Objective To investigate the significance of special serum and urinary proteins in early diagnosis of diabetic nephropathy. Methods he serum and urinary samples were collected from 67 type 2 diabetic patients and 82 healthy controls. The levels of β2-MG in serum were detected by chemiluminescence and urinary β2-MG (uβ2-MG) levels were determined by radioimmunoassay. The contents of MA and α1-MG in urinary were evaluated by immunoturbidimetry of rate scatter.Results Compared with the controls, the levels of β2-MG, uβ2-MG, MA and α1-MG in diabetic group were elevated obviously (P<0.05). The positive rates of those four proteins in diabetic group were 32.8%,47.8%,35.8%and 34.3% respectively, while they were null in control group. The positive rates of those four proteins in diabetic group were enhanced accordingly (P<0.05) with the course of diabetes extension. Conclusion The detection of urinary β2-MG, MA, α1-MG and serum β2-MG are available in early diagnose of diabetic nephropathy, which can help patients discovering the state more early to avoid the deferment of disease.
LE Yan
,
ZHANG Hua
,
CHEN Hua
,
MAO Shun-lu
,
XIANG Ming-jie
. Significance of Special Serum and Urinary Proteins in EarlyDiagnosis of Diabetic Nephropathy[J]. Labeled Immunoassays and Clinical Medicine, 2013
, 20(2)
: 81
-83
.
DOI: 10.11748/bjmy.issn.1006-1703.2013.02.007
[1] Yin X, Zhang Y, Wu H, et al. Protective effects of astragalus saponin Ⅰon early stage of diabetic nephropathy rats [J]. J Pharmacol Sci, 2004, 95(2): 256-266.
[2] Awad H, Safty I,el-Barbary M,et al. Evaluation of renal glomerular and tubular functional and structural integrity in neonates [J]. Am J Med Sci, 2002, 324(5): 261-266.
[3] 王焕君, 林美珊, 郑宇琼. 血、尿β2-微球蛋白测定的临床意义[J].实验与检验医学, 2008,26(5): 515-516.
[4] 刘红, 赵红娟, 刑淑清,等. 尿液联合检测对肾损害性疾病的早期诊断价值及临床应用[J]. 中国临床实用医学, 2010, 4(8):162-163.
[5] 白慧芝, 郝恩. β2-微球蛋白及尿白蛋白在糖尿病肾病早期诊断中的价值[J]. 上海预防医学, 2004, 16(10): 492-493.
[6] 周芹, 陈立松. 尿微量白蛋白及β2-微球蛋白检测对糖尿病肾病早期诊断的价值探讨[J]. 实验与检验医学, 2010, 28(4): 405-406.
[7] 秦瑞香. 尿α1-MG、β2-MG、Alb的检测在SLE患者早期肾损害中的意义[J]. 放射免疫学杂志, 2005, 18(3): 214-215.
[8] Bkenkamp A, Dieterich C, Dressler F,et al. Fetal serum concentrations of cystatin C and beta2-microglobulin as predictors of postnatal kidney function [J]. Am J Obstet Gynecol, 2001, 185(2): 468-475.
[9] 金秀平, 杨春伟, 王浩. 早期糖尿病肾病相关诊断指标探讨[J]. 检验医学与临床, 2007, 4(4): 248-250.