Effect of inflammatory injury and oxidative stress injury on urine microalbumincreatinine and 24 h urine microalbumin in patients with diabetic nephropathy

摘要

Objective:To explore the effect of inflammatory injury and oxidative stress injury on urine microalbumin/creatinine (UACR) and 24 h urine microalbumin (24 h UMA) in patients with diabetic nephropathy.Methods: 54 patients with early diabetic nephropathy treated in our hospital between June 2012 and December 2015 were included in early diabetic nephropathy (DN) group and 60 patients with clinical diabetic nephropathy were included in clinical DN group. 50 healthy subjects who received physical examination in our hospital during the same period were included in healthy control group. Enzyme-linked immunosorbent assay (ELISA) was used to detect the serum inflammatory injury index levels;automatic biochemical analyzer was used to determine serum oxidative stress injury index levels;immunoturbidimetry was used to detect 24 h UMA, and UACR level was calculated.Results: Serum interleukin-6 (IL-6), interleukin-18 (IL-18), interleukin-27 (IL-27) and tumor necrosis factor-α (TNF-α) levels of clinical DN group were higher than those of early DN group and healthy control group while IL-10 level was lower than that of early DN group and healthy control group (P<0.05);serum total antioxidant capacity (T-AOC), vitamin C (VitC) and glutathione peroxidase (GSH-Px) levels were lower than those of early DN group and healthy control group while lipid hydrogen peroxide (LHP) and malondialdehyde (MDA) levels were higher than those of early DN group and healthy control group (P<0.05);UACR and 24 h UMA levels were higher than those of early DN group and healthy control group (P<0.05). Spearman correlation analysis showed that UACR and 24 h UMA levels in patients with diabetic nephropathy are directly related to the degree of inflammatory injury and oxidative stress injury.Conclusions: The inflammatory injury and oxidative stress injury directly affect the UACR and 24 h UMA levels in patients with diabetic nephropathy, and are the important determinants for the occurrence and development of disease.