Urinary adiponectin excretion rises with increasing albuminuria in type 1 diabetes

Anders Jorsal, Emilie Hein Petersen, Lise Tarnow, Georg Hess, Dietmar Zdunek, Jan Frystyk, Allan Flyvbjerg, Maria Lajer, Peter Rossing

13 Citationer (Scopus)

Abstrakt

AIM: Urinary adiponectin (u-adiponectin) excretion has been suggested to reflect early glomerular damage. Inspired by this, we studied the levels of u-adiponectin in type 1 diabetic patients with different levels of urinary albumin excretion (UAE).

METHODS: U-adiponectin was analysed by ELISA in type 1 diabetic patients: Fifty-eight with normoalbuminuria (<30mg albumin/24h), 43 with persistent microalbuminuria (30-300mg/24h) and 44 with persistent macroalbuminuria (>300mg/24h). For comparison, a control group of 55 healthy individuals was included.

RESULTS: U-adiponectin increased with increasing levels of UAE (p<0.01). U-adiponectin median (interquartile range): Normoalbuminuria 0.38 (0.14-1.31), microalbuminuria 1.12 (0.20-2.68), macroalbuminuria 9.20 (1.10-23.35) and controls 0.09 (0.06-0.24) μg/g creatinine. Levels were unrelated to sex, age, cholesterol, diastolic BP and BMI. U-adiponectin was weakly associated with increasing systolic BP and HbA1c (r(2)<0.1, p<0.05), but strongly related to increasing UAE (r(2)=0.57, p<0.001) and decreasing eGFR (r(2)=0.26, p<0.001). The relationship between UAE and u-adiponectin was significant in all groups and independent of eGFR, BMI, BP and HbA1c. Furthermore, u-adiponectin was associated with markers of tubular damage (p<0.01).

CONCLUSION: U-adiponectin rises with increasing levels of UAE in patients with type 1 diabetes. This is in accordance with the hypothesis that loss of adiponectin may reflect glomerular and/or tubular damage.

OriginalsprogEngelsk
TidsskriftJournal of Diabetes and its Complications
Vol/bind27
Udgave nummer6
Sider (fra-til)604-8
Antal sider5
ISSN1056-8727
DOI
StatusUdgivet - dec. 2013
Udgivet eksterntJa

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