide dismutase

Funding

  1. National Natural Science Foundation of China [30871174, 30800523, 30900682, 81170662, 81170600, 31200872, 81300604, 81470964, 81400720]
  2. Natural Science Foundation of Hubei Province [2013 CFA026, 2012 FFA038]
  3. Ministry of Education of China [20130142110064]
  4. Hubei Province Health and Family Planning Commission [WJ2015MB013]
  5. Science and Technology Bureau of Wuhan [2015060101010039]

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Background/Aims: We previously showed that urine and serum Angiopoietin-2 (Ang-2) levels increased significantly with the degree of albuminuria in diabetes patients, but the reasons remain unclear. Consequently we aimed to determine whether there was an association between Ang-2, inflammatory cytokines (TNF-alpha and IL-18) and reactive oxygen species (8-OHdG and SOD) in type 2 diabetes patients with albuminuria. Methods: This retrospective study evaluated 113 patients with type 2 diabetes and normoalbuminuria, microalbuminuria, or macroalbuminuria and 30 healthy controls. Serum and urine TNF-alpha, IL-18 and 8-OHdG levels were measured by ELISA. Superoxide dismutase (SOD) activity was determined by spectrophotometry. Results: Serum and urine TNF-alpha, IL-18 and 8-OHdG levels increased significantly with the degree of albuminuria, and were positively correlated with increased Ang-2. In contrast, SOD activity decreased with the degree of albuminuria and was negatively correlated with Ang-2. Multivariable linear regression analysis revealed that serum Ang-2 level was independently associated with serum levels of TNF-alpha (P<0.001), 8-OHdG (P=0.001), and IL-18 (P=0.003). Urinary Ang-2 level was independently associated with urinary TNF-alpha (P<0.001) and 8-OHdG ( P=0.004) levels. Conclusion: TNF-alpha and 8-OHdG are associated with elevated urinary Angiopoietin-2 levels in type 2 diabetic patients with albuminuria. Copyright (C) 2015 S. Karger AG, Basel

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