Analysis of inflammatory cytokines and estimated glomerular filtration rate decline in Japanese patients with diabetic kidney disease: a pilot study

Author:

Sugawara Yuka1ORCID,Hirakawa Yosuke1ORCID,Mise Koki2ORCID,Kashiwabara Kosuke3ORCID,Hanai Ko4ORCID,Yamaguchi Satoshi2ORCID,Katayama Akihiro2ORCID,Onishi Yasuhiro2ORCID,Yoshida Yui1ORCID,Kashihara Naoki5ORCID,Matsuyama Yutaka6ORCID,Babazono Tetsuya4,Nangaku Masaomi1ORCID,Wada Jun2ORCID

Affiliation:

1. Division of Nephrology & Endocrinology, The University of Tokyo Graduate School of Medicine, Tokyo, 113 8655, Japan

2. Department of Nephrology, Rheumatology, Endocrinology & Metabolism, Okayama University Graduate School of Medicine, Dentistry & Pharmaceutical Sciences, Okayama, 700 8558, Japan

3. Data Science Office, Clinical Research Promotion Center, The University of Tokyo Hospital, Tokyo, 113 8655, Japan

4. Diabetes Center, Tokyo Women's Medical University School of Medicine, Tokyo, 162 8666, Japan

5. Department of Nephrology & Hypertension, Kawasaki Medical School, Kurashiki, 701 0192, Japan

6. Department of Biostatistics, The University of Tokyo, Tokyo, 113 0033, Japan

Abstract

Background: It is important to identify additional prognostic factors for diabetic kidney disease. Materials & methods: Baseline levels of ten cytokines (APRIL/TNFSF13, BAFF/TNFSF13B, chitinase 3-like 1, LIGHT/TNFSF14, TWEAK/TNFSF12, gp130/sIL-6Rβ, sCD163, sIL-6Rα, sTNF-R1, sTNF-R2) were measured in two cohorts of diabetic patients. In one cohort (n = 777), 156 individuals were randomly sampled after stratification and their plasma samples were analyzed; in the other cohort (n = 69), serum samples were analyzed in all the individuals. The levels of cytokines between rapid (estimated glomerular filtration rate decline >5 ml/min/1.73 m2/year) and non-rapid decliners were compared. Results: Multivariate analysis demonstrated significantly high levels of LIGHT/TNFSF14, TWEAK/TNFSF12 and sTNF-R2 in rapid decliners. Conclusion: These three cytokines can be potential biomarkers for the progression of diabetic kidney disease.

Funder

Japan Agency for Medical Research and Development

Publisher

Future Medicine Ltd

Subject

Biochemistry (medical),Clinical Biochemistry,Drug Discovery

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